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

Article

关键词: UNDER-5 MORTALITY;    CIVIL REGISTRATION;    AFRICA;    HEALTH;    INTERVENTIONS;    VACCINATION;    POPULATION;    PREVENTION;    SUCCESS;    NEWBORN;   

DOI  :  10.1038/s41586-019-1545-0

来源: SCIE

【 摘 要 】

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.

【 授权许可】

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