The Global Subnational Infant Mortality Rates, Version 2.01 consist of Infant Mortality Rate (IMR) estimates for 234 countries and territories, 143 of which include subnational Units. The data are benchmarked to the year 2015 (Version 1 was benchmarked to the year 2000), and are drawn from national offices, Demographic and Health Surveys (DHS), Multiple Indicator Cluster Surveys (MICS), and other sources from 2006 to 2014. In addition to Infant Mortality Rates, Version 2.01 includes crude estimates of births and infant deaths, which could be aggregated or disaggregated to different geographies to calculate infant mortality rates at different scales or resolutions, where births are the rate denominator and infant deaths are the rate numerator. Boundary inputs are derived primarily from the Gridded Population of the World, Version 4 (GPWv4) data collection. National and subnational data are mapped to grid cells at a spatial resolution of 30 arc-seconds (~1 km) (Version 1 has a spatial resolution of 1/4 degree, ~28 km at the equator), allowing for easy integration with demographic, environmental, and other spatial data.

All birth data by race before 1980 are based on race of the child; starting in 1980, birth data by race are based on race of the mother. Birth data are used to calculate infant mortality rate. https://www.cdc.gov/nchs/data-visualization/mortality-trends/

The Global Subnational Infant Mortality Rates, Version 2.01 consist of Infant Mortality Rate (IMR) estimates for 234 countries and territories, 143 of which include subnational Units. The data are benchmarked to the year 2015 (Version 1 was benchmarked to the year 2000), and are drawn from national offices, Demographic and Health Surveys (DHS), Multiple Indicator Cluster Surveys (MICS), and other sources from 2006 to 2014. In addition to Infant Mortality Rates, Version 2.01 includes crude estimates of births and infant deaths, which could be aggregated or disaggregated to different geographies to calculate infant mortality rates at different scales or resolutions, where births are the rate denominator and infant deaths are the rate numerator. Boundary inputs are derived primarily from the Gridded Population of the World, Version 4 (GPWv4) data collection. National and subnational data are mapped to grid cells at a spatial resolution of 30 arc-seconds (~1 km) (Version 1 has a spatial resolution of 1/4 degree, ~28 km at the equator), allowing for easy integration with demographic, environmental, and other spatial data.

The probability of dying between birth and the exact age of 1, expressed per 1,000 live births. The data is sorted by both sex and total and includes a range of values from 1900 to 2019. The calculation for infant mortality rates is derived from a standard period abridged life table using the age-specific deaths and mid-year population counts from civil registration data. This data is sourced from the UN Inter-Agency Group for Child Mortality Estimation. The UN IGME uses the same estimation method across all countries to arrive at a smooth trend curve of age-specific mortality rates. The estimates are based on high quality nationally representative data including statistics from civil registration systems, results from household surveys, and censuses. The child mortality estimates are produced in conjunction with national level agencies such as a country’s Ministry of Health, National Statistics Office, or other relevant agencies.

Survey variables needed to calculate fertility and childhood mortality rates.

Analysis of ‘NCHS - Infant Mortality Rates, by Race: United States, 1915-2013’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/64af6ebf-0058-43ac-9ec8-1556137e60e5 on 26 January 2022.

--- Dataset description provided by original source is as follows ---

All birth data by race before 1980 are based on race of the child; starting in 1980, birth data by race are based on race of the mother. Birth data are used to calculate infant mortality rate.

https://www.cdc.gov/nchs/data-visualization/mortality-trends/

--- Original source retains full ownership of the source dataset ---

This SAS macro generates childhood mortality estimates (neonatal, post-neonatal, infant (1q0), child (4q1) and under-five (5q0) mortality) and standard errors based on birth histories reported by women during a household survey. We have made the SAS macro flexible enough to accommodate a range of calculation specifications including multi-stage sampling frames, and simple random samples or censuses. Childhood mortality rates are the component death probabilities of dying before a specific age. This SAS macro is based on a macro built by Keith Purvis at MeasureDHS. His method is described in Estimating Sampling Errors of Means, Total Fertility, and Childhood Mortality Rates Using SAS (www.measuredhs.com/pubs/pdf/OD17/OD17.pdf, section 4). More information about Childhood Mortality Estimation can also be found in the Guide to DHS Statistics (www.measuredhs.com/pubs/pdf/DHSG1/Guide_DHS_Statistics.pdf, page 93). We allow the user to specify whether childhood mortality calculations should be based on 5 or 10 years of birth histories, when the birth history window ends, and how to handle age of death with it is reported in whole months (rather than days). The user can also calculate mortality rates within sub-populations, and take account of a complex survey design (unequal probability and cluster samples). Finally, this SAS program is designed to read data in a number of different formats.

