Under-five mortality rate 2018
The under-five mortality rate measures the number of deaths per 1,000 live births for children under five. This critical statistic highlights child health and development, reflecting a country's healthcare quality and socioeconomic conditions. Understanding these rates is vital for improving global health initiatives.
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Complete Data Rankings
Rank | ||
|---|---|---|
1 | South Sudan | 142.742 per live births |
2 | Somalia | 136.258 per live births |
3 | Niger | 123.595 per live births |
4 | Nigeria | 119.521 per live births |
5 | Central African Republic | 119.249 per live births |
6 | Chad | 117.39 per live births |
7 | Sierra Leone | 116.639 per live births |
8 | Mali | 106.137 per live births |
9 | Guinea | 104.979 per live births |
10 | Burkina Faso | 90.682 per live births |
11 | Benin | 90.361 per live births |
12 | Congo, Democratic Republic of the | 86.515 per live births |
13 | Equatorial Guinea | 84.086 per live births |
14 | Guinea-Bissau | 82.571 per live births |
15 | Liberia | 81.361 per live births |
16 | Cameroon | 80.058 per live births |
17 | Côte d'Ivoire | 78.669 per live births |
18 | Lesotho | 77.532 per live births |
19 | Angola | 77.35 per live births |
20 | Mozambique | 75.017 per live births |
21 | Pakistan | 69.418 per live births |
22 | Togo | 68.779 per live births |
23 | Madagascar | 66.028 per live births |
24 | Afghanistan | 65.338 per live births |
25 | Haiti | 63.908 per live births |
26 | Zambia | 62.717 per live births |
27 | Burundi | 59.354 per live births |
28 | Djibouti | 59.221 per live births |
29 | Sudan | 58.995 per live births |
30 | Kiribati | 58.974 per live births |
31 | Eswatini | 58.304 per live births |
32 | Timor-Leste | 55.38 per live births |
33 | Comoros | 55.083 per live births |
34 | Ethiopia | 54.803 per live births |
35 | Zimbabwe | 53.321 per live births |
36 | Gambia | 52.883 per live births |
37 | Ghana | 49.112 per live births |
38 | Malawi | 48.193 per live births |
39 | Bolivia | 47.508 per live births |
40 | Tanzania | 47.428 per live births |
41 | Laos | 47.349 per live births |
42 | Yemen | 47.31 per live births |
43 | Uganda | 47.257 per live births |
44 | Papua New Guinea | 47.18 per live births |
45 | Congo | 46.484 per live births |
46 | Myanmar | 46.149 per live births |
47 | Mauritania | 44.49 per live births |
48 | Kenya | 44.332 per live births |
49 | Senegal | 44.009 per live births |
50 | Botswana | 43.949 per live births |
51 | Gabon | 43.794 per live births |
52 | Rwanda | 43.102 per live births |
53 | Turkmenistan | 42.611 per live births |
54 | Namibia | 42.434 per live births |
55 | Eritrea | 41.946 per live births |
56 | India | 36.486 per live births |
57 | South Africa | 35.065 per live births |
58 | Tajikistan | 34.758 per live births |
59 | Dominican Republic | 34.386 per live births |
60 | Bangladesh | 33.717 per live births |
61 | Western Sahara | 33.493 per live births |
62 | Syrian Arab Republic | 33.015 per live births |
63 | Nepal | 32.902 per live births |
64 | Marshall Islands | 32.511 per live births |
65 | Nauru | 30.171 per live births |
66 | Guyana | 30.126 per live births |
67 | Dominica | 29.32 per live births |
68 | Philippines | 28.383 per live births |
69 | Niue | 28.186 per live births |
70 | Cambodia | 27.704 per live births |
71 | Bhutan | 27.079 per live births |
72 | Iraq | 26.953 per live births |
73 | Micronesia (Fed. States of) | 26.838 per live births |
74 | Guatemala | 25.613 per live births |
75 | Indonesia | 24.722 per live births |
76 | Fiji | 24.359 per live births |
