In developed countries, pediatric cancers are one of the leading causes of death in children. As the under-5-year mortality rate in developing countries drops because of improved sanitation, immunization, and access to basic medical care, pediatric cancers become increasingly important, rising to a position of the third or fourth most common cause of childhood death. 1 It is estimated that 80%-85% of pediatric cancer cases occur in the developing world, where the 5-year survival can be less than 10% (in contrast to the US and western European countries, where it is approximately 70%). 2 Individual physicians and institutions have developedseveralprogramsthatmodelhowpediatriccancers can be effectively treated in a resource-poor setting. International partnerships involving twinning, the development of supportive services, and telecare have all proven to be effective in improving pediatric cancer outcomes in developing countries.