This statistic shows the 20 countries* with the highest infant mortality rate in 2024. An estimated 101.3 infants per 1,000 live births died in the first year of life in Afghanistan in 2024. Infant and child mortality Infant mortality usually refers to the death of children younger than one year. Child mortality, which is often used synonymously with infant mortality, is the death of children younger than five. Among the main causes are pneumonia, diarrhea – which causes dehydration – and infections in newborns, with malnutrition also posing a severe problem. As can be seen above, most countries with a high infant mortality rate are developing countries or emerging countries, most of which are located in Africa. Good health care and hygiene are crucial in reducing child mortality; among the countries with the lowest infant mortality rate are exclusively developed countries, whose inhabitants usually have access to clean water and comprehensive health care. Access to vaccinations, antibiotics and a balanced nutrition also help reducing child mortality in these regions. In some countries, infants are killed if they turn out to be of a certain gender. India, for example, is known as a country where a lot of girls are aborted or killed right after birth, as they are considered to be too expensive for poorer families, who traditionally have to pay a costly dowry on the girl’s wedding day. Interestingly, the global mortality rate among boys is higher than that for girls, which could be due to the fact that more male infants are actually born than female ones. Other theories include a stronger immune system in girls, or more premature births among boys.

U.S. infant mortality rate for 2025 is 5.20, a 2.58% decline from 2024.

<ul style='margin-top:20px;'>

<li>U.S. infant mortality rate for 2024 was <strong>5.34</strong>, a <strong>2.87% decline</strong> from 2023.</li>
<li>U.S. infant mortality rate for 2023 was <strong>5.50</strong>, a <strong>0% increase</strong> from 2022.</li>
<li>U.S. infant mortality rate for 2022 was <strong>5.50</strong>, a <strong>0% increase</strong> from 2021.</li>
</ul>Infant mortality rate is the number of infants dying before reaching one year of age, per 1,000 live births in a given year.

In 2022, the infant mortality rate in the United States was 5.4 out of every 1,000 live births. This is a significant decrease from 1960, when infant mortality was at around 26 deaths out of every 1,000 live births. What is infant mortality? The infant mortality rate is the number of deaths of babies under the age of one per 1,000 live births. There are many causes for infant mortality, which include birth defects, low birth weight, pregnancy complications, and sudden infant death syndrome. In order to decrease the high rates of infant mortality, there needs to be an increase in education and medicine so babies and mothers can receive the proper treatment needed. Maternal mortality is also related to infant mortality. If mothers can attend more prenatal visits and have more access to healthcare facilities, maternal mortality can decrease, and babies have a better chance of surviving in their first year. Worldwide infant mortality rates Infant mortality rates vary worldwide; however, some areas are more affected than others. Afghanistan suffered from the highest infant mortality rate in 2024, and the following 19 countries all came from Africa, with the exception of Pakistan. On the other hand, Slovenia had the lowest infant mortality rate that year. High infant mortality rates can be attributed to lack of sanitation, technological advancements, and proper natal care. In the United States, Massachusetts had the lowest infant mortality rate, while Mississippi had the highest in 2022. Overall, the number of neonatal and post neonatal deaths in the United States has been steadily decreasing since 1995.

United States US: Mortality Rate: Under-5: Male: per 1000 Live Births data was reported at 7.200 Ratio in 2017. This records a decrease from the previous number of 7.400 Ratio for 2015. United States US: Mortality Rate: Under-5: Male: per 1000 Live Births data is updated yearly, averaging 8.000 Ratio from Dec 1990 (Median) to 2017, with 5 observations. The data reached an all-time high of 12.500 Ratio in 1990 and a record low of 7.200 Ratio in 2017. United States US: Mortality Rate: Under-5: Male: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Under-five mortality rate, male is the probability per 1,000 that a newborn male baby will die before reaching age five, if subject to male age-specific mortality rates of the specified year.; ; Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

