Under-five mortality rate 2019
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 | Central African Republic | 238.213 per live births |
2 | Niger | 122.201 per live births |
3 | Somalia | 117.582 per live births |
4 | Nigeria | 116.666 per live births |
5 | Chad | 113.594 per live births |
6 | Sierra Leone | 112.382 per live births |
7 | Mali | 103.088 per live births |
8 | Guinea | 102.653 per live births |
9 | South Sudan | 99.387 per live births |
10 | Benin | 87.996 per live births |
11 | Burkina Faso | 87.919 per live births |
12 | Congo, Democratic Republic of the | 84.074 per live births |
13 | Equatorial Guinea | 81.16 per live births |
14 | Guinea-Bissau | 79.709 per live births |
15 | Liberia | 79.176 per live births |
16 | Cameroon | 77.356 per live births |
17 | Lesotho | 76.536 per live births |
18 | Côte d'Ivoire | 76.21 per live births |
19 | Angola | 74.39 per live births |
20 | Mozambique | 72.834 per live births |
21 | Pakistan | 67.272 per live births |
22 | Togo | 66.573 per live births |
23 | Madagascar | 66.027 per live births |
24 | Afghanistan | 64.006 per live births |
25 | Haiti | 62.012 per live births |
26 | Zambia | 60.88 per live births |
27 | Kiribati | 58.604 per live births |
28 | Djibouti | 57.529 per live births |
29 | Sudan | 57.169 per live births |
30 | Burundi | 56.96 per live births |
31 | Eswatini | 56.452 per live births |
32 | Timor-Leste | 53.595 per live births |
33 | Comoros | 53.334 per live births |
34 | Ethiopia | 52.402 per live births |
35 | Zimbabwe | 52.076 per live births |
36 | Gambia | 50.936 per live births |
37 | Congo | 50.841 per live births |
38 | Ghana | 47.268 per live births |
39 | Bolivia | 46.416 per live births |
40 | Yemen | 46.21 per live births |
41 | Malawi | 45.881 per live births |
42 | Papua New Guinea | 45.604 per live births |
43 | Tanzania | 45.478 per live births |
44 | Laos | 45.195 per live births |
45 | Uganda | 45.111 per live births |
46 | Myanmar | 44.591 per live births |
47 | Kenya | 43.607 per live births |
48 | Mauritania | 43.119 per live births |
49 | Botswana | 42.491 per live births |
50 | Gabon | 42.461 per live births |
51 | Turkmenistan | 42.29 per live births |
52 | Senegal | 42.042 per live births |
53 | Rwanda | 41.783 per live births |
54 | Namibia | 41.494 per live births |
55 | Eritrea | 40.542 per live births |
56 | South Africa | 36.655 per live births |
57 | India | 34.488 per live births |
58 | Dominican Republic | 34.02 per live births |
59 | Tajikistan | 33.702 per live births |
60 | Western Sahara | 32.372 per live births |
61 | Bangladesh | 32.324 per live births |
62 | Marshall Islands | 31.561 per live births |
63 | Nepal | 31.484 per live births |
64 | Dominica | 30.125 per live births |
65 | Nauru | 29.251 per live births |
66 | Guyana | 29.194 per live births |
67 | Philippines | 28.323 per live births |
68 | Niue | 27.313 per live births |
69 | Cambodia | 26.607 per live births |
70 | Iraq | 26.301 per live births |
71 | Bhutan | 26.018 per live births |
72 | Micronesia (Fed. States of) | 25.981 per live births |
73 | Fiji | 25.281 per live births |
74 | Syrian Arab Republic | 24.909 per live births |
75 | Guatemala | 24.547 per live births |
76 | Bahamas | 24.328 per live births |
77 | Indonesia | 23.696 per live births |
78 | Algeria | 23.372 per live births |
79 | Palau | 22.697 per live births |
80 | Tuvalu | 22.539 per live births |
81 | Vietnam | 21.162 per live births |
82 | Azerbaijan | 21.098 per live births |
83 | Samoa | 20.189 per live births |
84 | Solomon Islands | 20.145 per live births |
85 | Egypt | 20.109 per live births |
86 | Vanuatu | 19.515 per live births |
