{"id":62211,"date":"2024-03-13T16:12:28","date_gmt":"2024-03-13T20:12:28","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=resource&p=62211"},"modified":"2024-03-13T16:12:28","modified_gmt":"2024-03-13T20:12:28","slug":"levels-trends-in-child-mortality-report-2023","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/levels-trends-in-child-mortality-report-2023\/","title":{"rendered":"Levels & Trends in Child Mortality: Report 2023"},"content":{"rendered":"

From the WHO Joint News Release:<\/em><\/strong><\/p>\n

The number of children who died before their fifth birthday has reached a historic low, dropping to 4.9 million in 2022, according to the latest estimates released today by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME).<\/p>\n

\u201cBehind these numbers lie the stories of midwives and skilled health personnel helping mothers safely deliver their newborns, health workers vaccinating and protecting children against deadly diseases, and community health workers who make home visits to support families to ensure the right health and nutrition support for children,\u201d said UNICEF Executive Director Catherine Russell. \u201cThrough decades of commitment by individuals, communities, and nations to reach children with low-cost, quality, and effective health services, we\u2019ve shown that we have the knowledge and tools to save lives.\u201d<\/p>\n

The report reveals that more children are surviving today than ever before, with the global under-5 mortality rate declining by 51 per cent since 2000. Several low- and lower-middle-income countries have outpaced this decline, showing that progress is possible when resources are sufficiently allocated to primary health care, including child health and well-being. For example, the findings show that Cambodia, Malawi, Mongolia, and Rwanda have reduced under-5 mortality by over 75 per cent since 2000.<\/p>\n

But the findings also show that despite this progress, there is still a long road ahead to end all preventable child and youth deaths. In addition to the 4.9 million lives lost before the age of 5 \u2013 nearly half of which were newborns \u2013 the lives of another 2.1 million children and youth aged 5-24 were also cut short. Most of these deaths were concentrated in sub-Saharan Africa and Southern Asia.<\/p>\n

This tragic loss of life is primarily due to preventable or treatable causes, such as preterm birth, complications around the time of birth, pneumonia, diarrhoea, and malaria. Many lives could have been saved with better access to high-quality primary health care, including essential, low-cost interventions, such as vaccinations, availability of skilled health personnel at birth, support for early and continued breastfeeding, and diagnosis and treatment of childhood illnesses.<\/p>\n

\u201cWhile there has been welcome progress, every year millions of families still suffer the devastating heartbreak of losing a child, often in the very first days after birth,\u201d said WHO Director General, Dr Tedros Adhanom Ghebreyesus. \u201cWhere a child is born should not dictate whether they live or die. It is critical to improve access to quality health services for every woman and child, including during emergencies and in remote areas.\u201d<\/p>\n

Improving access to quality health services and saving children\u2019s lives from preventable deaths requires investment in education, jobs, and decent working conditions for health workers to deliver primary health care, including community health workers.<\/p>\n

As trusted community members, community health workers play an important role in reaching children and families in every community with life-saving health services like vaccinations, testing and medicine for deadly yet treatable illnesses, and nutrition support. They should be integrated into primary health care systems and paid fairly, well trained, and equipped with the means to provide the highest quality of care.<\/p>\n

Studies show that child deaths in the highest-risk countries could drop substantially if community-based child survival interventions could reach those in need. This package of interventions alone would save millions of children and would deliver care closer to home. Integrated management of childhood illnesses \u2013 especially the leading causes of post-neonatal death, acute respiratory infections, diarrhoea, and malaria \u2013 is needed to improve child health and survival.<\/p>\n

\u201cThis year\u2019s report is an important milestone showing that less children die before their fifth birthday,\u201d said Dr. Juan Pablo Uribe, Global Director for Health, Nutrition and Population, World Bank & Director, Global Financing Facility for Women, Children and Adolescents. \u201cBut this is simply not enough. We need to accelerate progress with more investments, collaboration and focus to end preventable child deaths and honor our global commitment. We owe it to all children to ensure they have access to the same health care and opportunities, regardless of where they are born.\u201d<\/p>\n