77 | Algeria | 23.889 per live births |
78 | Tuvalu | 23.354 per live births |
79 | Palau | 22.562 per live births |
80 | Azerbaijan | 22.368 per live births |
81 | Vietnam | 21.45 per live births |
82 | Egypt | 20.837 per live births |
83 | Solomon Islands | 20.789 per live births |
84 | Morocco | 20.145 per live births |
85 | Paraguay | 20.007 per live births |
86 | Vanuatu | 19.929 per live births |
87 | Kyrgyzstan | 19.322 per live births |
88 | Jamaica | 19.135 per live births |
89 | Venezuela | 18.916 per live births |
90 | Suriname | 18.774 per live births |
91 | North Korea | 18.468 per live births |
92 | Sao Tome and Principe | 18.459 per live births |
93 | Honduras | 18.393 per live births |
94 | Trinidad and Tobago | 18.224 per live births |
95 | Samoa | 17.7 per live births |
96 | Saint Lucia | 17.524 per live births |
97 | Nicaragua | 17.428 per live births |
98 | Panama | 17.269 per live births |
99 | Saint Kitts and Nevis | 17.214 per live births |
100 | State of Palestine | 16.757 per live births |
101 | Uzbekistan | 16.524 per live births |
102 | Mongolia | 16.521 per live births |
103 | Sint Maarten (Dutch part) | 16.263 per live births |
104 | Peru | 16.196 per live births |
105 | Jordan | 16.106 per live births |
106 | Mauritius | 15.72 per live births |
107 | Aruba | 15.635 per live births |
108 | Grenada | 15.538 per live births |
109 | Saint Vincent and the Grenadines | 15.18 per live births |
110 | Tunisia | 15.153 per live births |
111 | Brazil | 15.105 per live births |
112 | Cabo Verde | 15.083 per live births |
113 | Republic of Moldova | 14.98 per live births |
114 | Seychelles | 14.712 per live births |
115 | Mexico | 14.683 per live births |
116 | Saint Helena | 14.598 per live births |
117 | British Virgin Islands | 14.373 per live births |
118 | Lebanon | 14.213 per live births |
119 | Colombia | 14.143 per live births |
120 | Wallis and Futuna Islands | 14.055 per live births |
121 | Isle of Man | 14.049 per live births |
122 | Ecuador | 13.875 per live births |
123 | Iran | 13.856 per live births |
124 | El Salvador | 13.72 per live births |
125 | Bahamas | 13.53 per live births |
126 | Belize | 13.485 per live births |
127 | Guam | 13.392 per live births |
128 | Bonaire, Sint Eustatius and Saba | 13.232 per live births |
129 | New Caledonia | 13.225 per live births |
130 | Armenia | 12.53 per live births |
131 | Libya | 12.452 per live births |
132 | Barbados | 12.317 per live births |
133 | Kosovo | 11.902 per live births |
134 | Tonga | 11.869 per live births |
135 | Argentina | 11.843 per live births |
136 | French Guiana | 11.719 per live births |
137 | Turkey | 11.561 per live births |
138 | Falkland Islands (Malvinas) | 11.363 per live births |
139 | Greenland | 11.177 per live births |
140 | Gibraltar | 11.114 per live births |
141 | American Samoa | 10.988 per live births |
142 | Oman | 10.882 per live births |
143 | Curaçao | 10.792 per live births |
144 | Mayotte | 10.738 per live births |
145 | Kazakhstan | 10.567 per live births |
146 | Antigua and Barbuda | 10.368 per live births |
147 | Saint Pierre and Miquelon | 10.198 per live births |
148 | Georgia | 9.927 per live births |
149 | Saint Martin (French part) | 9.902 per live births |
150 | Brunei Darussalam | 9.863 per live births |
151 | Jersey | 9.62 per live births |
152 | Albania | 9.509 per live births |
153 | Thailand | 9.345 per live births |
154 | Kuwait | 8.918 per live births |
155 | Guadeloupe | 8.907 per live births |
156 | China | 8.69 per live births |
157 | Martinique | 8.595 per live births |
158 | Northern Mariana Islands | 8.498 per live births |
