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 187 countries was 20 deaths per 1000 live births. The highest value was in Sierra Leone: 78 deaths per 1000 live births and the lowest value was in San Marino: 1 deaths per 1000 live births. The indicator is available from 1960 to 2022. Below is a chart for all countries where data are available.

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.

In 2023, the state of Mississippi had the highest infant mortality rate in the United States, with around 8.94 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. Infant mortality 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 2022. The most common causes of infant death in the United States are congenital malformations, low birth weight, and sudden infant death syndrome. In 2023, congenital malformations accounted for around 111 infant deaths per 100,000 live births.

BackgroundWhile the high prevalence of preterm births and its impact on infant mortality in the US have been widely acknowledged, recent data suggest that even full-term births in the US face substantially higher mortality risks compared to European countries with low infant mortality rates. In this paper, we use the most recent birth records in the US to more closely analyze the primary causes underlying mortality rates among full-term births.Methods and findingsLinked birth and death records for the period 2010–2012 were used to identify the state- and cause-specific burden of infant mortality among full-term infants (born at 37–42 weeks of gestation). Multivariable logistic models were used to assess the extent to which state-level differences in full-term infant mortality (FTIM) were attributable to observed differences in maternal and birth characteristics. Random effects models were used to assess the relative contribution of state-level variation to FTIM. Hypothetical mortality outcomes were computed under the assumption that all states could achieve the survival rates of the best-performing states. A total of 10,175,481 infants born full-term in the US between January 1, 2010, and December 31, 2012, were analyzed. FTIM rate (FTIMR) was 2.2 per 1,000 live births overall, and ranged between 1.29 (Connecticut, 95% CI 1.08, 1.53) and 3.77 (Mississippi, 95% CI 3.39, 4.19) at the state level. Zero states reached the rates reported in the 6 low-mortality European countries analyzed (FTIMR < 1.25), and 13 states had FTIMR > 2.75. Sudden unexpected death in infancy (SUDI) accounted for 43% of FTIM; congenital malformations and perinatal conditions accounted for 31% and 11.3% of FTIM, respectively. The largest mortality differentials between states with good and states with poor FTIMR were found for SUDI, with particularly large risk differentials for deaths due to sudden infant death syndrome (SIDS) (odds ratio [OR] 2.52, 95% CI 1.86, 3.42) and suffocation (OR 4.40, 95% CI 3.71, 5.21). Even though these mortality differences were partially explained by state-level differences in maternal education, race, and maternal health, substantial state-level variation in infant mortality remained in fully adjusted models (SIDS OR 1.45, suffocation OR 2.92). The extent to which these state differentials are due to differential antenatal care standards as well as differential access to health services could not be determined due to data limitations. Overall, our estimates suggest that infant mortality could be reduced by 4,003 deaths (95% CI 2,284, 5,587) annually if all states were to achieve the mortality levels of the best-performing state in each cause-of-death category. Key limitations of the analysis are that information on termination rates at the state level was not available, and that causes of deaths may have been coded differentially across states.ConclusionsMore than 7,000 full-term infants die in the US each year. The results presented in this paper suggest that a substantial share of these deaths may be preventable. Potential improvements seem particularly large for SUDI, where very low rates have been achieved in a few states while average mortality rates remain high in most other areas. Given the high mortality burden due to SIDS and suffocation, policy efforts to promote compliance with recommended sleeping arrangements could be an effective first step in this direction.

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 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.

Belarus BY: Mortality Rate: Infant: per 1000 Live Births data was reported at 1.900 Ratio in 2023. This records a decrease from the previous number of 2.000 Ratio for 2022. Belarus BY: Mortality Rate: Infant: per 1000 Live Births data is updated yearly, averaging 12.350 Ratio from Dec 1960 (Median) to 2023, with 64 observations. The data reached an all-time high of 36.900 Ratio in 1960 and a record low of 1.900 Ratio in 2023. Belarus BY: Mortality Rate: Infant: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Belarus – Table BY.World Bank.WDI: Social: Health Statistics. Infant mortality rate is the number of infants dying before reaching one year 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. 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. Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Chad TD: Mortality Rate: Infant: per 1000 Live Births data was reported at 58.700 Ratio in 2023. This records a decrease from the previous number of 60.300 Ratio for 2022. Chad TD: Mortality Rate: Infant: per 1000 Live Births data is updated yearly, averaging 114.000 Ratio from Dec 1960 (Median) to 2023, with 64 observations. The data reached an all-time high of 142.000 Ratio in 1960 and a record low of 58.700 Ratio in 2023. Chad TD: Mortality Rate: Infant: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Chad – Table TD.World Bank.WDI: Social: Health Statistics. Infant mortality rate is the number of infants dying before reaching one year 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. 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. Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Israel IL: Mortality Rate: Infant: per 1000 Live Births data was reported at 2.900 Ratio in 2016. This records a decrease from the previous number of 3.000 Ratio for 2015. Israel IL: Mortality Rate: Infant: per 1000 Live Births data is updated yearly, averaging 7.200 Ratio from Dec 1974 (Median) to 2016, with 43 observations. The data reached an all-time high of 24.700 Ratio in 1974 and a record low of 2.900 Ratio in 2016. Israel IL: Mortality Rate: Infant: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Israel – Table IL.World Bank: Health Statistics. Infant mortality rate is the number of infants dying before reaching one year 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. 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.

