Like many Pacific Islands, Palau is in the midst of rapid social, economic, and environmental change. These changes have profound impacts on children, women, and families leading many to feel they are caught “between two worlds.” Finding a middle road that blends these two worlds represents a fundamental challenge for children coming of age in the first decades of the 21st century. This report is a situational analysis of the rights and well-being of children, youth and women in Palau.