159 | Costa Rica | 8.455 per live births |
160 | Ukraine | 8.095 per live births |
161 | Malaysia | 8.076 per live births |
162 | Faroe Islands | 8.015 per live births |
163 | Cook Islands | 7.947 per live births |
164 | Uruguay | 7.935 per live births |
165 | Saudi Arabia | 7.757 per live births |
166 | Sri Lanka | 7.655 per live births |
167 | Maldives | 7.636 per live births |
168 | Montserrat | 7.623 per live births |
169 | Romania | 7.438 per live births |
170 | Chile | 7.234 per live births |
171 | Bahrain | 7.138 per live births |
172 | Guernsey | 7.136 per live births |
173 | Bulgaria | 7.061 per live births |
174 | United Arab Emirates | 6.979 per live births |
175 | United States Virgin Islands | 6.978 per live births |
176 | Puerto Rico | 6.973 per live births |
177 | French Polynesia | 6.868 per live births |
178 | Réunion | 6.857 per live births |
179 | Liechtenstein | 6.795 per live births |
180 | Cuba | 6.765 per live births |
181 | Anguilla | 6.698 per live births |
182 | Tokelau | 6.648 per live births |
183 | Saint Barthélemy | 6.607 per live births |
184 | Malta | 6.577 per live births |
185 | Qatar | 6.552 per live births |
186 | United States | 6.529 per live births |
187 | Turks and Caicos Islands | 6.496 per live births |
188 | North Macedonia | 6.347 per live births |
189 | Bosnia and Herzegovina | 6.28 per live births |
190 | Russia | 6.223 per live births |
191 | Andorra | 6.003 per live births |
192 | Serbia | 5.879 per live births |
193 | Slovakia | 5.865 per live births |
194 | Luxembourg | 5.808 per live births |
195 | Canada | 5.414 per live births |
196 | Croatia | 5.07 per live births |
197 | Monaco | 4.734 per live births |
198 | Taiwan | 4.661 per live births |
199 | New Zealand | 4.497 per live births |
200 | Poland | 4.47 per live births |
201 | France | 4.44 per live births |
202 | Belgium | 4.355 per live births |
203 | United Kingdom | 4.325 per live births |
204 | Greece | 4.126 per live births |
205 | Denmark | 4.092 per live births |
206 | Lithuania | 4.083 per live births |
207 | Portugal | 4.059 per live births |
208 | Hungary | 3.994 per live births |
209 | Netherlands | 3.963 per live births |
210 | Switzerland | 3.955 per live births |
211 | Germany | 3.802 per live births |
212 | Latvia | 3.706 per live births |
213 | Australia | 3.672 per live births |
214 | Israel | 3.65 per live births |
215 | China, Macao SAR | 3.494 per live births |
216 | Italy | 3.36 per live births |
217 | Belarus | 3.352 per live births |
218 | Montenegro | 3.257 per live births |
219 | South Korea | 3.208 per live births |
220 | Ireland | 3.182 per live births |
221 | Austria | 3.182 per live births |
222 | Bermuda | 3.178 per live births |
223 | Czech Republic | 3.178 per live births |
224 | Cyprus | 3.165 per live births |
225 | Spain | 3.145 per live births |
226 | Iceland | 2.78 per live births |
227 | Estonia | 2.63 per live births |
228 | Finland | 2.602 per live births |
229 | Sweden | 2.586 per live births |
230 | Japan | 2.548 per live births |
231 | Norway | 2.539 per live births |
232 | Singapore | 2.51 per live births |
233 | Cayman Islands | 2.46 per live births |
234 | Slovenia | 2.31 per live births |
235 | China, Hong Kong SAR | 2.18 per live births |
236 | San Marino | 1.736 per live births |
↑Top 10 Countries
- #1
South Sudan
- #2
Somalia
- #3
Niger
- #4
Nigeria
- #5
Central African Republic
- #6
Chad
- #7
Sierra Leone
- #8
Mali
- #9
Guinea
- #10
Burkina Faso
Analysis: These countries represent the highest values in this dataset, showcasing significant scale and impact on global statistics.