United States US: Mortality Rate: Infant: Male: per 1000 Live Births data was reported at 6.000 Ratio in 2017. This records a decrease from the previous number of 6.200 Ratio for 2015. United States US: Mortality Rate: Infant: Male: per 1000 Live Births data is updated yearly, averaging 6.800 Ratio from Dec 1990 (Median) to 2017, with 5 observations. The data reached an all-time high of 10.400 Ratio in 1990 and a record low of 6.000 Ratio in 2017. United States US: Mortality Rate: Infant: Male: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s United States – Table US.World Bank.WDI: Health Statistics. Infant mortality rate, male is the number of male infants dying before reaching one year of age, per 1,000 male live births in a given year.; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

In 2022, the state of Mississippi had the highest infant mortality rate in the United States, with around 9.11 deaths per 1,000 live births. Infant mortality is the death of an infant before the age of one. The countries with the lowest infant mortality rates worldwide are Slovenia, Singapore, and Iceland. The countries with the highest infant mortality rates include Afghanistan, Somalia, and the Central African Republic. Causes of infant mortality Rates and causes of infant mortality are different depending on the country and region. However, the leading causes of neonatal deaths include preterm birth complications, intrapartum-related events, and sepsis. The leading causes of death among children aged 1 to 59 months are pneumonia, diarrhea, and injury. In the United States The infant mortality rate in the United States has decreased over the past few decades, reaching a low of 5.4 deaths per 1,000 live births in 2021. The most common causes of infant death in the United States are congenital malformations, low birth weight, and sudden infant death syndrome. In 2022, congenital malformations accounted for around 108 infant deaths per 100,000 live births.

The average for 2022 based on 12 countries was 14 deaths per 1000 births. The highest value was in Guyana: 23 deaths per 1000 births and the lowest value was in Chile: 6 deaths per 1000 births. The indicator is available from 1960 to 2022. Below is a chart for all countries where data are available.

United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data was reported at 5.900 Ratio in 2016. This records a decrease from the previous number of 6.000 Ratio for 2015. United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data is updated yearly, averaging 6.600 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 9.900 Ratio in 1990 and a record low of 5.900 Ratio in 2016. United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Under-five mortality rate, female is the probability per 1,000 that a newborn female baby will die before reaching age five, if subject to female age-specific mortality rates of the specified year.; ; Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted Average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

This statistic shows the 20 countries * with the lowest infant mortality rate in 2024. An estimated 1.5 out of 1,000 live births died in the first year of life in Slovenia and Singapore in 2024. Infant mortality Infant mortality rates are often used as an indicator of the health and well-being of a nation. Monaco, Iceland, and Japan are among the top three countries with the lowest infant mortality rates with around 2 infant deaths per 1,000 infants within their first year of life. Generally, the countries with the lowest infant mortality also have some of the highest average life expectancy figures. Additionally, the countries with the highest density of physicians and doctors also generally report low infant mortality. Yet, many different factors contribute to differing rates, including the overall income of a country, health spending per capita, a mother’s level of education, environmental conditions, and medical infrastructure, to name a few. This creates a lot of variation concerning the level of childbirth and infant care around the world. The countries with the highest rates of infant mortality include Afghanistan, Mali, and Somalia. These countries experience around 100 infant deaths per 1,000 infants in their first year of life. While the reasons for high rates of infant mortality are numerous, the leading causes of death for children under the year five around the world are Pneumonia, Diarrhea, and Prematurity.

The average for 2021 based on 12 countries was 14 deaths per 1000 live births. The highest value was in Guyana: 23 deaths per 1000 live births and the lowest value was in Chile: 6 deaths per 1000 live births. The indicator is available from 1960 to 2022. Below is a chart for all countries where data are available.