While the global numbers show welcome signs of progress, there are also substantive threats and inequities that jeopardize child survival in many parts of the world. These threats include increasing inequity and economic instability, new and protracted conflicts, the intensifying impact of climate change, and the fallout of COVID-19, which could lead to stagnation or even reversal of gains and the continued needless loss of children\u2019s lives. Children born into the poorest households are twice as likely to die before the age of 5 compared to the wealthiest households, while children living in fragile or conflict-affected settings are almost three times more likely to die before their fifth birthday than children elsewhere.<\/p>\n

\u201cThe new estimates show that strengthening access to high-quality health care, especially around the time of birth, helps to reduce mortality among children under age 5,\u201d said Li Junhua, United Nations Under-Secretary-General for Economic and Social Affairs. \u201cWhile the milestones in the reduction of child mortality are important to track progress, they should also remind us that further efforts and investments are needed to reduce inequities and end preventable deaths among newborns, children and youth worldwide.\u201d<\/p>\n

At current rates, 59 countries will miss the SDG under-5 mortality target, and 64 countries will fall short of the newborn mortality goal. That means an estimated 35 million children will die before reaching their fifth birthday by 2030\u2014a death toll that will largely be borne by families in sub-Saharan Africa and Southern Asia or in low- and lower-middle-income countries.<\/p>\n

The report also notes large gaps in data, particularly in sub-Saharan Africa and Southern Asia, where the mortality burden is high. Data and statistical systems must be improved to better track and monitor child survival and health, including indicators on mortality and health via household surveys, birth and death registration through Health Management Information Systems (HMIS), and Civil Registration and Vital Statistics (CRVS).<\/p>\n

Notes to editors:<\/h3>\n

Read the report and explore the data\u00a0here.\u00a0<\/a><\/strong><\/p>\n

Download multimedia content\u00a0here<\/a>.<\/strong><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

