INTRODUCTION: Children have specific vulnerabilities during crises that necessitate specialized care. This study assessed the adequacy of pediatric-specific pre-deployment training provided by Non-Governmental Organizations (NGOs) operating in crisis zones. METHOD: To identify NGOs active in disaster response, a list of organizations that responded to the 2023 Turkey-Syria earthquake were selected from Charity Watch's top-rated NGOs in the International Relief & Development category. A comprehensive analysis of their public websites was performed, and the NGOs were contacted for information on their pediatric-specific training. NGO response rates and the content of the programs were analyzed to evaluate the current state of pediatric pre-deployment training. FINDINGS: Twelve of the 23 (52.1 %) NGOs responded to inquiries. Of the responding NGOs, only one required any pediatric-specific training: a baseline minimum requirement for both pediatric and neonatal life support certificates (or the equivalent) for all clinical staff. The NGO stipulated that its staff also receive mandatory training on safeguarding child welfare, as well as Integrated Management of Neonatal and Childhood Illness training. The non-pediatric specific courses offered by this specific NGO include Personal Safety and Security, Psychological First Aid and Hostile Environment Awareness Training. CONCLUSION: There is a critical lack of pediatric training provided by NGOs. This underscores the crucial need for standardized and comprehensive pre-deployment training for healthcare personnel in disaster zones, with a particular focus on pediatric care. The analysis of NGO responses and practices revealed inconsistencies in training content, strategies and programs. Establishing best practices and collaboration between NGOs, healthcare experts, and authorities is vital to ensuring the proper care of pediatric patients in disaster zones.