This report will provide readers with a better understanding of how policies and systems impact disparities observed in child deaths by geography, race, ethnicity, sexual orientation, and gender identity. By sharing disparity data framed within a comprehensive context of inequitable systems and policies, we are able to move towards more equitable prevention recommendations, such as paid family leave and increased access to telehealth services. Child Death Review (CDR) partners should use disparity data to guide future prevention efforts designed to support those communities most impacted or disproportionately impacted by child deaths. Please consider utilizing the context provided in this report in any prevention conversations and development of work products that include CDR data.