87 | Paraguay | 19.469 per live births |
88 | Jamaica | 19.357 per live births |
89 | Morocco | 19.351 per live births |
90 | Venezuela | 18.766 per live births |
91 | Kyrgyzstan | 18.647 per live births |
92 | Suriname | 18.23 per live births |
93 | Honduras | 17.862 per live births |
94 | North Korea | 17.75 per live births |
95 | Panama | 17.719 per live births |
96 | Trinidad and Tobago | 17.538 per live births |
97 | Saint Lucia | 17.469 per live births |
98 | Sao Tome and Principe | 17.267 per live births |
99 | Nicaragua | 16.848 per live births |
100 | Saint Kitts and Nevis | 16.671 per live births |
101 | Sint Maarten (Dutch part) | 16.254 per live births |
102 | Peru | 15.939 per live births |
103 | State of Palestine | 15.877 per live births |
104 | Mongolia | 15.749 per live births |
105 | Grenada | 15.677 per live births |
106 | Uzbekistan | 15.613 per live births |
107 | Jordan | 15.552 per live births |
108 | Mauritius | 15.392 per live births |
109 | Aruba | 15.364 per live births |
110 | Lebanon | 14.86 per live births |
111 | Brazil | 14.814 per live births |
112 | Republic of Moldova | 14.755 per live births |
113 | Seychelles | 14.708 per live births |
114 | Saint Vincent and the Grenadines | 14.646 per live births |
115 | Cabo Verde | 14.245 per live births |
116 | Tunisia | 14.219 per live births |
117 | Mexico | 14.195 per live births |
118 | Saint Helena | 14.097 per live births |
119 | British Virgin Islands | 14.048 per live births |
120 | Isle of Man | 13.867 per live births |
121 | Colombia | 13.723 per live births |
122 | Wallis and Futuna Islands | 13.718 per live births |
123 | Ecuador | 13.447 per live births |
124 | Iran | 13.422 per live births |
125 | Guam | 13.357 per live births |
126 | El Salvador | 13.214 per live births |
127 | Bonaire, Sint Eustatius and Saba | 13.115 per live births |
128 | New Caledonia | 12.919 per live births |
129 | Belize | 12.817 per live births |
130 | Libya | 12.663 per live births |
131 | Barbados | 11.961 per live births |
132 | Armenia | 11.932 per live births |
133 | Tonga | 11.655 per live births |
134 | French Guiana | 11.59 per live births |
135 | Argentina | 11.52 per live births |
136 | Falkland Islands (Malvinas) | 11.322 per live births |
137 | Greenland | 11.261 per live births |
138 | Kosovo | 11.242 per live births |
139 | Turkey | 11.056 per live births |
140 | American Samoa | 10.932 per live births |
141 | Gibraltar | 10.93 per live births |
142 | Mayotte | 10.868 per live births |
143 | Oman | 10.78 per live births |
144 | Curaçao | 10.619 per live births |
145 | Kazakhstan | 10.281 per live births |
146 | Antigua and Barbuda | 10.163 per live births |
147 | Saint Pierre and Miquelon | 10.135 per live births |
148 | Saint Martin (French part) | 9.854 per live births |
149 | Brunei Darussalam | 9.839 per live births |
150 | Georgia | 9.76 per live births |
151 | Jersey | 9.755 per live births |
152 | Albania | 9.562 per live births |
153 | Thailand | 9.037 per live births |
154 | Guadeloupe | 8.932 per live births |
155 | Kuwait | 8.825 per live births |
156 | Martinique | 8.645 per live births |
157 | Costa Rica | 8.269 per live births |
158 | China | 8.11 per live births |
159 | Malta | 8.088 per live births |
160 | Malaysia | 8.032 per live births |
161 | Uruguay | 8.004 per live births |
162 | Faroe Islands | 7.95 per live births |
163 | Ukraine | 7.677 per live births |
164 | Cook Islands | 7.677 per live births |
165 | Northern Mariana Islands | 7.672 per live births |
166 | Sri Lanka | 7.419 per live births |
167 | Saudi Arabia | 7.385 per live births |
168 | Montserrat | 7.368 per live births |
