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


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.

SUBMITTER: Burstein R 

PROVIDER: S-EPMC6800389 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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

Burstein Roy R   Henry Nathaniel J NJ   Collison Michael L ML   Marczak Laurie B LB   Sligar Amber A   Watson Stefanie S   Marquez Neal N   Abbasalizad-Farhangi Mahdieh M   Abbasi Masoumeh M   Abd-Allah Foad F   Abdoli Amir A   Abdollahi Mohammad M   Abdollahpour Ibrahim I   Abdulkader Rizwan Suliankatchi RS   Abrigo Michael R M MRM   Acharya Dilaram D   Adebayo Oladimeji M OM   Adekanmbi Victor V   Adham Davoud D   Afshari Mahdi M   Aghaali Mohammad M   Ahmadi Keivan K   Ahmadi Mehdi M   Ahmadpour Ehsan E   Ahmed Rushdia R   Akal Chalachew Genet CG   Akinyemi Joshua O JO   Alahdab Fares F   Alam Noore N   Alamene Genet Melak GM   Alene Kefyalew Addis KA   Alijanzadeh Mehran M   Alinia Cyrus C   Alipour Vahid V   Aljunid Syed Mohamed SM   Almalki Mohammed J MJ   Al-Mekhlafi Hesham M HM   Altirkawi Khalid K   Alvis-Guzman Nelson N   Amegah Adeladza Kofi AK   Amini Saeed S   Amit Arianna Maever Loreche AML   Anbari Zohreh Z   Androudi Sofia S   Anjomshoa Mina M   Ansari Fereshteh F   Antonio Carl Abelardo T CAT   Arabloo Jalal J   Arefi Zohreh Z   Aremu Olatunde O   Armoon Bahram B   Arora Amit A   Artaman Al A   Asadi Anvar A   Asadi-Aliabadi Mehran M   Ashraf-Ganjouei Amir A   Assadi Reza R   Ataeinia Bahar B   Atre Sachin R SR   Quintanilla Beatriz Paulina Ayala BPA   Ayanore Martin Amogre MA   Azari Samad S   Babaee Ebrahim E   Babazadeh Arefeh A   Badawi Alaa A   Bagheri Soghra S   Bagherzadeh Mojtaba M   Baheiraei Nafiseh N   Balouchi Abbas A   Barac Aleksandra A   Bassat Quique Q   Baune Bernhard T BT   Bayati Mohsen M   Bedi Neeraj N   Beghi Ettore E   Behzadifar Masoud M   Behzadifar Meysam M   Belay Yared Belete YB   Bell Brent B   Bell Michelle L ML   Berbada Dessalegn Ajema DA   Bernstein Robert S RS   Bhattacharjee Natalia V NV   Bhattarai Suraj S   Bhutta Zulfiqar A ZA   Bijani Ali A   Bohlouli Somayeh S   Breitborde Nicholas J K NJK   Britton Gabrielle G   Browne Annie J AJ   Nagaraja Sharath Burugina SB   Busse Reinhard R   Butt Zahid A ZA   Car Josip J   Cárdenas Rosario R   Castañeda-Orjuela Carlos A CA   Cerin Ester E   Chanie Wagaye Fentahun WF   Chatterjee Pranab P   Chu Dinh-Toi DT   Cooper Cyrus C   Costa Vera M VM   Dalal Koustuv K   Dandona Lalit L   Dandona Rakhi R   Daoud Farah F   Daryani Ahmad A   Das Gupta Rajat R   Davis Ian I   Davis Weaver Nicole N   Davitoiu Dragos Virgil DV   De Neve Jan-Walter JW   Demeke Feleke Mekonnen FM   Demoz Gebre Teklemariam GT   Deribe Kebede K   Desai Rupak R   Deshpande Aniruddha A   Desyibelew Hanna Demelash HD   Dey Sagnik S   Dharmaratne Samath Dhamminda SD   Dhimal Meghnath M   Diaz Daniel D   Doshmangir Leila L   Duraes Andre R AR   Dwyer-Lindgren Laura L   Earl Lucas L   Ebrahimi Roya R   Ebrahimpour Soheil S   Effiong Andem A   Eftekhari Aziz A   Ehsani-Chimeh Elham E   El Sayed Iman I   El Sayed Zaki Maysaa M   El Tantawi Maha M   El-Khatib Ziad Z   Emamian