Crude and adjusted odds ratios (with 95% confidence intervals in parentheses) of infant mortality for singleton births for maternal and infant characteristics in California for the period 2007–2015.

VITAL SIGNS INDICATOR Life Expectancy (EQ6)

FULL MEASURE NAME Life Expectancy

LAST UPDATED April 2017

DESCRIPTION Life expectancy refers to the average number of years a newborn is expected to live if mortality patterns remain the same. The measure reflects the mortality rate across a population for a point in time.

DATA SOURCE State of California, Department of Health: Death Records (1990-2013) No link

California Department of Finance: Population Estimates Annual Intercensal Population Estimates (1990-2010) Table P-2: County Population by Age (2010-2013) http://www.dof.ca.gov/Forecasting/Demographics/Estimates/

CONTACT INFORMATION vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator) Life expectancy is commonly used as a measure of the health of a population. Life expectancy does not reflect how long any given individual is expected to live; rather, it is an artificial measure that captures an aspect of the mortality rates across a population. Vital Signs measures life expectancy at birth (as opposed to cohort life expectancy). A statistical model was used to estimate life expectancy for Bay Area counties and Zip codes based on current life tables which require both age and mortality data. A life table is a table which shows, for each age, the survivorship of a people from a certain population.

Current life tables were created using death records and population estimates by age. The California Department of Public Health provided death records based on the California death certificate information. Records include age at death and residential Zip code. Single-year age population estimates at the regional- and county-level comes from the California Department of Finance population estimates and projections for ages 0-100+. Population estimates for ages 100 and over are aggregated to a single age interval. Using this data, death rates in a population within age groups for a given year are computed to form unabridged life tables (as opposed to abridged life tables). To calculate life expectancy, the probability of dying between the jth and (j+1)st birthday is assumed uniform after age 1. Special consideration is taken to account for infant mortality. For the Zip code-level life expectancy calculation, it is assumed that postal Zip codes share the same boundaries as Zip Code Census Tabulation Areas (ZCTAs). More information on the relationship between Zip codes and ZCTAs can be found at https://www.census.gov/geo/reference/zctas.html. Zip code-level data uses three years of mortality data to make robust estimates due to small sample size. Year 2013 Zip code life expectancy estimates reflects death records from 2011 through 2013. 2013 is the last year with available mortality data. Death records for Zip codes with zero population (like those associated with P.O. Boxes) were assigned to the nearest Zip code with population. Zip code population for 2000 estimates comes from the Decennial Census. Zip code population for 2013 estimates are from the American Community Survey (5-Year Average). The ACS provides Zip code population by age in five-year age intervals. Single-year age population estimates were calculated by distributing population within an age interval to single-year ages using the county distribution. Counties were assigned to Zip codes based on majority land-area.

Zip codes in the Bay Area vary in population from over 10,000 residents to less than 20 residents. Traditional life expectancy estimation (like the one used for the regional- and county-level Vital Signs estimates) cannot be used because they are highly inaccurate for small populations and may result in over/underestimation of life expectancy. To avoid inaccurate estimates, Zip codes with populations of less than 5,000 were aggregated with neighboring Zip codes until the merged areas had a population of more than 5,000. In this way, the original 305 Bay Area Zip codes were reduced to 218 Zip code areas for 2013 estimates. Next, a form of Bayesian random-effects analysis was used which established a prior distribution of the probability of death at each age using the regional distribution. This prior is used to shore up the life expectancy calculations where data were sparse.

