Child mortality rates have plummeted to less than half of what they were in 1990, but it is not enough. We have to acknowledge tremendous global progress, especially since 2000, when many countries have tripled the rate of reduction of under-five mortality, yet far too large number of children are still dying from preventable causes before their fifth birthday – and indeed within their first month of life – should impel us to redouble our efforts to do what we know needs to be done. We cannot continue to fail them.
17,000 fewer children die each day than in 1990, but more than six million children still die before their fifth birthday each year
15.6 million Deaths averted from measles since 2000
Child mortality has declined rapidly since 2000, but reductions in neonatal mortality need to accelerate:
Significant progress has been made in reducing child mortality. In 2015, the mortality rate for children under age 5 worldwide was 43 deaths per 1,000 live births—a 44 per cent reduction since 2000. This translates to 5.9 million under-5 deaths in 2015, down from 9.8 million in 2000. But despite progress in every region, wide disparities persist. Sub-Saharan Africa continues to have the highest under-5 mortality rate, with 84 deaths per 1,000 live births in 2015— about twice the global average.
Children are most vulnerable in the first 28 days of life (the neonatal period). To reduce child deaths even further, greater attention must be focused on this crucial period, where progress has not been as rapid. In 2015, the global neonatal mortality rate was 19 deaths per 1,000 live births, a 37 per cent reduction since 2000. This means that, in 2015, about 2.7 million children died in the first month of life. Neonatal mortality remains highest in Central and Southern Asia and in sub-Saharan Africa: 29 deaths per 1,000 live births in 2015 in both regions.
The share of newborn deaths in all under-5 deaths grew from 40 per cent in 2000 to 45 per cent in 2015, due to the slower pace of progress among newborns. It is estimated that 40 per cent of neonatal deaths could be prevented by providing high-quality care for both mother and baby around the time of birth.
Children born into poverty are almost twice as likely to die before the age of five as those from wealthier families.
Children of educated mothers even mothers with only primary schooling are more likely to survive than children of mothers with no education
If the Sustainable Development Goal
child health target is to be met, increased investment in scaling up lifesaving interventions, with proactive attention to reaching the most vulnerable and marginalized populations, is needed.
Tracking national mortality levels (and other outcome indicators and coverage rates) is important but insufficient; within country disaggregation also is necessary to monitor equity in intervention coverage and health outcomes.
Addressing the determinants of health, including limited maternal education, absolute poverty
, and relative poverty, is needed for deeper and sustained gains in child survival and health. This will require attention to socio-political-economic policies that drive health and their determinants.
Source 1 : https://unstats.un.org/sdgs/report/2017
Source 2 : http://www.unicef.org.mz/en/child-mortality-rates-plunge-by-more-than-half-since-1990
Source 3 : https://thehopeprojectnow.com/about/testimonials