BackgroundDespite substantial financial contributions by the United States President’s Malaria Initiative (PMI) since 2006, no studies have carefully assessed how this program may have affected important population-level health outcomes. We utilized multiple publicly available data sources to evaluate the association between introduction of PMI and child mortality rates in sub-Saharan Africa (SSA).Methods and findingsWe used difference-in-differences analyses to compare trends in the primary outcome of under-5 mortality rates and secondary outcomes reflecting population coverage of malaria interventions in 19 PMI-recipient and 13 non-recipient countries between 1995 and 2014. The analyses controlled for presence and intensity of other large funding sources, individual and household characteristics, and country and year fixed effects.PMI program implementation was associated with a significant reduction in the annual risk of under-5 child mortality (adjusted risk ratio [RR] 0.84, 95% CI 0.74–0.96). Each dollar of per-capita PMI expenditures in a country, a measure of PMI intensity, was also associated with a reduction in child mortality (RR 0.86, 95% CI 0.78–0.93). We estimated that the under-5 mortality rate in PMI countries was reduced from 28.9 to 24.3 per 1,000 person-years. Population coverage of insecticide-treated nets increased by 8.34 percentage points (95% CI 0.86–15.83) and coverage of indoor residual spraying increased by 6.63 percentage points (95% CI 0.79–12.47) after PMI implementation. Per-capita PMI spending was also associated with a modest increase in artemisinin-based combination therapy coverage (3.56 percentage point increase, 95% CI −0.07–7.19), though this association was only marginally significant (p = 0.054). Our results were robust to several sensitivity analyses. Because our study design leaves open the possibility of unmeasured confounding, we cannot definitively interpret these results as causal.ConclusionsPMI may have significantly contributed to reducing the burden of malaria in SSA and reducing the number of child deaths in the region. Introduction of PMI was associated with increased coverage of malaria prevention technologies, which are important mechanisms through which child mortality can be reduced. To our knowledge, this study is the first to assess the association between PMI and all-cause child mortality in SSA with the use of appropriate comparison groups and adjustments for regional trends in child mortality.

Maternal mortality rates can vary significantly around the world. For example, in 2022, Estonia had a maternal mortality rate of zero per 100,000 live births, while Mexico reported a rate of 38 deaths per 100,000 live births. However, the regions with the highest number of maternal deaths are Sub-Saharan Africa and Southern Asia, with differences between countries and regions often reflecting inequalities in health care services and access. Most causes of maternal mortality are preventable and treatable with the most common causes including severe bleeding, infections, complications during delivery, high blood pressure during pregnancy, and unsafe abortion. Maternal mortality in the United States In 2022, there were a total of 817 maternal deaths in the United States. Women aged 25 to 39 years accounted for 578 of these deaths, however, rates of maternal mortality are much higher among women aged 40 years and older. In 2022, the rate of maternal mortality among women aged 40 years and older in the U.S. was 87 per 100,000 live births, compared to a rate of 21 among women aged 25 to 39 years. The rate of maternal mortality in the U.S. has risen in recent years among all age groups. Differences in maternal mortality in the U.S. by race/ethnicity Sadly, there are great disparities in maternal mortality in the United States among different races and ethnicities. In 2022, the rate of maternal mortality among non-Hispanic white women was about 19 per 100,000 live births, while non-Hispanic Black women died from maternal causes at a rate of almost 50 per 100,000 live births. Rates of maternal mortality have risen for white and Hispanic women in recent years, but Black women have by far seen the largest increase in maternal mortality. In 2022, around 253 Black women died from maternal causes in the United States.

The average for 2022 based on 19 countries was 16 deaths per 1000 births. The highest value was in Haiti: 51 deaths per 1000 births and the lowest value was in Chile: 6 deaths per 1000 births. The indicator is available from 1960 to 2022. Below is a chart for all countries where data are available.

Background: Our previous study analyzed the age trajectory of mortality (ATM) in 14 European countries, while this study aimed at investigating ATM in other continents and in countries with a higher level of mortality. Data from 11 Non-European countries were used.Methods: The number of deaths was extracted from the WHO mortality database. The Halley method was used to calculate the mortality rates in all possible calendar years and all countries combined. This method enables us to combine more countries and more calendar years in one hypothetical population.Results: The age trajectory of total mortality (ATTM) and also ATM due to specific groups of diseases were very similar in the 11 non-European countries and in the 14 European countries. The level of mortality did not affect the main results found in European countries. The inverse proportion was valid for ATTM in non-European countries with two exceptions.Slower or no mortality decrease with age was detected in the first year of life, while the inverse proportion model was valid for the age range (1, 10) years in most of the main chapters of ICD10.Conclusions: The decrease in child mortality with age may be explained as the result of the depletion of individuals with congenital impairment. The majority of deaths up to the age of 10 years were related to congenital impairments, and the decrease in child mortality rate with age was a demonstration of population heterogeneity. The congenital impairments were latent and may cause death even if no congenital impairment was detected.