Mohammad Hassan MH   Enany Shymaa S   Eskandarieh Sharareh S   Eyawo Oghenowede O   Ezalarab Maha M   Faramarzi Mahbobeh M   Fareed Mohammad M   Faridnia Roghiyeh R   Faro Andre A   Fazaeli Ali Akbar AA   Fazlzadeh Mehdi M   Fentahun Netsanet N   Fereshtehnejad Seyed-Mohammad SM   Fernandes João C JC   Filip Irina I   Fischer Florian F   Foigt Nataliya A NA   Foroutan Masoud M   Francis Joel Msafiri JM   Fukumoto Takeshi T   Fullman Nancy N   Gallus Silvano S   Gebre Destallem Gebremedhin DG   Gebrehiwot Tsegaye Tewelde TT   Gebremeskel Gebreamlak Gebremedhn GG   Gessner Bradford D BD   Geta Birhanu B   Gething Peter W PW   Ghadimi Reza R   Ghadiri Keyghobad K   Ghajarzadeh Mahsa M   Ghashghaee Ahmad A   Gill Paramjit Singh PS   Gill Tiffany K TK   Golding Nick N   Gomes Nelson G M NGM   Gona Philimon N PN   Gopalani Sameer Vali SV   Gorini Giuseppe G   Goulart Bárbara Niegia Garcia BNG   Graetz Nicholas N   Greaves Felix F   Green Manfred S MS   Guo Yuming Y   Haj-Mirzaian Arvin A   Haj-Mirzaian Arya A   Hall Brian James BJ   Hamidi Samer S   Haririan Hamidreza H   Haro Josep Maria JM   Hasankhani Milad M   Hasanpoor Edris E   Hasanzadeh Amir A   Hassankhani Hadi H   Hassen Hamid Yimam HY   Hegazy Mohamed I MI   Hendrie Delia D   Heydarpour Fatemeh F   Hird Thomas R TR   Hoang Chi Linh CL   Hollerich Gillian G   Rad Enayatollah Homaie EH   Hoseini-Ghahfarokhi Mojtaba M   Hossain Naznin N   Hosseini Mostafa M   Hosseinzadeh Mehdi M   Hostiuc Mihaela M   Hostiuc Sorin S   Househ Mowafa M   Hsairi Mohamed M   Ilesanmi Olayinka Stephen OS   Imani-Nasab Mohammad Hasan MH   Iqbal Usman U   Irvani Seyed Sina Naghibi SSN   Islam Nazrul N   Islam Sheikh Mohammed Shariful SMS   Jürisson Mikk M   Balalami Nader Jafari NJ   Jalali Amir A   Javidnia Javad J   Jayatilleke Achala Upendra AU   Jenabi Ensiyeh E   Ji John S JS   Jobanputra Yash B YB   Johnson Kimberly K   Jonas Jost B JB   Shushtari Zahra Jorjoran ZJ   Jozwiak Jacek Jerzy JJ   Kabir Ali A   Kahsay Amaha A   Kalani Hamed H   Kalhor Rohollah R   Karami Manoochehr M   Karki Surendra S   Kasaeian Amir A   Kassebaum Nicholas J NJ   Keiyoro Peter Njenga PN   Kemp Grant Rodgers GR   Khabiri Roghayeh R   Khader Yousef Saleh YS   Khafaie Morteza Abdullatif MA   Khan Ejaz Ahmad EA   Khan Junaid J   Khan Muhammad Shahzeb MS   Khang Young-Ho YH   Khatab Khaled K   Khater Amir A   Khater Mona M MM   Khatony Alireza A   Khazaei Mohammad M   Khazaei Salman S   Khazaei-Pool Maryam M   Khubchandani Jagdish J   Kianipour Neda N   Kim Yun Jin YJ   Kimokoti Ruth W RW   Kinyoki Damaris K DK   Kisa Adnan A   Kisa Sezer S   Kolola Tufa T   Kosen Soewarta S   Koul Parvaiz A PA   Koyanagi Ai A   Kraemer Moritz U G MUG   Krishan Kewal K   Krohn Kris J KJ   Kugbey Nuworza N   Kumar G Anil GA   Kumar Manasi M   Kumar Pushpendra P   Kuupiel Desmond D   Lacey Ben B   Lad Sheetal D SD   Lami Faris Hasan FH   Larsson Anders O AO   Lee Paul H PH   Leili Mostafa M   Levine Aubrey J AJ   Li Shanshan S   Lim Lee-Ling LL   Listl Stefan S   Longbottom Joshua J   Lopez Jaifred Christian F JCF   Lorkowski Stefan S   Magdeldin Sameh S   Abd El Razek Hassan Magdy HM   Abd El Razek Muhammed