Many of us are hopeful for a Covid-19 vaccine in the near future to overcome a tumultuous year. But for people living in poverty in lower- and middle-income countries, the crisis is far from over. Vaccinations are potentially still years away for these countries, and many donors have significantly cut their aid budgets. This threatens to reverse hard-fought progress to both lift people out of poverty and improve opportunities for women and girls. It also puts vulnerable groups, such as people with disabilities and migrants, at risk.