United States US: Mortality Rate: Infant: Female: per 1000 Live Births data was reported at 5.000 Ratio in 2017. This records a decrease from the previous number of 5.200 Ratio for 2015. United States US: Mortality Rate: Infant: Female: per 1000 Live Births data is updated yearly, averaging 5.700 Ratio from Dec 1990 (Median) to 2017, with 5 observations. The data reached an all-time high of 8.300 Ratio in 1990 and a record low of 5.000 Ratio in 2017. United States US: Mortality Rate: Infant: Female: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Infant mortality rate, female is the number of female infants dying before reaching one year of age, per 1,000 female live births in a given year.; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

This map shows the infant mortality rate and total number of infant deaths. This is shown by county, state, and country from the 2022 County Health Rankings. The national average is 5.7 deaths per 1,000.The data comes from the County Health Rankings 2022 layer. The County Health Rankings, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, measure the health of nearly all counties in the nation and rank them within states. "By ranking the health of nearly every county in the nation, County Health Rankings & Roadmaps (CHR&R) illustrates how where we live affects how well and how long we live. CHR&R also shows what each of us can do to create healthier places to live, learn, work, and play – for everyone."Counties are ranked within their state on both health outcomes and health factors. Counties with a lower (better) health outcomes ranking than health factors ranking may see the health of their county decline in the future, as factors today can result in outcomes later. Conversely, counties with a lower (better) factors ranking than outcomes ranking may see the health of their county improve in the future.

In 2021, Niger had the highest mortality rate among children aged under five years, with an average of around 115 children dying, per one thousand live births, under five years of age. This statistic shows the countries with the highest mortality rate among children aged under five years as of 2021.

United States US: Mortality Rate: Neonatal: per 1000 Live Births data was reported at 3.700 Ratio in 2016. This records a decrease from the previous number of 3.800 Ratio for 2015. United States US: Mortality Rate: Neonatal: per 1000 Live Births data is updated yearly, averaging 5.400 Ratio from Dec 1968 (Median) to 2016, with 49 observations. The data reached an all-time high of 15.800 Ratio in 1968 and a record low of 3.700 Ratio in 2016. United States US: Mortality Rate: Neonatal: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Neonatal mortality rate is the number of neonates dying before reaching 28 days of age, per 1,000 live births in a given year.; ; Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted Average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries.

The baseline data. (XLSX 63 kb)

Abstract

The authors combine data from 84 Demographic and Health Surveys from 46 countries to analyze trends and socioeconomic differences in adult mortality, calculating mortality based on the sibling mortality reports collected from female respondents aged 15-49.

The analysis yields four main findings. First, adult mortality is different from child mortality: while under-5 mortality shows a definite improving trend over time, adult mortality does not, especially in Sub-Saharan Africa. The second main finding is the increase in adult mortality in Sub-Saharan African countries. The increase is dramatic among those most affected by the HIV/AIDS pandemic. Mortality rates in the highest HIV-prevalence countries of southern Africa exceed those in countries that experienced episodes of civil war. Third, even in Sub-Saharan countries where HIV-prevalence is not as high, mortality rates appear to be at best stagnating, and even increasing in several cases. Finally, the main socioeconomic dimension along which mortality appears to differ in the aggregate is gender. Adult mortality rates in Sub-Saharan Africa have risen substantially higher for men than for women?especially so in the high HIV-prevalence countries. On the whole, the data do not show large gaps by urban/rural residence or by school attainment.

This paper is a product of the Human Development and Public Services Team, Development Research Group. It is part of a larger effort by the World Bank to provide open access to its research and make a contribution to development policy discussions around the world. Policy Research Working Papers are also posted on the Web at http://econ.worldbank.org.

