![]() ![]() ![]() Preterm birth, childbirth-related complications (birth asphyxia or lack of breathing at birth), infections and birth defects caused most neonatal deaths in 2019. Most neonatal deaths (75%) occur during the first week of life, and in 2019, about 1 million newborns died within the first 24 hours. Country-level neonatal mortality rates in 2020 ranged from 1 death per 1000 live births to 44 and the risk of dying before the 28 th day of life for a child born in the highest-mortality country was approximately 56 times higher than the lowest-mortality country. A child born in sub-Saharan Africa is 10 times more likely to die in the first month than a child born in a high-income country. Sub-Saharan Africa had the highest neonatal mortality rate in 2020 at 27 (25–32) deaths per 1000 live births, followed by central and southern Asia with 23 (21–25) deaths per 1000 live births. The chances of survival from birth varies widely depending on where a child is born. However, the decline in neonatal mortality from 1990 to 2020 has been slower than that of post-neonatal under-5 mortality. Globally, the number of neonatal deaths declined from 5 million in 1990 to 2.4 million in 2020. The world has made substantial progress in child survival since 1990. There are approximately 6700 newborn deaths every day, amounting to 47% of all child deaths under the age of 5 years, up from 40% in 1990. Globally 2.4 million children died in the first month of life in 2020. Moreover, the youngest children are least vulnerable, with less than 0.1% of global deaths (1902) occurring in children under 5 years of age. COVID-19 infections among children and adolescents typically cause less severe illness and fewer deaths as compared to adults.Children who die within the first 28 days of birth suffer from conditions and diseases associated with lack of quality care at or immediately after birth and in the first days of life.Preterm birth, intrapartum-related complications (birth asphyxia or inability to breathe at birth), infections and birth defects are the leading causes of most neonatal deaths.Sub-Saharan Africa has the highest neonatal mortality rate in the world (27 deaths per 1000 live births) with 43% of global newborn deaths, followed by central and southern Asia (23 deaths per 1000 livebirths), with 36% of global newborn deaths. ![]() In 2020, nearly half (47%) of all under-5 deaths occurred in the newborn period (the first 28 days of life), an increase from 1990 (40%), because the global level of under-5 mortality is declining faster than that of neonatal mortality.The first month of life is the most vulnerable period for child survival, with 2.4 million newborns dying in 2020. ![]()
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