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.

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 "motherhood and childhood health index" symbolizes the health condition on birth related issues of a certain area in 2010. The quality of health system is an important factor determining the adaptive capacity. Beside the lack of medical services we should consider also the lack of access to these services. The index results from the third cluster of the Principal Component Analysis preformed among 16 potential variables. The analysis identify three dominant variables, namely "maternal mortality", "infant mortality" and "percentage of delivery in a healthcare facility", assigning respectively the weights of 0.39, 0.38 and 0.23. Before to perform the analysis all the variables were log transformed (except "infant mortality") to shorten the extreme variation and then were score-standardized (converted to distribution with average of 0 and standard deviation of 1; with inverse method for "maternal mortality" and "infant mortality") in order to be comparable. Country-based data of maternal mortality rate were collected from World Bank in particular the modeled mortality per 100,000 live births average of the period 2008-2012 was computed. Tabular data were linked by country to the national boundaries shapefile (FAO/GAUL) and then converted into raster format (resolution 0.5 arc-minute). The first administrative level data for "infant mortality" (deaths per 1,000 live births before 12 months of life) was derived by the Center for International Earth Science Information Network (CIESIN) at Columbia University using survey data (collected between 1998 and 2012) from DHS, UNDP National Human Development Reports, UNICEF statistics, and in some cases national survey data. Tabular data were linked by first administrative unit to the first administrative boundaries shapefile (FAO/GAUL) and then converted into raster format (resolution 0.5 arc-minute). The first administrative level data for the "percentage of delivery in a healthcare facility" was derived using survey data collected between 1998 and 2012 from DHS, UNDP National Human Development Reports, UNICEF statistics, and in some cases national survey data. Maternal and infant mortality are proxy to measure the quality of the health system. Moreover, the "percentage of delivery in a healthcare facility" is traditionally used to assess the capacity to access to healthcare by local population. This dataset has been produced in the framework of the "Climate change predictions in Sub-Saharan Africa: impacts and adaptations (ClimAfrica)" project, Work Package 4 (WP4). More information on ClimAfrica project is provided in the Supplemental Information section of this metadata.

Data publication: 2014-09-01

Supplemental Information:

ClimAfrica was an international project funded by European Commission under the 7th Framework Programme (FP7) for the period 2010-2014. The ClimAfrica consortium was formed by 18 institutions, 9 from Europe, 8 from Africa, and the Food and Agriculture Organization of United Nations (FAO).

ClimAfrica was conceived to respond to the urgent international need for the most appropriate and up-to-date tools and methodologies to better understand and predict climate change, assess its impact on African ecosystems and population, and develop the correct adaptation strategies. Africa is probably the most vulnerable continent to climate change and climate variability and shows diverse range of agro-ecological and geographical features. Thus the impacts of climate change can be very high and can greatly differ across the continent, and even within countries.

The project focused on the following specific objectives:

1. Develop improved climate predictions on seasonal to decadal climatic scales, especially relevant to SSA;

2. Assess climate impacts in key sectors of SSA livelihood and economy, especially water resources and agriculture;

3. Evaluate the vulnerability of ecosystems and civil population to inter-annual variations and longer trends (10 years) in climate;

4. Suggest and analyse new suited adaptation strategies, focused on local needs;

5. Develop a new concept of 10 years monitoring and forecasting warning system, useful for food security, risk management and civil protection in SSA;

6. Analyse the economic impacts of climate change on agriculture and water resources in SSA and the cost-effectiveness of potential adaptation measures.

The work of ClimAfrica project was broken down into the following work packages (WPs) closely connected. All the activities described in WP1, WP2, WP3, WP4, WP5 consider the domain of the entire South Sahara Africa region. Only WP6 has a country specific (watershed) spatial scale where models validation and detailed processes analysis are carried out.

Contact points:

Metadata Contact: FAO-Data

Resource Contact: Selvaraju Ramasamy

Resource constraints:

copyright

Online resources:

Motherhood and childhood health index (2010)

Scenarios of major production systems in Africa

CLIMAFRICA – Climate change predictions in Sub-Saharan Africa: impacts and adaptations

In 2024, the fertility rate in Africa was *** children per woman. The average number of newborn infants per woman on the continent decreased compared to 2000, when women had approximately **** children throughout their reproductive years. By 2030, fertility in Africa is projected to decline to around *** births per woman, yet it will remain high. The highest fertility rate worldwide Despite its gradually declining rate, fertility in Africa is the highest in the world. In 2021, the average fertility rate on the continent stood at **** children per woman, compared to a global average of **** births per woman. In contrast, Europe and North America were the continents with the lowest proportion of newborns, each registering a fertility rate below two children per woman. Additionally, Africa records the highest fertility rate among the young female population aged 15 to 19 years. In 2021, West and Central Africa had an adolescent fertility rate of *** children per 1,000 girls, the highest value worldwide. Lower fertility in Northern Africa Fertility levels vary significantly across Africa. In 2021, Niger, Somalia, Chad, and the Democratic Republic of Congo were the countries with the highest fertility rates on the continent. In those countries, women had an average of over *** children in their reproductive years. The number of adolescent girls giving birth also differed within Africa. For instance, the adolescent fertility rate in North Africa stood at around **** children per 1,000 young women in 2023. On the other hand, Sub-Saharan Africa registered a higher rate of ****** children per 1,000 girls in 2021. In general, higher poverty levels, inadequate social and health conditions, and increased infant mortality are some main drivers of higher fertility rates.