Magdy MM   Majeed Azeem A   Maleki Afshin A   Malekzadeh Reza R   Malta Deborah Carvalho DC   Mamun Abdullah A AA   Manafi Navid N   Manda Ana-Laura AL   Mansourian Morteza M   Martins-Melo Francisco Rogerlândio FR   Masaka Anthony A   Massenburg Benjamin Ballard BB   Maulik Pallab K PK   Mayala Benjamin K BK   Mazidi Mohsen M   McKee Martin M   Mehrotra Ravi R   Mehta Kala M KM   Meles Gebrekiros Gebremichael GG   Mendoza Walter W   Menezes Ritesh G RG   Meretoja Atte A   Meretoja Tuomo J TJ   Mestrovic Tomislav T   Miller Ted R TR   Miller-Petrie Molly K MK   Mills Edward J EJ   Milne George J GJ   Mini G K GK   Mir Seyed Mostafa SM   Mirjalali Hamed H   Mirrakhimov Erkin M EM   Mohamadi Efat E   Mohammad Dara K DK   Mohammad Dara K DK   Darwesh Aso Mohammad AM   Mezerji Naser Mohammad Gholi NMG   Mohammed Ammas Siraj AS   Mohammed Shafiu S   Mokdad Ali H AH   Molokhia Mariam M   Monasta Lorenzo L   Moodley Yoshan Y   Moosazadeh Mahmood M   Moradi Ghobad G   Moradi Masoud M   Moradi Yousef Y   Moradi-Lakeh Maziar M   Moradinazar Mehdi M   Moraga Paula P   Morawska Lidia L   Mosapour Abbas A   Mousavi Seyyed Meysam SM   Mueller Ulrich Otto UO   Muluneh Atalay Goshu AG   Mustafa Ghulam G   Nabavizadeh Behnam B   Naderi Mehdi M   Nagarajan Ahamarshan Jayaraman AJ   Nahvijou Azin A   Najafi Farid F   Nangia Vinay V   Ndwandwe Duduzile Edith DE   Neamati Nahid N   Negoi Ionut I   Negoi Ruxandra Irina RI   Ngunjiri Josephine W JW   Thi Nguyen Huong Lan HL   Nguyen Long Hoang LH   Nguyen Son Hoang SH   Nielsen Katie R KR   Ningrum Dina Nur Anggraini DNA   Nirayo Yirga Legesse YL   Nixon Molly R MR   Nnaji Chukwudi A CA   Nojomi Marzieh M   Noroozi Mehdi M   Nosratnejad Shirin S   Noubiap Jean Jacques JJ   Motlagh Soraya Nouraei SN   Ofori-Asenso Richard R   Ogbo Felix Akpojene FA   Oladimeji Kelechi E KE   Olagunju Andrew T AT   Olfatifar Meysam M   Olum Solomon S   Olusanya Bolajoko Olubukunola BO   Oluwasanu Mojisola Morenike MM   Onwujekwe Obinna E OE   Oren Eyal E   Ortega-Altamirano Doris D V DDV   Ortiz Alberto A   Osarenotor Osayomwanbo O   Osei Frank B FB   Osgood-Zimmerman Aaron E AE   Otstavnov Stanislav S SS   Owolabi Mayowa Ojo MO   P A Mahesh M   Pagheh Abdol Sattar AS   Pakhale Smita S   Panda-Jonas Songhomitra S   Pandey Animika A   Park Eun-Kee EK   Parsian Hadi H   Pashaei Tahereh T   Patel Sangram Kishor SK   Pepito Veincent Christian Filipino VCF   Pereira Alexandre A   Perkins Samantha S   Pickering Brandon V BV   Pilgrim Thomas T   Pirestani Majid M   Piroozi Bakhtiar B   Pirsaheb Meghdad M   Plana-Ripoll Oleguer O   Pourjafar Hadi H   Puri Parul P   Qorbani Mostafa M   Quintana Hedley H   Rabiee Mohammad M   Rabiee Navid N   Radfar Amir A   Rafiei Alireza A   Rahim Fakher F   Rahimi Zohreh Z   Rahimi-Movaghar Vafa V   Rahimzadeh Shadi S   Rajati Fatemeh F   Raju Sree Bhushan SB   Ramezankhani Azra A   Ranabhat Chhabi Lal CL   Rasella Davide D   Rashedi Vahid V   Rawal Lal L   Reiner Robert C RC   Renzaho Andre M N AMN   Rezaei Satar S   Rezapour Aziz A   Riahi Seyed Mohammad SM   Ribeiro Ana Isabel AI   Roever Leonardo L   Roro Elias Merdassa EM   Roser Max M   Roshandel