↓Bottom 10 Countries
- #236
San Marino
- #235
China, Hong Kong SAR
- #234
Slovenia
- #233
Cayman Islands
- #232
Singapore
- #231
Norway
- #230
Japan
- #229
Sweden
- #228
Finland
- #227
Estonia
Context: These countries or territories have the lowest values, often due to geographic size, administrative status, or specific characteristics.
Analysis & Context
The Under-five mortality rate is a crucial indicator of global child health, measuring the number of deaths of children under five per 1,000 live births. This statistic serves as a reflection of a country's healthcare quality and socioeconomic conditions, making it a vital measure for guiding international health initiatives. In 2018, this metric offered a comprehensive view of child health across different regions, revealing stark contrasts and highlighting areas for improvement.
Global Overview of Under-five Mortality in 2018
In 2018, the under-five mortality rate was reported across 200 countries, with values ranging from a minimum of 4.47 to a maximum of 142.74 deaths per 1,000 live births. The average rate was 29.68, while the median was 16.76, indicating a positive trend towards lower mortality rates globally. However, significant disparities exist; South Sudan and Somalia reported alarmingly high rates of 142.74 and 136.26, respectively, underscoring regions where child health interventions remain a critical priority. Conversely, countries like Poland and New Zealand showcased exemplary healthcare systems, with mortality rates as low as 4.47 and 4.50, respectively.
Public Health Implications and Challenges
The disparities in under-five mortality rates reflect broader public health challenges. High mortality rates in countries like Niger (123.59) and Nigeria (119.52) highlight issues such as inadequate healthcare infrastructure, lack of access to essential services, and socioeconomic instability. These factors contribute to poor health outcomes, emphasizing the need for targeted health policies and international support to address the underlying causes. The data reveals that nations with better healthcare systems and socioeconomic conditions tend to have significantly lower mortality rates, demonstrating the impact of holistic health policies and investments.
Regional Contrasts and Developmental Disparities
Geographic patterns in the data indicate significant regional contrasts. Sub-Saharan Africa emerges as a region with the highest mortality rates, with countries like Chad (117.39) and Sierra Leone (116.64) among the top ten. These figures contrast sharply with those from Europe and Oceania, where countries such as Luxembourg and Slovakia report rates below 6 per 1,000 live births. Such disparities are often linked to differences in economic development, access to healthcare, and educational resources, necessitating tailored strategies to address the unique challenges faced by high-mortality regions.
Policy Impact and Progress in 2018
2018 witnessed notable year-over-year changes in under-five mortality rates, reflecting the impact of health policies and programs. South Sudan saw a significant decrease of 144.66 deaths per 1,000 live births, a 50.3% reduction attributed to intensified international aid and healthcare reforms. Similarly, the Central African Republic experienced a 21% decrease, underscoring the positive effects of targeted health interventions. However, some countries like South Africa and Mauritius experienced increases, indicating areas where policy adjustments and renewed focus on health services might be necessary.
Future Directions for Global Health Policy
To sustain progress and further reduce the under-five mortality rate, it is essential to focus on comprehensive healthcare access and address the social determinants of health. Strengthening health systems, improving maternal and child nutrition, and ensuring access to clean water and sanitation are crucial pathways to achieving lower mortality rates. Additionally, international cooperation and commitment to resources are vital to support countries with the highest needs. By focusing on these strategic areas, the global community can make significant strides toward achieving universal health coverage and reducing child mortality worldwide.
In summary, the 2018 under-five mortality rate provides valuable insights into global health disparities and progress. While many countries have made remarkable advancements, ongoing efforts are essential to tackle the persistent challenges that some regions face. By leveraging data-driven strategies and fostering international collaboration, the goal of improving child health globally remains within reach.
Insights by country
Germany
In 2018, Germany ranked 211 out of 236 countries in terms of under-five mortality rate, with a statistic of 3.80 deaths per 1,000 live births. This figure reflects the effectiveness of the country's healthcare system and its commitment to child health and welfare.
The low under-five mortality rate in Germany can be attributed to several factors, including high standards of prenatal care, access to quality healthcare services, and comprehensive vaccination programs. Furthermore, socio-economic stability and public health policies that promote maternal and child health contribute significantly to these positive outcomes.
