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

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...

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Published in:	Nature (London) Vol. 574; no. 7778; pp. 353 - 358
Main Authors:	Marquez, Neal, Abbasi, Masoumeh, Abdollahpour, Ibrahim, Adebayo, Oladimeji M., Afshari, Mahdi, Ahmadpour, Ehsan, Akal, Chalachew Genet, Alvis-Guzman, Nelson, Amegah, Adeladza Kofi, Aremu, Olatunde, Assadi, Reza, Beghi, Ettore, Berbada, Dessalegn Ajema, Nagaraja, Sharath Burugina, Busse, Reinhard, Costa, Vera M., Dalal, Koustuv, Dandona, Rakhi, Daoud, Farah, Demoz, Gebre Teklemariam, Dey, Sagnik, Ehsani-Chimeh, Elham, El Sayed, Iman, El Tantawi, Maha, Faridnia, Roghiyeh, Fazlzadeh, Mehdi, Fischer, Florian, Foigt, Nataliya A., Fukumoto, Takeshi, Fullman, Nancy, Ghadiri, Keyghobad, Goulart, Bárbara Niegia Garcia, Guo, Yuming, Hall, Brian James, Hamidi, Samer, Haro, Josep Maria, Hegazy, Mohamed I., Hird, Thomas R., Hsairi, Mohamed, Balalami, Nader Jafari, Jenabi, Ensiyeh, Kalani, Hamed, Kemp, Grant Rodgers, Khan, Ejaz Ahmad, Khan, Muhammad Shahzeb, Khater, Amir, Khater, Mona M., Khatony, Alireza, Khubchandani, Jagdish, Kisa, Adnan, Kolola, Tufa, Koul, Parvaiz A., Kuupiel, Desmond, Lee, Paul H., Lorkowski, Stefan, Mendoza, Walter, Menezes, Ritesh G., Meretoja, Atte, Mohammed, Ammas Siraj, Moradi, Masoud, Morawska, Lidia, Najafi, Farid, Olum, Solomon, Onwujekwe, Obinna E., Oren, Eyal, Ortega-Altamirano, Doris D. V., Pashaei, Tahereh, Patel, Sangram Kishor, Pickering, Brandon V., Puri, Parul, Quintana, Hedley, Radfar, Amir, Ramezankhani, Azra, Ranabhat, Chhabi Lal, Rashedi, Vahid, Sabour, Siamak, Safari, Yahya, Safari-Faramani, Roya, Salahshoor, Mohammad Reza, Salehi, Farkhonde, Salimi, Yahya, Saxena, Sonia, Shamsizadeh, Morteza, Sharafi, Kiomars, Sharma, Jayendra, Sisay, Solomon, Smith, David L., Soofi, Moslem, Terkawi, Abdullah Sulieman, Tovani-Palone, Marcos Roberto, Tran, Bach Xuan, Uthman, Olalekan A., van Boven, Job F. M., Vladimirov, Sergey Konstantinovitch, Vos, Theo, Wang, Yafeng, Westerman, Ronny, Yip, Paul, Lebni, Javad Yoosefi, Zerfu, Taddese Alemu
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 01.10.2019 Nature Publishing Group
Subjects:	692/700/1720 692/700/478 706/134 Age Babies Births Child Child mortality Child Mortality - trends Children Children & youth Demography Estimates Fatalities Geography Geostatistics Global Health Humanities and Social Sciences Humans Infant Infant Mortality - trends Infant, Newborn Infants Local government Low income groups Mapping Marginalized groups Mortality multidisciplinary Neonates Newborn babies Organizational Objectives Partial differential equations Patient outcomes Preventable deaths Public Health Science Science (multidisciplinary) Sociodemographics Socioeconomic Factors Survival Sustainable development Trends United Nations Vital statistics United States Nigeria Cuba Africa United Nations Humans infant infant mortality Socioeconomic Factors Child Mortality live birth geography middle income country childhood mortality spatiotemporal analysis human public health global health child death socioeconomics survival investment newborn article mortality rate controlled study Organizational Objectives organization mortality mapping method child
ISSN:	0028-0836, 1476-4687, 1476-4687
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Summary:	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. A high-resolution, global atlas of mortality of children under five years of age between 2000 and 2017 highlights subnational geographical inequalities in the distribution, rates and absolute counts of child deaths by age.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0028-0836 1476-4687 1476-4687
DOI:	10.1038/s41586-019-1545-0