Gholamreza G   Roshani Daem D   Rostami Ali A   Rubagotti Enrico E   Rubino Salvatore S   Sabour Siamak S   Sadat Nafis N   Sadeghi Ehsan E   Saeedi Reza R   Safari Yahya Y   Safari-Faramani Roya R   Safdarian Mahdi M   Sahebkar Amirhossein A   Salahshoor Mohammad Reza MR   Salam Nasir N   Salamati Payman P   Salehi Farkhonde F   Zahabi Saleh Salehi SS   Salimi Yahya Y   Salimzadeh Hamideh H   Salomon Joshua A JA   Sambala Evanson Zondani EZ   Samy Abdallah M AM   Santric Milicevic Milena M MM   Jose Bruno Piassi Sao BPS   Saraswathy Sivan Yegnanarayana Iyer SYI   Sarmiento-Suárez Rodrigo R   Sartorius Benn B   Sathian Brijesh B   Saxena Sonia S   Sbarra Alyssa N AN   Schaeffer Lauren E LE   Schwebel David C DC   Sepanlou Sadaf G SG   Seyedmousavi Seyedmojtaba S   Shaahmadi Faramarz F   Shaikh Masood Ali MA   Shams-Beyranvand Mehran M   Shamshirian Amir A   Shamsizadeh Morteza M   Sharafi Kiomars K   Sharif Mehdi M   Sharif-Alhoseini Mahdi M   Sharifi Hamid H   Sharma Jayendra J   Sharma Rajesh R   Sheikh Aziz A   Shields Chloe C   Shigematsu Mika M   Shiri Rahman R   Shiue Ivy I   Shuval Kerem K   Siddiqi Tariq J TJ   Silva João Pedro JP   Singh Jasvinder A JA   Sinha Dhirendra Narain DN   Sisay Malede Mequanent MM   Sisay Solomon S   Sliwa Karen K   Smith David L DL   Somayaji Ranjani R   Soofi Moslem M   Soriano Joan B JB   Sreeramareddy Chandrashekhar T CT   Sudaryanto Agus A   Sufiyan Mu'awiyyah Babale MB   Sykes Bryan L BL   Sylaja P N PN   Tabarés-Seisdedos Rafael R   Tabb Karen M KM   Tabuchi Takahiro T   Taveira Nuno N   Temsah Mohamad-Hani MH   Terkawi Abdullah Sulieman AS   Tessema Zemenu Tadesse ZT   Thankappan Kavumpurathu Raman KR   Thirunavukkarasu Sathish S   To Quyen G QG   Tovani-Palone Marcos Roberto MR   Tran Bach Xuan BX   Tran Khanh Bao KB   Ullah Irfan I   Usman Muhammad Shariq MS   Uthman Olalekan A OA   Vahedian-Azimi Amir A   Valdez Pascual R PR   van Boven Job F M JFM   Vasankari Tommi Juhani TJ   Vasseghian Yasser Y   Veisani Yousef Y   Venketasubramanian Narayanaswamy N   Violante Francesco S FS   Vladimirov Sergey Konstantinovitch SK   Vlassov Vasily V   Vos Theo T   Vu Giang Thu GT   Vujcic Isidora S IS   Waheed Yasir Y   Wakefield Jon J   Wang Haidong H   Wang Yafeng Y   Wang Yuan-Pang YP   Ward Joseph L JL   Weintraub Robert G RG   Weldegwergs Kidu Gidey KG   Weldesamuel Girmay Teklay GT   Westerman Ronny R   Wiysonge Charles Shey CS   Wondafrash Dawit Zewdu DZ   Woyczynski Lauren L   Wu Ai-Min AM   Xu Gelin G   Yadegar Abbas A   Yamada Tomohide T   Yazdi-Feyzabadi Vahid V   Yilgwan Christopher Sabo CS   Yip Paul P   Yonemoto Naohiro N   Lebni Javad Yoosefi JY   Younis Mustafa Z MZ   Yousefifard Mahmoud M   Yousof Hebat-Allah Salah A HSA   Yu Chuanhua C   Yusefzadeh Hasan H   Zabeh Erfan E   Moghadam Telma Zahirian TZ   Bin Zaman Sojib S   Zamani Mohammad M   Zandian Hamed H   Zangeneh Alireza A   Zerfu Taddese Alemu TA   Zhang Yunquan Y   Ziapour Arash A   Zodpey Sanjay S   Murray Christopher J L CJL   Hay Simon I SI  

Nature 20191016 7778


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 unde  ...[more]

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