Reviews of MDG progress in various countries have revealed many successes, but also the need for urgent, focused action. In the absence of enhanced efforts, many countries risk missing one or more of the targets by the deadline. In others, even if the target will be reached by the country as a whole, subnational areas may lag behind.The MDG Acceleration Framework (MAF) provides a systematic way for countries to develop their own action plan to pursue MDG priorities. This report shares the lessons from 10 pilot countries on efforts taken toward meeting the 2015 MDG deadline. It also addresses disparities and inequalities, one of the major causes of uneven MDG progress across and within countries, by responding to the needs of the most vulnerable--the poorest of the poor, women, and ethnic minorities.