Changes in Under-5 Mortality Rate and Major Childhood Diseases: A Country-Level Analysis

Cha, S; Cho, Y; (2015) Changes in Under-5 Mortality Rate and Major Childhood Diseases: A Country-Level Analysis. Asia-Pacific journal of public health / Asia-Pacific Academic Consortium for Public Health, 28 (2). pp. 178-196. ISSN 1010-5395 DOI:

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Under-5 child mortality decreased throughout the world by 49% from 1990 to 2013. However, it is unknown if this reduction was more effectively achieved in countries with a higher child mortality burden. We investigated the reduction of cause-specific global child mortality burden in 2000-2010. A total of 195 countries were selected for this analysis. A random-effect or fixed-effect model was chosen based on the Hausman test. Countries with a higher child mortality rate performed better with regard to the prevention of child deaths from major infectious diseases, but cause-specific progress was highly variable by disease within each country. Pneumonia-specific progress was much slower than that for diarrhea, and neonatal-specific child mortality increased in some countries. With a few exceptions, the overall performance in the countries with the largest share of child deaths was not good. This study identified priority interventions for child survival in the post-2015 period.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
PubMed ID: 26681668
Web of Science ID: 374015100007


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