This table includes key figures on mortality in the Dutch population broken down by gender. The figures include totals and ratios of deceased persons, infant mortality, mortality in babies younger than 4 weeks and perinatal mortality (after a gestation period of 24 weeks or more and after a gestation period of 28 weeks or more). The table also presents figures on life expectancy at birth and average age at death. For additional information on Mortality the reader is referred to the Dutch tables. Data available from: 1950 Status of the figures: All data recorded in this publication are final data. The 2023 figures on stillbirths and (multiple) births are provisional, the other figures in the table are final. Changes as of 9 December 2024: The provisional figures on the number of live births and stillbirths do not include children who were born at a gestational age that is unknown. These cases were included in the final figures for previous years. However, the 2023 data shows a larger number of children born at an unknown gestational age than in previous years. Based on an internal analysis for 2022, it appears that in the majority of cases involving an unknown gestational age, the child was born at less than 24 weeks. To ensure that the provisional 2023 figures do not overestimate the number of stillborn children born at a gestational age of over 24 weeks, children born at an unknown gestational age have now been excluded. When will new figures be published? Final 2023 figures on the number of stillbirths and the number of births are expected to be added to the table in de third quarter of 2025. In the third quarter of 2025 final figures of 2024 will be published in this publication.

Multivariate analysis of the association between neonatal, infant, and under-five mortality in East Africa and sociodemographic and behavioral characteristics.

The number of deaths of children under the age of five. The data is sorted by both sex and total and includes a range of values from 1955 to 2019. A birth-week cohort method is used to calculate the absolute number of deaths among neonates, infants, and children under age 5. First, each annual birth cohort is divided into 52 equal birth-week cohorts. Then each birth-week cohort is exposed throughout the first five years of life to the appropriate calendar year- and age-specific mortality rates depending on cohort age. All deaths from birth-week cohorts occurring as a result of exposure to the mortality rate for a given calendar year are allocated to that year and are summed by age group at death to get the total number of deaths for a given year and age group. The annual estimate of the number of live births in each country comes from the World Population Prospects. This data is sourced from the UN Inter-Agency Group for Child Mortality Estimation. The UN IGME uses the same estimation method across all countries to arrive at a smooth trend curve of age-specific mortality rates. The estimates are based on high quality nationally representative data including statistics from civil registration systems, results from household surveys, and censuses. The child mortality estimates are produced in conjunction with national level agencies such as a country’s Ministry of Health, National Statistics Office, or other relevant agencies.

Statbel, the Belgian statistical office, publishes an overview of the provisional mortality figures for each year, for all causes of death. The publication contains provisional mortality figures for all Belgian municipalities, and an analysis of the mortality by age category, gender and by month.

General mortality statistics are compiled on the basis of data from the National Register of Natural Persons (RNPP). They make it possible to consolidate the statistics on causes of death, the source of which is the civil status forms. This statistic breaks down the deaths of people residing in Belgium according to sex, municipality of residence (district, province and region), month of death, civil status and nationality (Belgian or foreign). They also make it possible to calculate the gross mortality rate, i.e. the ratio between the number of deaths during the year and the population in the middle of that year.

The combined contribution of PTB and SGA in explaining the association between maternal education and infant mortality due to diseases.

This table includes key figures on mortality in the Dutch population broken down by gender. The figures include totals and ratios of deceased persons, infant mortality, mortality in babies younger than 4 weeks and perinatal mortality (after a gestation period of 24 weeks or more and after a gestation period of 28 weeks or more). The table also presents figures on life expectancy at birth and average age at death.

For additional information on Mortality the reader is referred to the Dutch tables.

Data available from: 1950

Status of the figures: All data recorded in this publication are final data. The 2023 figures on stillbirths and (multiple) births are provisional, the other figures in the table are final.

Changes as of 9 December 2024: The provisional figures on the number of live births and stillbirths do not include children who were born at a gestational age that is unknown. These cases were included in the final figures for previous years. However, the 2023 data shows a larger number of children born at an unknown gestational age than in previous years. Based on an internal analysis for 2022, it appears that in the majority of cases involving an unknown gestational age, the child was born at less than 24 weeks. To ensure that the provisional 2023 figures do not overestimate the number of stillborn children born at a gestational age of over 24 weeks, children born at an unknown gestational age have now been excluded.

When will new figures be published? Final 2023 figures on the number of stillbirths and the number of births are expected to be added to the table in de third quarter of 2025. In the third quarter of 2025 final figures of 2024 will be published in this publication.

