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

LBD Under-5 Mortality Collaborators

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)353-358
Number of pages6
JournalNature
Volume574
Issue number7778
DOIs
Publication statusPublished - 17 Oct 2019

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Sustainable development
Health

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LBD Under-5 Mortality Collaborators. / Mapping 123 million neonatal, infant and child deaths between 2000 and 2017. In: Nature. 2019 ; Vol. 574, No. 7778. pp. 353-358.
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}

Mapping 123 million neonatal, infant and child deaths between 2000 and 2017. / LBD Under-5 Mortality Collaborators.

In: Nature, Vol. 574, No. 7778, 17.10.2019, p. 353-358.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

AU - LBD Under-5 Mortality Collaborators

AU - Burstein, Roy

AU - Henry, Nathaniel J.

AU - Collison, Michael L.

AU - Marczak, Laurie B.

AU - Sligar, Amber

AU - Watson, Stefanie

AU - Marquez, Neal

AU - Abbasalizad-Farhangi, Mahdieh

AU - Abbasi, Masoumeh

AU - Abd-Allah, Foad

AU - Abdoli, Amir

AU - Abdollahi, Mohammad

AU - Abdollahpour, Ibrahim

AU - Abdulkader, Rizwan Suliankatchi

AU - Abrigo, Michael R.M.

AU - Acharya, Dilaram

AU - Adebayo, Oladimeji M.

AU - Adekanmbi, Victor

AU - Adham, Davoud

AU - Afshari, Mahdi

AU - Aghaali, Mohammad

AU - Ahmadi, Keivan

AU - Ahmadi, Mehdi

AU - Ahmadpour, Ehsan

AU - Ahmed, Rushdia

AU - Akal, Chalachew Genet

AU - Akinyemi, Joshua O.

AU - Alahdab, Fares

AU - Alam, Noore

AU - Alamene, Genet Melak

AU - Alene, Kefyalew Addis

AU - Alijanzadeh, Mehran

AU - Alinia, Cyrus

AU - Alipour, Vahid

AU - Aljunid, Syed Mohamed

AU - Almalki, Mohammed J.

AU - Al-Mekhlafi, Hesham M.

AU - Altirkawi, Khalid

AU - Alvis-Guzman, Nelson

AU - Amegah, Adeladza Kofi

AU - Amini, Saeed

AU - Amit, Arianna Maever Loreche

AU - Anbari, Zohreh

AU - Androudi, Sofia

AU - Anjomshoa, Mina

AU - Ansari, Fereshteh

AU - Antonio, Carl Abelardo T.

AU - Arabloo, Jalal

AU - Arefi, Zohreh

AU - Aremu, Olatunde

AU - Armoon, Bahram

AU - Arora, Amit

AU - Artaman, Al

AU - Asadi, Anvar

AU - Asadi-Aliabadi, Mehran

AU - Ashraf-Ganjouei, Amir

AU - Assadi, Reza

AU - Ataeinia, Bahar

AU - Atre, Sachin R.

AU - Quintanilla, Beatriz Paulina Ayala

AU - Ayanore, Martin Amogre

AU - Azari, Samad

AU - Babaee, Ebrahim

AU - Babazadeh, Arefeh

AU - Badawi, Alaa

AU - Bagheri, Soghra

AU - Bagherzadeh, Mojtaba

AU - Baheiraei, Nafiseh

AU - Balouchi, Abbas

AU - Barac, Aleksandra

AU - Bassat, Quique

AU - Baune, Bernhard T.

AU - Bayati, Mohsen

AU - Bedi, Neeraj

AU - Beghi, Ettore

AU - Behzadifar, Masoud

AU - Behzadifar, Meysam

AU - Belay, Yared Belete

AU - Bell, Brent

AU - Bell, Michelle L.

AU - Berbada, Dessalegn Ajema

AU - Bernstein, Robert S.

AU - Bhattacharjee, Natalia V.

AU - Bhattarai, Suraj

AU - Bhutta, Zulfiqar A.

AU - Bijani, Ali

AU - Bohlouli, Somayeh

AU - Breitborde, Nicholas J.K.

AU - Britton, Gabrielle

AU - Browne, Annie J.

AU - Nagaraja, Sharath Burugina

AU - Busse, Reinhard

AU - Butt, Zahid A.

AU - Car, Josip

AU - Cárdenas, Rosario

AU - Castañeda-Orjuela, Carlos A.

AU - Cerin, Ester

AU - Chanie, Wagaye Fentahun

AU - Chatterjee, Pranab

AU - Chu, Dinh Toi

AU - Cooper, Cyrus

AU - Costa, Vera M.

AU - Dalal, Koustuv

AU - Dandona, Lalit

AU - Dandona, Rakhi

AU - Daoud, Farah

AU - Daryani, Ahmad

AU - Das Gupta, Rajat

AU - Davis, Ian

AU - Davis Weaver, Nicole

AU - Davitoiu, Dragos Virgil

AU - De Neve, Jan Walter

AU - Demeke, Feleke Mekonnen

AU - Demoz, Gebre Teklemariam

AU - Deribe, Kebede

AU - Desai, Rupak

AU - Deshpande, Aniruddha

AU - Desyibelew, Hanna Demelash

AU - Dey, Sagnik

AU - Dharmaratne, Samath Dhamminda

AU - Dhimal, Meghnath

AU - Diaz, Daniel

AU - Doshmangir, Leila

AU - Duraes, Andre R.

