Sustainable Development Goals
Babies from the best places to be born up to 50 times less likely to die in the first month of life
New Delhi, 20 February 2018 – Global deaths of newborn babies remain alarmingly high, particularly among the world’s poorest countries, UNICEF said today in a new report on newborn mortality. Babies born in Japan, Iceland and Singapore have the best chance at survival, while newborns in Pakistan, the Central African Republic and Afghanistan face the worst odds.
“While we have more than halved the number of deaths among children under the age of five in the last quarter century, we have not made similar progress in ending deaths among children less than one month old,” said Henrietta H. Fore, UNICEF’s Executive Director. “Given that the majority of these deaths are preventable, clearly, we are failing the world’s poorest babies.”
Globally, in low-income countries, the average newborn mortality rate is 27 deaths per 1,000 births, the report says. In high-income countries, that rate is 3 deaths per 1,000. Newborns from the riskiest places to give birth are up to 50 times more likely to die than those from the safest places.
The report also notes that 8 of the 10 most dangerous places to be born are in sub-Saharan Africa, where pregnant women are much less likely to receive assistance during delivery due to poverty, conflict and weak institutions. If every country brought its newborn mortality rate down to the high-income average by 2030, 16 million lives could be saved.
Unequal shots at life
|Highest newborn mortality rates||Lowest newborn mortality rates|
|1. Pakistan: 1 in 22||1. Japan: 1 in 1,111|
|2. Central African Republic: 1 in 24||2. Iceland: 1 in 1,000|
|3. Afghanistan: 1 in 25||3. Singapore: 1 in 909|
|4. Somalia: 1 in 26||4. Finland: 1 in 833|
|5. Lesotho: 1 in 26||5. Estonia: 1 in 769|
|6. Guinea-Bissau: 1 in 26||5. Slovenia: 1 in 769|
|7. South Sudan: 1 in 26||7. Cyprus: 1 in 714|
|8. Côte d’Ivoire: 1 in 27||8. Belarus: 1 in 667|
|9. Mali: 1 in 28||8. Luxembourg: 1 in 667|
|10. Chad: 1 in 28||8. Norway: 1 in 667|
|8. Republic of Korea: 1 in 667|
More than 80 per cent of newborn deaths are due to prematurity, complications during birth or infections such as pneumonia and sepsis, the report says. These deaths can be prevented with access to well-trained midwives, along with proven solutions like clean water, disinfectants, breastfeeding within the first hour, skin-to-skin contact and good nutrition. However, a shortage of well-trained health workers and midwives means that thousands don’t receive the life-saving support they need to survive. For example, while in Norway there are 218 doctors, nurses and midwives to serve 10,000 people, that ratio is 1 per 10,000 in Somalia.
This month, UNICEF is launching Every Child ALIVE, a global campaign to demand and deliver solutions on behalf of the world’s newborns. Through the campaign, UNICEF is issuing an urgent appeal to governments, health care providers, donors, the private sector, families and businesses to keep every child alive by:
“Every year, 2.6 million newborns around the world do not survive their first month of life. One million of them die the day they are born,” said Ms. Fore. “We know we can save the vast majority of these babies with affordable, quality health care solutions for every mother and every newborn. Just a few small steps from all of us can help ensure the first small steps of each of these young lives.”
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 Note: Newborn mortality rates are estimates with uncertainty ranges. Rankings are based on median estimates of neonatal mortality rates (newborn deaths per 1,000 live births). They don’t account for uncertainties, and ranking positions are therefore subject to change. Rankings exclude countries with fewer than 1,000 live births or less than a population of 90,000. For full ranking of all countries, click here.