OBJECTIVES: To determine the association between area and individual measures of social disadvantage and infant health in the United Kingdom (UK). DESIGN: Systematic review and meta-analyses. DATA SOURCES: 26 databases and web sites, reference lists, experts in the field and hand-searching. STUDY SELECTION: 36 prospective and retrospective observational studies with socio-economic data and health outcomes for infants in the UK, published from 1994 to May 2011. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers assessed the methodological quality of the studies and abstracted data. Where possible, study outcomes were reported as odds ratios for the highest versus the lowest deprivation quintile. RESULTS: In relation to the highest versus lowest area deprivation quintiles the odds of adverse birth outcomes were 1.81 (1.71 to 1.92) for low birth weight, 1.67 (1.42 to 1.96) for premature birth and 1.54 (1.39 to 1.72) for still birth. For infant mortality rates the odds ratios were 1.7...

Death statistics reported include counts of deaths by age and sex and by selected cause. Standardised mortality ratios, age-standardised mortality rates and infant mortality rates by area of usual residence are also included.

Pre-pandemic (data of 2019) epidemiologic and demographic data have shown that some parameters such as cancer, Alzheimer's disease, advanced age, and alcohol intake levels are positively correlated to Covid-19 mortality, instead, birth and fertility rates are negatively correlated to Covid-19 mortality. A stepwise multiple regression analysis of the above parameters against Covid-19 mortality in 32 countries from Asia, America, Africa, and Europe has generated two main predictors of Covid-19 mortality: alcohol consumption and birth/mortality ratio. A first-order equation correlated alcohol intake to Covid-19 mortality as follows; Covid-19 mortality= 0.1057 x (liters of alcohol intake) + 0.2214 (Coefficient of determination = 0.750, F value = 38.63 , P-value = 7.64x10-7). A second equation correlated (birth rate/mortality rate) to Covid-19 mortality as follows; Covid-19 mortality= - 0.3129 x (birth rate/mortality) ratio +1.638 (coefficient of determination = 0.799, F value = 51.2, P-value = 7.09x10-8). Thus, pre-pandemic alcohol consumption is a high predictor of Covid-19 mortality that should be taken into account as a serious risk factor for future safety measures against SARS-CoV-2 infection.

Abstract

The 1995 Uganda Demographic and Health Survey (UDHS-II) is a nationally-representative survey of 7,070 women age 15-49 and 1,996 men age 15-54. The UDHS was designed to provide information on levels and trends of fertility, family planning knowledge and use, infant and child mortality, and maternal and child health. Fieldwork for the UDHS took place from late-March to mid-August 1995. The survey was similar in scope and design to the 1988-89 UDHS. Survey data show that fertility levels may be declining, contraceptive use is increasing, and childhood mortality is declining; however, data also point to several remaining areas of challenge.

The 1995 UDHS was a follow-up to a similar survey conducted in 1988-89. In addition to including most of the same questions included in the 1988-89 UDHS, the 1995 UDHS added more detailed questions on AIDS and maternal mortality, as well as incorporating a survey of men. The general objectives of the 1995 UDHS are to: - provide national level data which will allow the calculation of demographic rates, particularly fertility and childhood mortality rates; - analyse the direct and indirect factors which determine the level and trends of fertility; - measure the level of contraceptive knowledge and practice (of both women and men) by method, by urban-rural residence, and by region; - collect reliable data on maternal and child health indicators; immunisation, prevalence, and treatment of diarrhoea and other diseases among children under age four; antenatal visits; assistance at delivery; and breastfeeding; - assess the nutritional status of children under age four and their mothers by means of anthropometric measurements (weight and height), and also child feeding practices; and - assess among women and men the prevailing level of specific knowledge and attitudes regarding AIDS and to evaluate patterns of recent behaviour regarding condom use.

MAIN RESULTS

• Fertility:

Fertility Trends. UDHS data indicate that fertility in Uganda may be starting to decline. The total fertility rate has declined from the level of 7.1 births per woman that prevailed over the last 2 decades to 6.9 births for the period 1992-94. The crude birth rate for the period 1992-94 was 48 live births per I000 population, slightly lower than the level of 52 observed from the 1991 Population and Housing Census. For the roughly 80 percent of the country that was covered in the 1988-89 UDHS, fertility has declined from 7.3 to 6.8 births per woman, a drop of 7 percent over a six and a half year period.