AU - Dwyer-Lindgren, Laura

AU - Earl, Lucas

AU - Ebrahimi, Roya

AU - Ebrahimpour, Soheil

AU - Effiong, Andem

AU - Eftekhari, Aziz

AU - Ehsani-Chimeh, Elham

AU - El Sayed, Iman

AU - El Sayed Zaki, Maysaa

AU - El Tantawi, Maha

AU - El-Khatib, Ziad

AU - Emamian, Mohammad Hassan

AU - Enany, Shymaa

AU - Eskandarieh, Sharareh

AU - Eyawo, Oghenowede

AU - Ezalarab, Maha

AU - Faramarzi, Mahbobeh

AU - Fareed, Mohammad

AU - Faridnia, Roghiyeh

AU - Faro, Andre

AU - Fazaeli, Ali Akbar

AU - Fazlzadeh, Mehdi

AU - Fentahun, Netsanet

AU - Fereshtehnejad, Seyed Mohammad

AU - Fernandes, João C.

AU - Filip, Irina

AU - Fischer, Florian

AU - Foigt, Nataliya A.

AU - Foroutan, Masoud

AU - Francis, Joel Msafiri

AU - Fukumoto, Takeshi

AU - Fullman, Nancy

AU - Gallus, Silvano

AU - Gebre, Destallem Gebremedhin

AU - Gebrehiwot, Tsegaye Tewelde

AU - Gebremeskel, Gebreamlak Gebremedhn

AU - Gessner, Bradford D.

AU - Geta, Birhanu

AU - Gething, Peter W.

AU - Ghadimi, Reza

AU - Ghadiri, Keyghobad

AU - Ghajarzadeh, Mahsa

AU - Ghashghaee, Ahmad

AU - Gill, Paramjit Singh

AU - Gill, Tiffany K.

AU - Golding, Nick

AU - Gomes, Nelson G.M.

AU - Gona, Philimon N.

AU - Gopalani, Sameer Vali

AU - Gorini, Giuseppe

AU - Goulart, Bárbara Niegia Garcia

AU - Graetz, Nicholas

AU - Greaves, Felix

AU - Green, Manfred S.

AU - Guo, Yuming

AU - Haj-Mirzaian, Arvin

AU - Haj-Mirzaian, Arya

AU - Hall, Brian James

AU - Hamidi, Samer

AU - Haririan, Hamidreza

AU - Haro, Josep Maria

AU - Hasankhani, Milad

AU - Hasanpoor, Edris

AU - Hasanzadeh, Amir

AU - Hassankhani, Hadi

AU - Hassen, Hamid Yimam

AU - Hegazy, Mohamed I.

AU - Hendrie, Delia

AU - Heydarpour, Fatemeh

AU - Hird, Thomas R.

AU - Hoang, Chi Linh

AU - Hollerich, Gillian

AU - Rad, Enayatollah Homaie

AU - Hoseini-Ghahfarokhi, Mojtaba

AU - Hossain, Naznin

AU - Hosseini, Mostafa

AU - Hosseinzadeh, Mehdi

AU - Hostiuc, Mihaela

AU - Hostiuc, Sorin

AU - Househ, Mowafa

AU - Hsairi, Mohamed

AU - Ilesanmi, Olayinka Stephen

AU - Imani-Nasab, Mohammad Hasan

AU - Iqbal, Usman

AU - Irvani, Seyed Sina Naghibi

AU - Islam, Nazrul

AU - Islam, Sheikh Mohammed Shariful

AU - Jürisson, Mikk

AU - Balalami, Nader Jafari

AU - Jalali, Amir

AU - Javidnia, Javad

AU - Jayatilleke, Achala Upendra

AU - Jenabi, Ensiyeh

AU - Ji, John S.

AU - Jobanputra, Yash B.

AU - Johnson, Kimberly

AU - Jonas, Jost B.

AU - Shushtari, Zahra Jorjoran

AU - Jozwiak, Jacek Jerzy

AU - Kabir, Ali

AU - Kahsay, Amaha

AU - Kalani, Hamed

AU - Kalhor, Rohollah

AU - Karami, Manoochehr

AU - Karki, Surendra

AU - Kasaeian, Amir

AU - Kassebaum, Nicholas J.

AU - Keiyoro, Peter Njenga

AU - Kemp, Grant Rodgers

AU - Khabiri, Roghayeh

AU - Khader, Yousef Saleh

AU - Khafaie, Morteza Abdullatif

AU - Khan, Ejaz Ahmad

AU - Khan, Junaid

AU - Khan, Muhammad Shahzeb

AU - Khang, Young Ho

AU - Khatab, Khaled

AU - Khater, Amir

AU - Li, Shanshan

AU - Lim, Lee Ling

AU - Milne, George J.

AU - Nguyen, Son Hoang

AU - Plana-Ripoll, Oleguer

AU - Sahebkar, Amirhossein

AU - Smith, David L.

AU - Murray, Christopher J.L.

PY - 2019/10/17

Y1 - 2019/10/17

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85073458638&partnerID=8YFLogxK

U2 - 10.1038/s41586-019-1545-0

DO - 10.1038/s41586-019-1545-0

M3 - Article

VL - 574

SP - 353

EP - 358

JO - Nature

JF - Nature

SN - 0028-0836

IS - 7778

ER -