169 | Luxembourg | 7.239 per live births |
170 | Maldives | 7.053 per live births |
171 | Romania | 7.022 per live births |
172 | Puerto Rico | 6.995 per live births |
173 | Bahrain | 6.98 per live births |
174 | United Arab Emirates | 6.772 per live births |
175 | Guernsey | 6.741 per live births |
176 | French Polynesia | 6.706 per live births |
177 | United States Virgin Islands | 6.705 per live births |
178 | Liechtenstein | 6.688 per live births |
179 | Chile | 6.687 per live births |
180 | Bulgaria | 6.675 per live births |
181 | North Macedonia | 6.62 per live births |
182 | Réunion | 6.549 per live births |
183 | Anguilla | 6.481 per live births |
184 | United States | 6.466 per live births |
185 | Saint Barthélemy | 6.417 per live births |
186 | Cuba | 6.378 per live births |
187 | Tokelau | 6.363 per live births |
188 | Turks and Caicos Islands | 6.355 per live births |
189 | Bosnia and Herzegovina | 6.233 per live births |
190 | Qatar | 6.2 per live births |
191 | Slovakia | 6.097 per live births |
192 | Andorra | 6.096 per live births |
193 | Russia | 5.893 per live births |
194 | Serbia | 5.697 per live births |
195 | New Zealand | 5.489 per live births |
196 | Canada | 5.099 per live births |
197 | Monaco | 4.697 per live births |
198 | Taiwan | 4.564 per live births |
199 | United Kingdom | 4.435 per live births |
200 | France | 4.417 per live births |
201 | Croatia | 4.415 per live births |
202 | Poland | 4.382 per live births |
203 | Hungary | 4.37 per live births |
204 | Latvia | 4.225 per live births |
205 | Netherlands | 4.21 per live births |
206 | Belgium | 4.137 per live births |
207 | Greece | 4.086 per live births |
208 | Montenegro | 3.937 per live births |
209 | Australia | 3.787 per live births |
210 | Switzerland | 3.774 per live births |
211 | Germany | 3.774 per live births |
212 | Austria | 3.731 per live births |
213 | Lithuania | 3.663 per live births |
214 | Israel | 3.617 per live births |
215 | Ireland | 3.596 per live births |
216 | Portugal | 3.567 per live births |
217 | China, Macao SAR | 3.393 per live births |
218 | Denmark | 3.385 per live births |
219 | Cyprus | 3.236 per live births |
220 | Belarus | 3.141 per live births |
221 | Spain | 3.136 per live births |
222 | South Korea | 3.108 per live births |
223 | Czech Republic | 3.091 per live births |
224 | Bermuda | 2.988 per live births |
225 | Italy | 2.936 per live births |
226 | Japan | 2.578 per live births |
227 | Norway | 2.555 per live births |
228 | Slovenia | 2.52 per live births |
229 | Finland | 2.505 per live births |
230 | Sweden | 2.503 per live births |
231 | Singapore | 2.429 per live births |
232 | Cayman Islands | 2.288 per live births |
233 | Estonia | 2.225 per live births |
234 | China, Hong Kong SAR | 2.091 per live births |
235 | Iceland | 1.777 per live births |
236 | San Marino | 1.658 per live births |
↑Top 10 Countries
- #1
Central African Republic
- #2
Niger
- #3
Somalia
- #4
Nigeria
- #5
Chad
- #6
Sierra Leone
- #7
Mali
- #8
Guinea
- #9
South Sudan
- #10
Benin
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
Iceland
- #234
China, Hong Kong SAR
- #233
Estonia
- #232
Cayman Islands
- #231
Singapore
- #230
Sweden
- #229
Finland
- #228
Slovenia
- #227
Norway
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 child health and development worldwide, measuring the number of deaths per 1,000 live births for children under five. In 2019, this statistic provided a lens into the healthcare quality and socioeconomic conditions across 200 countries. Understanding these figures is vital for formulating global health initiatives and improving child survival rates.
