• Technical report providing most recent country, regional and global estimates on child mortality and includes methods

• 2nd annual report on progress achieved on APR commitments and includes more in-depth mortality and causes of death analysis

Great progress in reducing child deaths

• Global U5MR declined by nearly by half, from 90 per 1,000 live births in 1990 to 48 per 1,000 in 2012

• Annual number of under-five deaths reduced from 12.6 million to 6.6 million over the same period

• 17,000 fewer children died each day in 2012 than did in 1990

• Annual < 5 deaths in Ethiopia declined from around 440,000 per year in 1990 to 205,000 in 2012

26 high mortality countries have reduced under-five mortality rate by at least 50%High-mortality countries with greatest percentage declinesin under-five mortality rate from 1990–2012

Source: IGME 2013.

Some poor countries have made great progress in reducing under-five mortality

Decline in under-five mortality rate 1990–2012 and GDP per capita in 2012, by country

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Exciting new findings on disparities

• Many regions have reduced disparities in under-five mortality between the poorest and the richest except Sub-Saharan Africa and South Asia

• Under-five mortality rate has declined among even the poorest in most regions Source: UNICEF analysis based on Pedersen, J., et al., Levels and Trends in Inequity

and Child Mortality: Evidence from DHS and MICS surveys', working paper, unpublished, 2013.'

Where are deaths occurring?Half of the 6.6 million under-five deaths occurred in Sub-Saharan Africa

Number and % of under-five deaths by region, 2012 (thousands and % of global total)

Source: IGME 2013.

Half of all child deaths occur in just 5 countries:India, Nigeria, Pakistan, DR Congo, China

Children in Sub-Saharan Africa and Southern Asia face a higher risk of dying before their fifth birthday

Source: IGME 2013.

Progress in Ethiopia in Context: Under 5 Mortality Declines and Targets, 1990-2035

1990 2012 MDG Target 2015

APR Target 2035

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EthiopiaSomaliaKenyaBrazil

Under 5 MR per 1000 live births

Malaria7%

Injury5%

AIDS2%

Other22%

Neonatal 44%

Pneumonia 17%

Diarrhoea 9%

Globally, nearly half of all deaths among children under 5 are attributable to undernutrition

Infectious diseases such as pneumonia, diarrhoea and malaria are the leading killers of children under age 5; roughly 44% of deaths in

children under 5 occur during the neonatal period

Estimates are rounded, and therefore may not sum to 100%.

Source: UNICEF analysis based on IGME 2013, WHO and CHERG 2013.

Global distribution of deaths among children under age 5, by cause, 2012

Despite declining rates, neonatal deaths are growing as a share of global under-five deaths, amid faster progress in reducing mortality in the post-neonatal period

90 million lives saved since 1990 – more than the current population size of Germany

Number of lives saved since 1990 among children under age 5, and number of lives to be saved in order to achieve MDG4

Source: UNICEF analysis based on IGME 2013.

90 million lives saved since 1990 – more than the current population size of Germany

Number of lives saved since 1990 among children under age 5, and number of lives to be saved in order to achieve MDG4

Source: UNICEF analysis based on IGME 2013.

Unfinished business• Good news • Outstanding progress in decreasing under five

mortality at global and regional levels• Even in some of the most disadvantaged countries and

households• ESAR countries making strong progress• Ethiopia and Malawi notable front-runners

• Bad news• Nearly 6.6 million children still died in 2012• 18,000 children under age five died each day• Not likely to reach MDG4 unless accelerate++• World needs examples such as Ethiopia