While living conditions in many areas have improved in recent years, a child's place of birth is still the biggest predictor of its future. Oh yes, and no matter where you are born, life is more difficult if you are a girl. These claims come from the Bill and Melinda Gates Foundation, a leading philanthropic organization for health and development. The group report that some 500 million people worldwide lack basic healthcare or education. It also found that girls everywhere suffer from discrimination. The new report is the Foundation's third on United Nations' Sustainable Development Goals. The report looks at efforts to reduce inequality and poverty, and improve health around the world. It follows progress on 17 measures that most U.N. members countries have said they will try to reach by the year 2030. Those efforts are falling short, says Bill Gates, the 63-year-old co-founder of Microsoft Corporation. He sat down with VOA at the Foundation's offices in Seattle, Washington, before the report's release. As much progress as we're making, a child in many countries still over 10% are dying before the age of five. And in richer countries, it is less than 1%, said Gates. So the idea that any place in the world is still 10%, some almost 15%, should galvanize us to do a better job. The results prove that the world's investments in development aren't reaching everyone, the report said. It noticed progress in the education of girls, but it also found that women's opportunities are limited by social customs, discriminatory laws, and violence. If you reduce the child death rate, families choose to have less children. As you educate women, more families choose to have less children, Gates said. Smaller families can reduce poverty. Gates Foundation Chief Executive x says the clearest warnings from the report were of the dangers of gender and geography. She said the report showed that more children die in Chad every day than in Finland every year. Also, Finland's average education is up to college level. While in Chad, the average child does not finish primary school. It's just not okay that a child in Chad is 55 times more likely to die than a child in Finland, x said. She added that a girl born in Africa has her gender and her geographical location affecting her future. Generally, the report noted unabated development progress with life, health and economic success improving on average across the world. But it also pointed out the large number of people who are being left behind.