Birth Intervals. The majority of Ugandan children (72 percent) are born after a "safe" birth interval (24 or more months apart), with 30 percent born at least 36 months after a prior birth. Nevertheless, 28 percent of non-first births occur less than 24 months after the preceding birth, with 10 percent occurring less than 18 months since the previous birth. The overall median birth interval is 29 months. Fertility Preferences. Survey data indicate that there is a strong desire for children and a preference for large families in Ugandan society. Among those with six or more children, 18 percent of married women want to have more children compared to 48 percent of married men. Both men and women desire large families.

• Family planning:

Knowledge of Contraceptive Methods. Knowledge of contraceptive methods is nearly universal with 92 percent of all women age 15-49 and 96 percent of all men age 15-54 knowing at least one method of family planning. Increasing Use of Contraception. The contraceptive prevalence rate in Uganda has tripled over a six-year period, rising from about 5 percent in approximately 80 percent of the country surveyed in 1988-89 to 15 percent in 1995.

Source of Contraception. Half of current users (47 percent) obtain their methods from public sources, while 42 percent use non-governmental medical sources, and other private sources account for the remaining 11 percent.

• Maternal and child health:

High Childhood Mortality. Although childhood mortality in Uganda is still quite high in absolute terms, there is evidence of a significant decline in recent years. Currently, the direct estimate of the infant mortality rate is 81 deaths per 1,000 births and under five mortality is 147 per 1,000 births, a considerable decline from the rates of 101 and 180, respectively, that were derived for the roughly 80 percent of the country that was covered by the 1988-89 UDHS.

Childhood Vaccination Coverage. One possible reason for the declining mortality is improvement in childhood vaccination coverage. The UDHS results show that 47 percent of children age 12-23 months are fully vaccinated, and only 14 percent have not received any vaccinations.

Childhood Nutritional Status. Overall, 38 percent of Ugandan children under age four are classified as stunted (low height-for-age) and 15 percent as severely stunted. About 5 percent of children under four in Uganda are wasted (low weight-for-height); 1 percent are severely wasted. Comparison with other data sources shows little change in these measures over time.

• AIDS:

Virtually all women and men in Uganda are aware of AIDS. About 60 percent of respondents say that limiting the number of sexual partners or having only one partner can prevent the spread of disease. However, knowledge of ways to avoid AIDS is related to respondents' education. Safe patterns of sexual behaviour are less commonly reported by respondents who have little or no education than those with more education. Results show that 65 percent of women and 84 percent of men believe that they have little or no chance of being infected.

Availability of Health Services. Roughly half of women in Uganda live within 5 km of a facility providing antenatal care, delivery care, and immunisation services. However, the data show that children whose mothers receive both antenatal and delivery care are more likely to live within 5 km of a facility providing maternal and child health (MCH) services (70 percent) than either those whose mothers received only one of these services (46 percent) or those whose mothers received neither antenatal nor delivery care (39 percent).

Geographic coverage

The 1995 Uganda Demographic and Health Survey (UDHS-II) is a nationally-representative survey. For the purpose of the 1995 UDHS, the following domains were utilised: Uganda as a whole; urban and rural areas separately; each of the four regions: Central, Eastern, Northern, and Western; areas in the USAID-funded DISH project to permit calculation of contraceptive prevalence rates.

Analysis unit

• Household
• Women age 15-49
• Men age 15-54
• Children under four

Universe

The population covered by the 1995 UDHS is defined as the universe of all women age 15-49 in Uganda. But because of insecurity, eight EAs could not be surveyed (six in Kitgum District, one in Apac District, and one in Moyo District). An additional two EAs (one in Arua and one in Moroto) could not be surveyed, but substitute EAs were selected in their place.

Kind of data

Sample survey data

Sampling procedure

A sample of 303 primary sampling units (PSU) consisting of enumeration areas (EAs) was selected from a sampling frame of the 1991 Population and Housing Census. For the purpose of the 1995 UDHS, the following domains were utilised: Uganda as a whole; urban and rural areas separately; each of the four regions: Central, Eastern, Northern, and Western; areas in the USAID-funded DISH project to permit calculation of contraceptive prevalence rates.

