This report provides an overview of the status of early childhood care and education (ECCE) in Jordan, Lebanon, Sudan, and Syria. It examines the contextual factors influencing ECCE, highlighting current policies, challenges, and strategies for improvement and expansion. The report underscores the paucity and limitations of available data. Findings show that ECCE services have improved but regional disparity and dominance of the private sector prevail. None of the four countries but Jordan has a full-fledged national strategy and policy on ECCE. Challenges identified include lack of qualified teachers, societal misconceptions about the unique features of early childhood, and lack of research-based studies. Innovative projects show that NGOs have been instrumental in addressing the needs of marginalized children.