Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Roy Burstein, Nathaniel J. Henry, Michael L. Collison, Laurie B. Marczak, Amber Sligar, Stefanie Watson, Neal Marquez, Mahdieh Abbasalizad-Farhangi, Masoumeh Abbasi, Foad Abd-Allah, Amir Abdoli, Mohammad Abdollahi, Ibrahim Abdollahpour, Rizwan Suliankatchi Abdulkader, Michael R.M. Abrigo, Dilaram Acharya, Oladimeji M. Adebayo, Victor Adekanmbi, Davoud Adham, Mahdi AfshariMohammad Aghaali, Keivan Ahmadi, Mehdi Ahmadi, Ehsan Ahmadpour, Rushdia Ahmed, Chalachew Genet Akal, Joshua O. Akinyemi, Fares Alahdab, Noore Alam, Genet Melak Alamene, Kefyalew Addis Alene, Mehran Alijanzadeh, Cyrus Alinia, Vahid Alipour, Syed Mohamed Aljunid, Mohammed J. Almalki, Hesham M. Al-Mekhlafi, Khalid Altirkawi, Nelson Alvis-Guzman, Adeladza Kofi Amegah, Saeed Amini, Arianna Maever Loreche Amit, Zohreh Anbari, Sofia Androudi, Mina Anjomshoa, Fereshteh Ansari, Carl Abelardo T. Antonio, Jalal Arabloo, Zohreh Arefi, Paul H. Lee

Research output: Journal article publicationJournal articleAcademic researchpeer-review

38 Citations (Scopus)

Abstract

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.

Original languageEnglish
Pages (from-to)353-358
Number of pages6
JournalNature
Volume574
Issue number7778
DOIs
Publication statusPublished - 17 Oct 2019

ASJC Scopus subject areas

  • General

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