"Foreword As we publish this 2024 Humanitarian Needs and Response Plan (HNRP), escalating fighting, surging displacement and extreme protection threats are now impacting vast swathes of the country, compounding the devastating impacts of Cyclone Mocha in May, and placing the people of Myanmar in increasing peril. Three years on from the military takeover, the humanitarian landscape for 2024 is grim with a third of the population – 18.6 million people – now estimated to be in humanitarian need. Children are bearing the brunt of the crisis with 6 million children in need as a result of displacement, interrupted health-care and education, food insecurity and malnutrition, and protection risks including forced recruitment and mental distress. The economic situation is placing families in increasing financial distress and coping capacities are stretched to the limit. Interruptions to agriculture and rapid inflation are making it increasingly difficult for people to access and afford adequate food, raising the spectre of climbing malnutrition. The health system is in crisis and millions are without safe shelter or drinking water. Women, girls, persons with disabilities and stateless Rohingya people are among those impacted the most by this dangerous environment. Development gains are concurrently under extreme threat with poverty now back at levels not seen for 15 years. This Plan paints a deeply disturbing picture that demands global attention and a dramatic increase in funding. Humanitarians require almost a billion dollars to reach 5.3 million people who have been prioritized for urgent assistance. We cannot afford a repeat of the gross underfunding seen in 2023 with only 29 per cent of requirements received. This lack of funding and severe access constraints meant that an estimated 1.9 million people who had been prioritized for support missed out on assistance altogether, while most of the 3.1 million people who were reached with some support did not receive the intended multi-sectoral assistance required to fully meet their needs. Brave aid workers – the majority of them local organizations on the front line of the response – remain committed to staying and delivering and have scaled-up wherever they can over the past three years. However, de-politicization of aid, as well as significantly expanded access and greatly increased funding will be critical to preventing the suffering of everyone prioritized for support in this Plan. Complementary funding is also needed across the nexus to address the persistent growth in humanitarian needs. The absence of large-scale preventative and resilience-building interventions by the broader development community is placing unprecedented pressure on humanitarian caseloads. To reverse current humanitarian trends, greater funding is simultaneously needed in 2024 for broader community development. We thank our generous donors for their ongoing solidarity with the people of Myanmar as needs continue to spiral. But in 2024, we need donors to dig deeper and speak louder to amplify the voices of affected people on the world stage. Millions of lives are at stake and we all must do everything we can to prevent Myanmar becoming a forgotten emergency..."