Understanding inequities in access to early childhood services and outcomes is important to guide targeted interventions and ensure all children benefit from nurturing care. This study analyzed prevalence of exposure to stunting and/or extreme poverty, access to early childhood care and education programs, home stimulation, and child development using national surveys from 94 countries that assessed inequalities across child gender, household wealth, rural/urban location, and income group. While there was no significant gender gap, poorer countries and households had worse outcomes and access to services compared to wealthier countries and households. Sub-Saharan Africa had the highest proportion of children exposed to stunting or extreme poverty and the lowest proportion of children accessing early childhood services or adequate stimulation.