A strong paid care sector is critical to meeting a society's care needs as well as advancing gender and economic equity. In this paper, we present a comparative analysis of the paid care sector across a large number of countries located in different regions of the world and in differing positions in the global economy. We use harmonized collections of microdata from 47 nations to ask three sets of questions about the paid care workforce around the globe. First, how big is the care sector, and who are the workers in it? Second, we examine the occupational structure of the sector. Finally, we ask to what extent is the size of the care sector a match or mismatch with care needs.