Global Disparities in Child Mortality Rates
The 2019 data reveals stark disparities in under-five mortality rates across the globe. On one end of the spectrum, countries like the Central African Republic reported alarmingly high rates, with 238.21 deaths per 1,000 live births, underscoring severe challenges in healthcare infrastructure and socioeconomic conditions. Similarly, Niger (122.20), Somalia (117.58), and Nigeria (116.67) reflected high mortality rates pointing to systemic issues like poverty, conflict, and inadequate healthcare services.
In contrast, some of the lowest rates were observed in countries with advanced healthcare systems such as France (4.42), the United Kingdom (4.43), and Taiwan (4.56). These nations benefit from robust healthcare policies, economic stability, and comprehensive child health programs, demonstrating the significant impact of socioeconomic factors on child mortality rates.
Public Health Implications of High Mortality Rates
High under-five mortality rates pose significant public health challenges. Countries like Chad (113.59) and Sierra Leone (112.38) illustrate the critical need for enhanced public health strategies. These figures highlight the urgency for international aid and local government initiatives focused on improving healthcare accessibility, maternal education, and nutrition. Additionally, high mortality rates often correlate with infectious diseases, malnutrition, and inadequate prenatal and postnatal care, calling for comprehensive healthcare reforms and increased funding for health services.
Progress and Setbacks in Reducing Child Mortality
Globally, the average under-five mortality rate saw a year-over-year decrease of 1.4%, with significant improvements in countries like South Sudan, which experienced a notable reduction of 43.35 deaths per 1,000 live births, marking a 30.4% decrease. This progress can be attributed to targeted interventions by international organizations and government policies aimed at enhancing child health services and combatting malnutrition.
Conversely, some regions experienced setbacks. The Central African Republic saw its rate nearly double, a 99.8% increase, highlighting the fragile healthcare systems and ongoing socio-political instability. Similarly, the Bahamas faced a surprising increase of 79.8%, suggesting the need for a review of current health policies and programs. These setbacks emphasize the importance of sustained support and adaptive strategies to address emerging health challenges.
Regional and Demographic Variations
Examining the regional variations, Africa remains the continent with the highest under-five mortality rates, with several countries like Mali (103.09) and Guinea (102.65) facing persistent health challenges. This regional clustering correlates with factors such as political instability, limited healthcare infrastructure, and economic hardship. In contrast, Europe and parts of Asia exhibit significantly lower rates, reflecting the benefits of economic prosperity, political stability, and advanced healthcare systems.
Demographically, rural populations often experience higher mortality rates compared to urban counterparts due to limited access to healthcare facilities and essential services. Addressing these disparities requires tailored interventions that focus on improving healthcare delivery in under-resourced areas and enhancing maternal and child health education.
Future Directions for Global Health Initiatives
To further reduce the under-five mortality rate, global health initiatives must prioritize equitable access to healthcare, focusing on regions with the highest rates. Strengthening healthcare systems, enhancing maternal and child health programs, and addressing social determinants of health such as poverty and education are critical steps forward. International collaboration and sustained investment in healthcare infrastructure, particularly in low-income countries, are essential to achieving significant reductions in child mortality rates over the coming years.
In summary, the 2019 under-five mortality rates shed light on the global health landscape, highlighting both the progress made and the challenges that remain. By understanding and addressing the root causes of high child mortality, the international community can work towards a future where all children have the opportunity to thrive beyond their fifth birthday.
