The world has made remarkable progress in improving neonatal survival in recent decades, giving millions of children a better chance to lead a healthy, productive life. Yet, too many newborns still struggle with survival. Births in fragile contexts are particularly vulnerable, with nearly 30 per cent of stillbirths and neonatal deaths happening in these settings. This document presents the challenges newborns face in emergency settings, UNICEF's response and programmatic priorities, and the way forward.