Blog: Preventing child mortality and addressing the 'lottery of birth'

12 Feb 2015

Blog: Preventing child mortality and addressing the 'lottery of birth'

Last year marked the 25th anniversary of the UN Convention on the Rights of the Child. The status report on the Convention published by the UN in September noted an incredibly important fact – that under-5 mortality has nearly halved, from 90 deaths per 1,000 live births in 1990 to 48 per 1,000 in 2012. That is 17,000 fewer children dying every day. The pace in reducing early child deaths has quickened – from a 1.2% per annum in 1990–95 to 3.9% in 2005–12.  Of course this is a tremendous success story, but to put it into perspective, the global average of 48 per 1000 compares to 5 per 1000 in the UK and 3 in Sweden, and the MDG goal of a two-thirds reduction will not be met by the 2015 target year.

Last week Save the Children issued a report, The Lottery of Birth, which shines a spotlight on a key part of this story which is that even within national averages, the progress has not been equitable – mortality rates are typically falling least among the poorest and most marginalised children and mortality inequalities within countries are growing. The implication of this is that to make further reductions requires policies to reach the poorest families, where the problem is greatest. More...