Insights by country
Myanmar
In 2019, Myanmar had an under-five mortality rate of 44.6 per 1,000 live births, ranking it 46th out of 236 countries in terms of child mortality. This statistic indicates a significant challenge in child health and survival rates within the country.
The under-five mortality rate in Myanmar reflects various underlying issues, including limited access to healthcare services, malnutrition, and the prevalence of infectious diseases. Additionally, socio-economic factors such as poverty and education play a critical role in influencing child health outcomes.
Despite improvements in healthcare infrastructure and maternal health services over the years, factors such as political instability and ongoing conflicts continue to hinder progress. Notably, the country has made strides in reducing child mortality since the early 2000s, but continued efforts are necessary to enhance the overall health and well-being of children in Myanmar.
Zambia
Zambia has the 26th highest under-five mortality rate in the world, with a rate of 60.88 deaths per 1,000 live births recorded in 2019. This statistic highlights significant challenges in child health and wellbeing within the country, where factors such as inadequate healthcare access, malnutrition, and infectious diseases contribute to high mortality rates among young children.
The under-five mortality rate in Zambia can be attributed to a combination of factors, including a high prevalence of diseases such as malaria and pneumonia, as well as limited healthcare infrastructure in rural areas. Furthermore, economic challenges and a high incidence of poverty exacerbate these health issues, leading to insufficient maternal care and lack of vaccinations for children.
In comparison, Zambia's under-five mortality rate reflects broader trends observed in sub-Saharan Africa, where many countries face similar health challenges. Nonetheless, efforts to improve maternal and child health, such as increasing vaccination coverage and enhancing access to clean water and nutrition, are ongoing to reduce this rate in the future.
Cambodia
Cambodia has an under-five mortality rate of 26.6 per 1,000 live births as of 2019, ranking it 69th out of 236 countries. This statistic reflects the number of children who die before reaching the age of five, highlighting the challenges faced in child health and survival in the country.
The relatively high rate can be attributed to several factors, including limited access to healthcare, malnutrition, and infectious diseases. Economic challenges, coupled with a healthcare infrastructure that is still developing, contribute to these mortality figures. Additionally, issues such as maternal health, education, and poverty play significant roles in influencing child health outcomes.
As a point of comparison, the global under-five mortality rate in 2019 was approximately 38 per 1,000 live births, indicating that while Cambodia has made progress, there remains considerable work to be done to improve child health and reduce mortality rates further.
Afghanistan
In 2019, Afghanistan recorded an under-five mortality rate of 64.0 deaths per 1,000 live births, placing it 24th out of 236 countries in terms of this critical health indicator. This statistic reflects the challenges faced by children in a country plagued by ongoing conflict, economic instability, and limited access to healthcare services.
The high under-five mortality rate can be attributed to various factors, including inadequate maternal health care, malnutrition, and the prevalence of infectious diseases. Many areas lack essential medical facilities, and the ongoing security situation often hampers health service delivery, further exacerbating the vulnerability of children.
In addition to health care challenges, Afghanistan has one of the highest rates of child malnutrition globally, contributing to a significant number of preventable deaths. According to UNICEF, improving child health outcomes in Afghanistan requires not only enhanced healthcare access but also targeted interventions to address poverty, education, and nutrition.
Saint Martin (French part)
In 2019, Saint Martin (French part) recorded an under-five mortality rate of 9.85 per 1,000 live births, positioning it at 148th out of 236 countries in terms of child mortality. This statistic reflects the health challenges faced in the region, indicating that while the rate is relatively low compared to many countries, improvements in healthcare access and quality are still necessary.
The under-five mortality rate can be influenced by various factors, including the availability of healthcare services, maternal health, nutrition, and socioeconomic conditions. In Saint Martin, ongoing efforts to enhance public health infrastructure and education are crucial for further reducing this rate and improving overall child health outcomes.
Additionally, it is noteworthy that the Caribbean region, as a whole, has made significant strides in reducing child mortality over the past few decades, with many nations achieving lower rates due to enhanced healthcare policies and community health initiatives.
