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

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journal contribution
posted on 2019-10-17, 00:00 authored by R Burstein, N J Henry, M L Collison, L B Marczak, A Sligar, S Watson, N Marquez, M Abbasalizad-Farhangi, M Abbasi, F Abd-Allah, A Abdoli, M Abdollahi, I Abdollahpour, R S Abdulkader, M R M Abrigo, D Acharya, O M Adebayo, V Adekanmbi, D Adham, M Afshari, S Shariful Islam
© 2019, The Author(s). 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.

History

Journal

Nature

Volume

574

Issue

7778

Pagination

353 - 358

Publisher

Springer Nature

Location

London, Eng.

ISSN

0028-0836

eISSN

1476-4687

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

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