Districts in the DISH project area were grouped by proximity into the following five reporting domains: - Kasese and Mbarara Districts - Masaka and Rakai Districts - Luwero and Masindi Districts - Jinja and Kamuli Districts - Kampala District

The sample for the 1995 UDHS was selected in two stages. In the first stage, 303 EAs were selected with probability proportional to size. Then, within each selected EA, a complete household listing and mapping exercise was conducted in December 1994 forming the basis for the second-stage sampling. For the listing exercise, 11 listers from the Statistics Department were trained. Institutional populations (army barracks, hospitals, police camps, etc.) were not listed.

From these household lists, households to be included in the UDHS were selected with probability inversely proportional to size based on the household listing results. All women age 15-49 years in these households were eligible to be interviewed in the UDHS. In one-third of these selected households, all men age 15-54 years were eligible for individual interview as well. The overall target sample was 6,000 women and 2,000 men. Because of insecurity, eight EAs could not be surveyed (six in Kitgum District, one in Apac District, and one in Moyo District). An additional two EAs (one in Arua and one in Moroto) could not be surveyed, but substitute EAs were selected in their place.

Since one objective of the survey was to produce estimates of specific demographic and health indicators for the areas included in the DISH project, the sample design allowed for oversampling of households in these districts relative to their actual proportion in the population. Thus, the 1995 UDHS sample is not self-weighting at the national level; weights are required to estimate national-level indicators. Due to the weighting factor and rounding of estimates, figures may not add to totals. In addition, the percent total may not add to 100.0 due to rounding.

Mode of data collection

Face-to-face

Research instrument

Four questionnaires were used in the 1995 UDHS.

a) A Household Schedule was used to list the names and certain

Background Low birthweight (LBW) is associated with increased mortality in infancy, but its association with mortality in later childhood and adolescence is less clear. We investigated the association between birthweight and all-cause mortality and identified major causes of mortality for different birthweight groups. Methods and findings We conducted a population study of all live births occurring in England and Wales between 1 January 1993 and 31 December 2011. Following exclusions, the 12,355,251 live births were classified by birthweight: 500-1,499 g (very LBW [VLBW], n = 139,608), 1,500-2,499 g (LBW, n = 759,283), 2,500-3,499 g (n = 6,511,411), and ?3,500 g (n = 4,944,949). The association of birthweight group with mortality in infancy (<1 y of age) and childhood/adolescence (1-18 y of age) was quantified, with and without covariates, through hazard ratios using Cox regression. International Classification of Diseases codes identified causes of death. In all, 74,890 (0.61%) individuals died between birth and 18 y of age, with 23% of deaths occurring after infancy. Adjusted hazard ratios for infant deaths were 145 (95% CI 141, 149) and 9.8 (95% CI 9.5, 10.1) for the VLBW and LBW groups, respectively, compared to the ?3,500 g group. The respective hazard ratios for death occurring at age 1-18 y were 6.6 (95% CI 6.1, 7.1) and 2.9 (95% CI 2.8, 3.1). Male gender, the youngest and oldest maternal age bands, multiple births, and deprivation (Index of Multiple Deprivation score) also contributed to increased deaths in the VLBW and LBW groups in both age ranges. In infancy, perinatal factors, particularly respiratory issues and infections, explained 84% and 31% of deaths in the VLBW and LBW groups, respectively; congenital malformations explained 36% and 23% in the LBW group and ?2,500 g groups (2,500-3,499 g and ?3,500 g groups combined), respectively. Central nervous system conditions explained 20% of deaths in childhood/adolescence in the VLBW group, with deaths from neoplasms and external conditions increasingly prevalent in the 1,500-2,499 g and ?2,500 g birthweight groups. The study would have benefited had we had access to information on gestational age and maternal smoking, but since the former is highly correlated with birthweight and the latter with deprivation, we believe that our findings remain robust despite these shortcomings. Conclusions LBW is associated with infant and later child and adolescent mortality, with perinatal factors and congenital malformations explaining many of the deaths. By understanding and ameliorating the influences of upstream exposures such as maternal smoking and deprivation, later mortality can be decreased by reducing the delivery of vulnerable infants with LBW.