Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

被引:175
作者
Burstein, Roy [1 ]
Henry, Nathaniel J. [1 ]
Collison, Michael L. [1 ]
Marczak, Laurie B. [1 ]
Sligar, Amber [1 ]
Watson, Stefanie [1 ]
Marquez, Neal [1 ]
Abbasalizad-Farhangi, Mahdieh [2 ]
Abbasi, Masoumeh [3 ]
Abd-Allah, Foad [4 ]
Abdoli, Amir [5 ]
Abdollahi, Mohammad [6 ]
Abdollahpour, Ibrahim [7 ,8 ]
Abdulkader, Rizwan Suliankatchi [9 ]
Abrigo, Michael R. M. [10 ]
Acharya, Dilaram [11 ,12 ]
Adebayo, Oladimeji M. [13 ]
Adekanmbi, Victor [14 ]
Adham, Davoud [15 ]
Afshari, Mahdi [16 ]
Aghaali, Mohammad [17 ]
Ahmadi, Keivan [18 ]
Ahmadi, Mehdi [19 ]
Ahmadpour, Ehsan [20 ]
Ahmed, Rushdia [21 ,22 ]
Akal, Chalachew Genet [23 ]
Akinyemi, Joshua O. [24 ]
Alahdab, Fares [25 ]
Alam, Noore [26 ]
Alamene, Genet Melak [27 ]
Alene, Kefyalew Addis [28 ,29 ]
Alijanzadeh, Mehran [30 ]
Alinia, Cyrus [31 ]
Alipour, Vahid [32 ,33 ]
Aljunid, Syed Mohamed [34 ,35 ]
Almalki, Mohammed J. [36 ,37 ]
Al-Mekhlafi, Hesham M. [38 ,39 ]
Altirkawi, Khalid [40 ]
Alvis-Guzman, Nelson [41 ,42 ]
Amegah, Adeladza Kofi [43 ]
Amini, Saeed [44 ]
Amit, Arianna Maever Loreche [45 ,46 ]
Anbari, Zohreh [44 ]
Androudi, Sofia [47 ]
Anjomshoa, Mina [48 ]
Ansari, Fereshteh [49 ]
Antonio, Carl Abelardo T. [50 ,51 ]
Arabloo, Jalal [33 ]
Arefi, Zohreh [52 ]
Aremu, Olatunde [53 ]
机构
[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
[2] Tabriz Univ Med Sci, Dept Nutr, Tabriz, Iran
[3] Kermanshah Univ Med Sci, Kermanshah, Iran
[4] Cairo Univ, Dept Neurol, Cairo, Egypt
[5] Jahrom Univ Med Sci, Dept Parasitol & Mycol, Jahrom, Iran
[6] Univ Tehran Med Sci, Inst Pharmaceut Sci, Tehran, Iran
[7] Univ Tehran Med Sci, Multiple Sclerosis Res Ctr, Tehran, Iran
[8] Arak Univ Med Sci, Dept Epidemiol, Arak, Iran
[9] Minist Hlth, Dept Publ Hlth, Riyadh, Saudi Arabia
[10] Philippine Inst Dev Studies, Res Dept, Quezon City, Philippines
[11] Dongguk Univ, Dept Prevent Med, Gyeongju, South Korea
[12] Kathmandu Univ, Dept Community Med, Kathmandu, Nepal
[13] Univ Coll Hosp, Coll Med, Ibadan, Nigeria
[14] Cardiff Univ, Sch Med, Cardiff, S Glam, Wales
[15] Ardabil Univ Med Sci, Sch Hlth, Ardebil, Iran
[16] Zabol Univ Med Sci, Dept Community Med, Zabol, Iran
[17] Qom Univ Med Sci, Dept Epidemiol & Biostat, Qom, Iran
[18] Univ Lincoln, Sch Pharm, Lincoln, England
[19] Ahvaz Jundishapur Univ Med Sci, Environm Technol Res Ctr, Ahvaz, Iran
[20] Tabriz Univ Med Sci, Dept Parasitol & Mycol, Tabriz, Iran
[21] Brac Univ, James P Grant Sch Publ Hlth, Dhaka, Bangladesh
[22] Int Ctr Diarrhoeal Dis Res, Hlth Syst & Populat Studies Div, Dhaka, Bangladesh
[23] Bahir Dar Univ, Dept Med Lab Sci, Bahir Dar, Ethiopia
[24] Univ Ibadan, Epidemiol & Med Stat, Ibadan, Nigeria
[25] Mayo Clin Fdn Med Educ & Res, Evidence Based Practice Ctr, Rochester, MN USA
[26] Queensland Hlth, Prevent Div, Herston, Qld, Australia
[27] Madda Walabu Univ, Sch Hlth Sci, Bale Goba, Switzerland
[28] Univ Gondar, Inst Publ Hlth, Gondar, Ethiopia
[29] Australian Natl Univ, Res Sch Populat Hlth, Canberra, ACT, Australia
[30] Qazvin Univ Med Sci, Qazvin, Iran
[31] Urmia Univ Med Sci, Dept Hlth Care Management & Econ, Orumiyeh, Iran
[32] Iran Univ Med Sci, Hlth Econ Dept, Tehran, Iran
[33] Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran
[34] Kuwait Univ, Dept Hlth Policy & Management, Safat, Kuwait
[35] Natl Univ Malaysia, Int Ctr Casemix & Clin Coding, Bandar Tun Razak, Malaysia
[36] Jazan Univ, Fac Publ Hlth & Trop Med, Jazan, Saudi Arabia
[37] Jazan Univ, Jazan, Saudi Arabia
[38] Jazan Univ, Med Res Ctr, Jazan, Saudi Arabia
[39] Sanaa Univ, Dept Med Parasitol, Sanaa, Yemen
[40] King Saud Univ, Riyadh, Saudi Arabia
[41] Univ Cartagena, Hlth Econ Res Grp, Cartagena, Colombia
[42] Univ Costa, Res Grp Hosp Management & Hlth Policies, Barranquilla, Colombia
[43] Univ Cape Coast, Biomed Sci, Cape Coast, Ghana
[44] Arak Univ Med Sci, Hlth Serv Management Dept, Arak, Iran
[45] Univ Philippines Manila, Dept Epidemiol & Biostatist, Manila, Philippines
[46] Johns Hopkins Univ, Online Programs Appl Learning, Baltimore, MD USA
[47] Univ Thessaly, Dept Med, Volos, Greece
[48] Rafsanjan Univ Med Sci, Social Determinants Hlth Res Ctr, Rafsanjan, Iran
[49] Tabriz Univ Med Sci, Res Ctr Evidence Based Med Hlth Management & Safe, Tabriz, Iran
[50] Univ Philippines Manila, Dept Hlth Policy & Adm, Manila, Philippines
关键词
SEX-SPECIFIC MORTALITY; UNDER-5; MORTALITY; SYSTEMATIC ANALYSIS; CIVIL REGISTRATION; GLOBAL BURDEN; AFRICA; HEALTH; INTERVENTIONS; VACCINATION; POPULATION;
D O I
10.1038/s41586-019-1545-0
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2-to end preventable child deaths by 2030-we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000-2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.
引用
收藏
页码:353 / +
页数:20
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