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  • Mapping 123 million neonatal, infant and child deaths between 2000 and 2017
    Watson, Stefanie; Abrigo, Michael R M; Acharya, Dilaram; Ahmed, Rushdia; Akal, Chalachew Genet; Alamene, Genet Melak; Arora, Amit; Ashraf-Ganjouei, Amir; Quintanilla, Beatriz Paulina Ayala; Badawi, Alaa; Balouchi, Abbas; Beghi, Ettore; Bell, Brent; Bell, Michelle L; Dandona, Rakhi; De Neve, Jan-Walter; Desai, Rupak; Desyibelew, Hanna Demelash; Diaz, Daniel; Effiong, Andem; Ehsani-Chimeh, Elham; El Sayed, Iman; El-Khatib, Ziad; Fukumoto, Takeshi; Gebrehiwot, Tsegaye Tewelde; Gill, Paramjit Singh; Hamidi, Samer; Hasanzadeh, Amir; Hassankhani, Hadi; Hoang, Chi Linh; Hosseini, Mostafa; Hostiuc, Mihaela; Househ, Mowafa; Iqbal, Usman; Irvani, Seyed Sina Naghibi; Jayatilleke, Achala Upendra; Jenabi, Ensiyeh; Johnson, Kimberly; Jonas, Jost B; Kemp, Grant Rodgers; Khater, Mona M; Khazaei, Mohammad; Khazaei-Pool, Maryam; Kimokoti, Ruth W; Kinyoki, Damaris K; Krohn, Kris J; Kugbey, Nuworza; Levine, Aubrey J; Lopez, Jaifred Christian F; Lorkowski, Stefan; Malta, Deborah Carvalho; Mayala, Benjamin K; Meles, Gebrekiros Gebremichael; Mir, Seyed Mostafa; Mirjalali, Hamed; Monasta, Lorenzo; Moradi, Yousef; Muluneh, Atalay Goshu; Mustafa, Ghulam; Nabavizadeh, Behnam; Nagarajan, Ahamarshan Jayaraman; Nangia, Vinay; Nielsen, Katie R; Nnaji, Chukwudi A; Pirestani, Majid; Pirsaheb, Meghdad; Rabiee, Navid; Rawal, Lal; Reiner, Jr, Robert C; Renzaho, Andre M N; Rubagotti, Enrico; Rubino, Salvatore; Safari, Yahya; Salahshoor, Mohammad Reza; Zahabi, Saleh Salehi; Sambala, Evanson Zondani; Saxena, Sonia; Shaikh, Masood Ali; Shams-Beyranvand, Mehran; Shamshirian, Amir; Shiri, Rahman; Sinha, Dhirendra Narain; Sliwa, Karen; Soriano, Joan B; Sudaryanto, Agus; Tabarés-Seisdedos, Rafael; Taveira, Nuno; Temsah, Mohamad-Hani; Tessema, Zemenu Tadesse; Ullah, Irfan; Vahedian-Azimi, Amir; van Boven, Job F M; Vladimirov, Sergey Konstantinovitch; Waheed, Yasir; Wakefield, Jon; Ward, Joseph L; Weintraub, Robert G; Wu, Ai-Min; Yilgwan, Christopher Sabo; Zhang, Yunquan

    Nature (London), 10/2019, Volume: 574, Issue: 7778
    Journal Article

    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.

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