Saint Lucia
In 2019, Saint Lucia recorded an under-five mortality rate of 17.47 per 1,000 live births, ranking it 97th out of 236 countries globally. This statistic reflects the number of children who die before reaching the age of five, a critical indicator of the overall health and development of a nation.
The relatively low under-five mortality rate in Saint Lucia can be attributed to several factors, including improved healthcare access, maternal health services, and public health initiatives aimed at reducing child mortality. Additionally, the government has invested in child nutrition programs and vaccination campaigns, which have significantly contributed to the decline in mortality rates.
In comparison to global averages, Saint Lucia's rate is favorable; the global under-five mortality rate was estimated at around 38 deaths per 1,000 live births in 2019. This positions Saint Lucia among countries that have made significant progress in reducing child mortality, reflecting broader trends in health advancement within the Caribbean region.
Belize
In 2019, Belize recorded an under-five mortality rate of 12.82 deaths per 1,000 live births, positioning the country at 129th out of 236 countries in global rankings. This statistic reflects the health outcomes for children under the age of five, indicating the effectiveness of healthcare systems and child welfare programs within the nation.
Belize's relatively low under-five mortality rate can be attributed to improvements in healthcare access, maternal education, and nutritional programs. However, challenges remain, including disparities in healthcare access between urban and rural populations, which can influence mortality rates among vulnerable groups.
Additionally, global trends indicate that child mortality rates have been declining over the past few decades, but Belize's figures highlight the ongoing need for targeted health interventions and policies aimed at reducing infant and child mortality further. In comparison, the global average for under-five mortality was approximately 38 deaths per 1,000 live births in 2019, suggesting that Belize is performing better than many other countries.
United Kingdom
The United Kingdom ranks 199th out of 236 countries in terms of under-five mortality rate for the year 2019. The under-five mortality rate in the UK was recorded at 4.43 deaths per 1,000 live births, indicating a relatively low incidence of child mortality compared to global standards.
This statistic reflects the effectiveness of the UK's healthcare system, which provides comprehensive maternal and child health services, access to vaccinations, and education on child nutrition and care. Factors contributing to this low mortality rate include advanced medical technology, public health initiatives, and socioeconomic stability.
Despite the low rate, ongoing challenges such as regional disparities in healthcare access and the impact of socioeconomic factors on health outcomes persist. In comparison, the global average under-five mortality rate was approximately 38 deaths per 1,000 live births in 2019, highlighting the UK's relative success in child health outcomes.
Denmark
Denmark ranks 218th out of 236 countries in terms of under-five mortality rate. In 2019, the country reported an under-five mortality rate of 3.38 deaths per 1,000 live births, indicating a relatively low incidence of child mortality compared to global standards.
This low rate can be attributed to several factors, including Denmark's robust healthcare system, which provides comprehensive prenatal and postnatal care, and high standards of living that contribute to better health and nutrition for children. Additionally, the country benefits from effective public health policies and a strong emphasis on child welfare.
For context, the global under-five mortality rate in 2019 was approximately 38 deaths per 1,000 live births, highlighting Denmark's significant achievement in promoting child health and survival. This statistic reflects the country's commitment to social equity and health accessibility, ensuring that children receive the necessary care to thrive.
Bahrain
Bahrain ranks 173rd out of 236 countries in terms of under-five mortality rate. In 2019, the country reported an under-five mortality rate of 6.98 deaths per 1,000 live births, reflecting a relatively low incidence of child mortality compared to global averages.
This statistic indicates that Bahrain has made significant progress in improving child health and reducing mortality rates, which can be attributed to several factors including advancements in healthcare infrastructure, access to medical services, maternal education, and public health initiatives.
Despite its low under-five mortality rate, challenges remain, such as disparities in healthcare access among different population groups. For context, the global average under-five mortality rate was approximately 38 deaths per 1,000 live births in 2019, highlighting Bahrain's comparatively favorable position in child health metrics.
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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