As a comparison, the global average under-five mortality rate was approximately 38 deaths per 1,000 live births in 2019, highlighting Germany's advanced healthcare system. The country's continued investment in healthcare infrastructure and education is essential for maintaining and further improving these statistics in the coming years.
Angola
Angola ranks 19th out of 236 countries in terms of under-five mortality rate, highlighting a significant public health challenge. In 2018, the under-five mortality rate in Angola was approximately 77.35 deaths per 1,000 live births, indicating that a considerable number of children do not survive to age five.
This high mortality rate can be attributed to several factors, including limited access to healthcare services, high prevalence of infectious diseases, and malnutrition. Additionally, Angola has faced challenges in its healthcare infrastructure due to years of civil conflict, which has impeded the development of a robust health system.
Efforts to reduce under-five mortality in Angola have been ongoing, with initiatives focusing on improving maternal and child health services, vaccination programs, and nutritional support. Notably, the country has made progress in recent years, reflecting a broader trend of decreasing under-five mortality rates across many Sub-Saharan African nations.
Malawi
In 2018, Malawi recorded an under-five mortality rate of 48.19 deaths per 1,000 live births, placing it 38th out of 236 countries in terms of child mortality. This statistic reflects the significant challenges the country faces in ensuring child health and survival.
The under-five mortality rate in Malawi is influenced by various factors, including limited access to healthcare services, high rates of infectious diseases, malnutrition, and socioeconomic challenges. Efforts to improve maternal and child health, such as the introduction of vaccination programs and nutritional support, have been ongoing but face hurdles due to resource constraints.
Notably, while Malawi has made progress in reducing child mortality rates over the years, the figure remains concerning compared to global averages. For instance, the global under-five mortality rate was approximately 38 deaths per 1,000 live births in 2019, highlighting the disparities faced by countries like Malawi in achieving child health outcomes.
Sierra Leone
Sierra Leone has the seventh-highest under-five mortality rate in the world, recorded at 116.6 deaths per 1,000 live births in 2018. This statistic highlights a significant public health challenge within the country, reflecting ongoing issues related to healthcare access, maternal health, and child nutrition.
The high under-five mortality rate in Sierra Leone can be attributed to several factors, including limited healthcare infrastructure, high prevalence of infectious diseases, and inadequate maternal care. Additionally, the lasting impact of the Ebola outbreak from 2014 to 2016 has strained healthcare services, further complicating efforts to reduce child mortality.
In comparison to global averages, where the under-five mortality rate is significantly lower, Sierra Leone's figures underscore the urgent need for improved health policies and interventions. Efforts to enhance child health services, vaccination coverage, and maternal education are critical to addressing this pressing issue.
Antigua and Barbuda
In 2018, Antigua and Barbuda had an under-five mortality rate of 10.37 per 1,000 live births, ranking it 146th out of 236 countries in this vital health indicator. This statistic reflects the number of children who die before reaching the age of five, which is a critical measure of child health and overall development in a nation.
The relatively low under-five mortality rate in Antigua and Barbuda can be attributed to several factors, including improved healthcare services, access to vaccinations, and maternal education. Additionally, the country's efforts in public health initiatives and child nutrition programs have contributed to reducing child mortality rates.
Comparatively, this rate is significantly lower than the global average, which was approximately 38 deaths per 1,000 live births around the same time. Such statistics underscore the advancements made in the Caribbean region regarding child health, although challenges remain for achieving universal health equity.
El Salvador
In 2018, El Salvador ranked 124th out of 236 countries in terms of under-five mortality rate, with a statistic of 13.72 deaths per 1,000 live births. This figure reflects the challenges faced by the country in ensuring child health and survival, despite improvements in healthcare access and maternal education over recent years.
The under-five mortality rate in El Salvador can be attributed to various factors, including poverty, limited access to healthcare, and malnutrition. While efforts have been made to enhance maternal and child healthcare services, socioeconomic disparities still significantly affect health outcomes, particularly in rural areas where medical facilities and resources are often scarce.