Geographic coverage

We derive estimates of adult mortality from an analysis of Demographic and Health Survey (DHS) data from 46 countries, 33 of which are from Sub-Saharan Africa and 13 of which are from countries in other regions (Annex Table). Several of the countries have been surveyed more than once and we base our estimates on the total of 84 surveys that have been carried out (59 in Sub-Saharan Africa, 25 elsewhere).

The countries covered by DHS in Sub-Saharan Africa represent almost 90 percent of the region's population. Outside of Sub-Saharan Africa the DHS surveys we use cover a far smaller share of the population-even if this is restricted to countries whose GDP per capita never exceeds $10,000: overall about 14 percent of the population is covered by these countries, although this increases to 29 percent if China and India are excluded (countries for which we cannot calculate adult mortality using the DHS). It is therefore important to keep in mind that the sample of non-Sub-Saharan African countries we have cannot be thought of as "representative" of the rest of the world, or even the rest of the developing world.

Analysis unit

Country

Kind of data

Sample survey data [ssd]

Mode of data collection

Face-to-face [f2f]

Cleaning operations

In the course of carrying out this study, the authors created two databases of adult mortality estimates based on the original DHS datasets, both of which are publicly available for analysts who wish to carry out their own analysis of the data.

The naming conventions for the adult mortality-related are as follows. Variables are named:

GGG_MC_AAAA

GGG refers to the population subgroup. The values it can take, and the corresponding definitions are in the following table:

All - All Fem - Female Mal - Male Rur - Rural Urb - Urban Rurm - Rural/Male Urbm - Urban/Male Rurf - Rural/Female Urbf - Urban/Female Noed - No education Pri - Some or completed primary only Sec - At least some secondary education Noedm - No education/Male Prim - Some or completed primary only/Male Secm - At least some secondary education/Male Noedf - No education/Female Prif - Some or completed primary only/Female Secf - At least some secondary education/Female Rch - Rural as child Uch - Urban as child Rchm - Rural as child/Male Uchm - Urban as child/Male Rchf - Rural as child/Female Uchf - Urban as child/Female Edltp - Less than primary schooling Edpom - Primary or more schooling Edltpm - Less than primary schooling/Male Edpomm - Primary or more schooling/Male Edltpf - Less than primary schooling/Female Edpomf - Primary or more schooling/Female Edltpu - Less than primary schooling/Urban Edpomu - Primary or more schooling/Urban Edltpr - Less than primary schooling/Rural Edpomr - Primary or more schooling/Rural Edltpmu - Less than primary schooling/Male/Urban Edpommu - Primary or more schooling/Male/Urban Edltpmr - Less than primary schooling/Male/Rural Edpommr - Primary or more schooling/Male/Rural Edltpfu - Less than primary schooling/Female/Urban Edpomfu - Primary or more schooling/Female/Urban Edltpfr - Less than primary schooling/Female/Rural Edpomfr - Primary or more schooling/Female/Rural

M refers to whether the variable is the number of observations used to calculate the estimate (in which case M takes on the value "n") or whether it is a mortality estimate (in which case M takes on the value "m").

C refers to whether the variable is for the unadjusted mortality rate calculation (in which case C takes on the value "u") or whether it adjusts for the number of surviving female siblings (in which case C takes on the value "a").

AAAA refers to the age group that the mortality estimate is calculated for. It takes on the values: 1554 - Ages 15-54 1524 - Ages 15-24 2534 - Ages 25-34 3544 - Ages 35-44 4554 - Ages 45-54

Other variables that are in the databases are:

period - Period for which mortality rate is calculated (takes on the values 1975-79, 1980-84 … 2000-04) svycountry - Name of country for DHS countries ccode3 - Country code u5mr - Under-5 mortality (from World Development Indicators) cname - Country name gdppc - GDP per capita (constant 2000 US$) (from World Development Indicators) gdppcppp - GDP per capita PPP (constant 2005 intl $) (from World Development Indicators) pop - Population (from World Development Indicators) hivprev2001 - HIV prevalence in 2001 (from UNAIDS 2010) region - Region