Andorra AD: Mortality Rate: Infant: Female: per 1000 Live Births data was reported at 2.200 Ratio in 2023. This records a decrease from the previous number of 2.300 Ratio for 2022. Andorra AD: Mortality Rate: Infant: Female: per 1000 Live Births data is updated yearly, averaging 4.800 Ratio from Dec 1985 (Median) to 2023, with 39 observations. The data reached an all-time high of 8.700 Ratio in 1985 and a record low of 2.200 Ratio in 2023. Andorra AD: 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 Andorra – Table AD.World Bank.WDI: Social: 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. Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Luxembourg LU: Mortality Rate: Infant: Male: per 1000 Live Births data was reported at 2.100 Ratio in 2016. This records a decrease from the previous number of 2.200 Ratio for 2015. Luxembourg LU: Mortality Rate: Infant: Male: per 1000 Live Births data is updated yearly, averaging 2.500 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 8.100 Ratio in 1990 and a record low of 2.100 Ratio in 2016. Luxembourg LU: 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 Luxembourg – Table LU.World Bank: 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.

Finland FI: Mortality Rate: Infant: Female: per 1000 Live Births data was reported at 1.700 Ratio in 2016. This records a decrease from the previous number of 1.800 Ratio for 2015. Finland FI: Mortality Rate: Infant: Female: per 1000 Live Births data is updated yearly, averaging 2.200 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 4.900 Ratio in 1990 and a record low of 1.700 Ratio in 2016. Finland FI: 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 Finland – Table FI.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.

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.

Niger had the highest birth rate in the world in 2024, with a birth rate of 46.6 births per 1,000 inhabitants. Angola, Benin, Mali, and Uganda followed. Except for Afghanistan, all 20 countries with the highest birth rates in the world were located in Sub-Saharan Africa. High infant mortality The reasons behind the high birth rates in many Sub-Saharan African countries are manyfold, but a major reason is that infant mortality remains high on the continent, despite decreasing steadily over the past decades, resulting in high birth rates to counter death rates. Moreover, many nations in Sub-Saharan Africa are highly reliant on small-scale farming, meaning that more hands are of importance. Additionally, polygamy is not uncommon in the region, and having many children is often seen as a symbol of status. Fastest-growing populations As the high fertility rates coincide with decreasing death rates, countries in Sub-Saharan Africa have the highest population growth rates in the world. As a result, Africa's population is forecast to increase from 1.4 billion in 2022 to over 3.9 billion by 2100.

United States US: Mortality Rate: Under-5: per 1000 Live Births data was reported at 6.600 Ratio in 2017. This records a decrease from the previous number of 6.700 Ratio for 2016. United States US: Mortality Rate: Under-5: per 1000 Live Births data is updated yearly, averaging 11.750 Ratio from Dec 1960 (Median) to 2017, with 58 observations. The data reached an all-time high of 30.100 Ratio in 1960 and a record low of 6.600 Ratio in 2017. United States US: Mortality Rate: Under-5: 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 is the probability per 1,000 that a newborn baby will die before reaching age five, if subject to 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.

Georgia GE: Mortality Rate: Infant: Male: per 1000 Live Births data was reported at 10.700 Ratio in 2016. This records a decrease from the previous number of 11.400 Ratio for 2015. Georgia GE: Mortality Rate: Infant: Male: per 1000 Live Births data is updated yearly, averaging 16.600 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 45.400 Ratio in 1990 and a record low of 10.700 Ratio in 2016. Georgia GE: 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 Georgia – Table GE.World Bank: 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.

Jordan JO: Mortality Rate: Infant: Female: per 1000 Live Births data was reported at 14.200 Ratio in 2016. This records a decrease from the previous number of 14.600 Ratio for 2015. Jordan JO: Mortality Rate: Infant: Female: per 1000 Live Births data is updated yearly, averaging 16.900 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 28.400 Ratio in 1990 and a record low of 14.200 Ratio in 2016. Jordan JO: 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 Jordan – Table JO.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.

Mali ML: Mortality Rate: Infant: per 1000 Live Births data was reported at 68.000 Ratio in 2016. This records a decrease from the previous number of 69.600 Ratio for 2015. Mali ML: Mortality Rate: Infant: per 1000 Live Births data is updated yearly, averaging 131.200 Ratio from Dec 1963 (Median) to 2016, with 54 observations. The data reached an all-time high of 213.400 Ratio in 1963 and a record low of 68.000 Ratio in 2016. Mali ML: Mortality Rate: Infant: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Mali – Table ML.World Bank: Health Statistics. Infant mortality rate is the number of infants dying before reaching one year 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. 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.

All countries of the 20 countries worldwide with the highest number of children under the age of five dying per 1,000 live births were found in Sub-Saharan Africa, with Niger, Nigeria, and Somalia topping the list. This made it the world region with the significantly highest child mortality rate in 2023.