From the WHO Joint News Release: The number of children who died before their fifth birthday has reached a historic low, dropping to 4.9 million in 2022, according to the latest estimates released today by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). \u201cBehind these numbers lie the stories of midwives and … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":62213,"comment_status":"open","ping_status":"closed","template":"","toolkit":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"description\" content=\"The number of children who died before their fifth birthday has reached a historic low, dropping to 4.9 million in 2022, according to the latest estimates released today by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/levels-trends-in-child-mortality-report-2023\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Levels & Trends in Child Mortality: Report 2023 - 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Working through offices in more than 150 countries, WHO staff work side by side with governments and other partners to ensure the highest attainable level of health for all people.\r\n\r\nTogether we strive to combat diseases \u2013 infectious diseases like influenza and HIV and noncommunicable ones like cancer and heart disease. We help mothers and children survive and thrive so they can look forward to a healthy old age. We ensure the safety of the air people breathe, the food they eat, the water they drink \u2013 and the medicines and vaccines they need.","post_title":"World Health Organization","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"world-health-organization","to_ping":"","pinged":"","post_modified":"2017-10-02 14:54:45","post_modified_gmt":"2017-10-02 18:54:45","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=21084","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":838,"post_author":"12","post_date":"2013-04-29 19:44:10","post_date_gmt":"2013-04-29 19:44:10","post_content":"","post_title":"UNICEF","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"unicef","to_ping":"","pinged":"","post_modified":"2016-01-21 19:45:06","post_modified_gmt":"2016-01-21 19:45:06","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=838","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"World Bank Group","issues":[{"ID":131,"post_author":"7211","post_date":"2015-10-21 15:20:16","post_date_gmt":"2015-10-21 15:20:16","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Access to reliable and timely data about the causes of death is essential for planning and implementing health services.<\/h2>\r\nA systematic analysis of mortality trends and events leading to deaths can help identify system breakdowns and address deficiencies in service delivery. This process shows a greater impact on practices and outcomes than other quality improvement strategies, particularly in settings where the audit process includes an action plan and clear targets. By establishing a multidisciplinary and no-blame environment, common problems and solutions can be identified.\r\n\r\nThe need to better understand why stillbirths and neonatal deaths occur, and what can be done to prevent them, has led to the development of <i><a href=\"http:\/\/www.who.int\/maternal_child_adolescent\/documents\/stillbirth-neonatal-death-review\/en\/\">Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/i>. It provides the\u00a0methodology and tools for developing a mortality audit system with links to surveillance, civil registration and vital statistics, with instruction on counting, classifying and investigating stillbirths and neonatal deaths in order to prevent future avoidable deaths, in facilities and communities. There is also\u00a0guidance on establishing a legal and ethical\u00a0environment in which to create quality improvement\u00a0processes, without fear of blame or punitive actions.\u00a0Many countries already use the <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">Maternal Death\u00a0Surveillance and Response\u00a0process<\/a> as a strategy for\u00a0addressing maternal mortality. This new WHO guide will enable countries to build on Maternal Death Surveillance and Response platforms in order to improve care for babies, within an overall framework of quality of care\u00a0improvement and aligned with <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-improving-quality-maternal-newborn-care-health-facilities\/\">WHO\u2019s quality of care initiative.<\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">81<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046345167{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring notification all of maternal deaths within 24 hours.\u00a0<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">67<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046356459{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of\u00a0countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> for review of neonatal deaths.\u00a0<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046368034{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of countries that <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring review of stillbirths.<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]One of the key actions recommended in both the Every Newborn Action Plan (ENAP) and the Ending Preventable Maternal Mortality (EPMM) strategy is the institutionalization of maternal and perinatal death surveillance and response systems to enable a country\u2019s use of audit data to track and prevent maternal and early newborn deaths as well as stillbirths.\r\n\r\nThe process of routine identification and timely notification of deaths is a continuous action cycle, ideally linking quality improvement from the local to the national level. Although women and their babies share the same period of highest risk, often with the same health workers present, there has been little movement towards capturing information for stillbirths and neonatal deaths. Basic information for every birth and death is needed, along with a critical review of selected deaths. [\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Mortality audit can have multiple entry points into the health system, ranging from a single hospital to a nationally mandated program covering the community and facility levels. Generally, deaths that occur in facilities have more information available compared to those in communities, and future cases may be easier to identify and prevent. However, we\u00a0need to ensure all births and deaths are counted, no matter where they occur. We also\u00a0need strategies to determine\u00a0the number and causes of death among the 50 million births that take place in communities each year.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-and-surveillance-and-response\/\">Maternal and perinatal death and surveillance and response<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.up.ac.za\/centre-for-maternal-fetal-newborn-and-child-healthcare\/article\/2871749\/the-perinatal-problem-identification-programme\" target=\"_blank\" rel=\"noopener\">South Africa's Perinatal Problem Identification Programme<\/a><\/li>\r\n \t<li><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12904\/pdf\" target=\"_blank\" rel=\"noopener\">Towards greater effectiveness of perinatal death audit in low- and middle-income countries<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4577789\/\" target=\"_blank\" rel=\"noopener\">Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241511223\">Making Every Baby Count WHO audit guide<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCSP-PNDA-Brief_8.12.16.pdf\">Making Every Baby Count policy brief<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=cZ6L53EYXgQ\">Making Every Baby Count Video. Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=aus5n0qQFgk\">Setting up a Death Review Committee Video<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Mortality audit","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mortality-audits","to_ping":"","pinged":"","post_modified":"2022-10-18 15:30:09","post_modified_gmt":"2022-10-18 19:30:09","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=131","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"views":"28","why_feature":"","submitter_email":"","writein_authors_repeater":false},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/62211"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/resource"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=62211"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/62211\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/62213"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=62211"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=62211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}