Additionally, El Salvador has made strides in reducing overall mortality rates in recent decades; however, the country still grapples with issues such as violence, inadequate public health infrastructure, and high rates of chronic diseases, which can impede progress in child health. Such complexities highlight the need for continued investment in health initiatives and social programs aimed at improving living conditions for families.
Benin
In 2018, Benin had an under-five mortality rate of 90.36 per 1,000 live births, ranking it 11th out of 236 countries globally. This figure indicates a significant challenge in child health within the nation, reflecting the ongoing struggle against preventable diseases and health inequities.
The high under-five mortality rate in Benin can be attributed to various factors, including limited access to quality healthcare, inadequate maternal health services, and a high prevalence of infectious diseases. Additionally, socioeconomic challenges such as poverty and malnutrition further exacerbate the situation, making it difficult for families to seek necessary medical care for their children.
Furthermore, improving this statistic requires concerted efforts in healthcare infrastructure, education, and public health initiatives aimed at reducing child mortality through vaccination programs, improved sanitation, and maternal education. In comparison, global efforts have led to a decline in under-five mortality rates over the past decades, highlighting the importance of continued investment in health systems, particularly in low-income countries.
Cuba
Cuba ranks 180th out of 236 countries in terms of under-five mortality rate as of 2018. The country recorded an under-five mortality rate of 6.77 deaths per 1,000 live births, which reflects a significant achievement in child health care within the context of global health standards.
This relatively low mortality rate can be attributed to Cuba's robust healthcare system, which emphasizes preventive care, maternal health, and child healthcare services. The Cuban government has invested heavily in public health, ensuring widespread access to vaccinations, maternal education, and nutrition programs that contribute to better health outcomes for children.
Moreover, Cuba has a high literacy rate and a strong emphasis on education, which further supports health awareness among the population. Despite facing economic challenges and limited resources due to longstanding trade embargoes, the country has managed to maintain commendable health indicators compared to other nations in the region.
Gibraltar
In 2018, Gibraltar recorded an under-five mortality rate of 11.11 per 1,000 live births, placing it 140th out of 236 countries in the global ranking for this indicator. This statistic indicates that while Gibraltar's mortality rate for young children is relatively low compared to many countries, it reflects ongoing health challenges that can affect infant and child survival.
Factors contributing to the under-five mortality rate in Gibraltar may include access to healthcare services, maternal health, and socioeconomic conditions. The region benefits from a robust healthcare system, but variations in health outcomes can still occur due to genetic factors and lifestyle choices among the population.
In comparison, many developed nations have significantly lower under-five mortality rates, often below 5 per 1,000 live births, highlighting the ongoing need for health initiatives even in regions with advanced healthcare systems. Such statistics are crucial for public health planning and resource allocation to ensure the well-being of children in Gibraltar.
Saint Vincent and the Grenadines
In 2018, Saint Vincent and the Grenadines recorded an under-five mortality rate of 15.18 per 1,000 live births, ranking it 109th out of 236 countries globally. This statistic reflects the number of children who die before reaching the age of five, a crucial indicator of child health and overall development within a nation.
The relatively low under-five mortality rate in Saint Vincent and the Grenadines can be attributed to several factors, including improved access to healthcare, maternal education, and public health initiatives aimed at reducing child mortality. The healthcare system in the country has made strides in providing vaccinations, prenatal care, and nutrition programs, which are essential in ensuring the health and survival of children.
Moreover, while the rate is lower than in many developing countries, challenges remain, such as limited resources, economic constraints, and occasional health crises that can impact child health. For context, the global average under-five mortality rate was approximately 38 deaths per 1,000 live births in 2019, highlighting the progress made in Saint Vincent and the Grenadines compared to many other regions.
Data Source
United Nations Population Division
The Population Division of the Department of Economic and Social Affairs conducts demographic research, supports intergovernmental processes at the United Nations in the area of population and development, and assists countries in developing their capacity to produce and analyse population data and information. The Division brings population issues to the attention of the international community by highlighting the central role of demographic trends in all aspects of sustainable development. The Division publishes datasets on the world’s population and analyzes global demographic trends.
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