UNICEF / CHILD DEATHS STILLBIRTHS

The number of children dying globally before their fifth birthday declined to 4.8 million in 2023, while stillbirths declined modestly, still remaining around 1.9 million, according to two new reports released today by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). UNICEF
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STORY: UNICEF / CHILD DEATHS STILLBIRTHS
TRT: 02:50
SOURCE: UNICEF
RESTRICTIONS: PLEASE CREDIT UNICEF ON SCREEN
LANGUAGES: NATS

DATELINE: 24 MARCH 2025, VARIOUS LOCATIONS

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Shotlist

1. Medium shot, children waiting to get immunized against polio in the Gaza Strip, 2025
2. Medium shot, a child receives a dose of the polio vaccine in the Gaza Strip, 2025
3. Medium shot, a child receives a dose of the polio vaccine in the Gaza Strip, 2025
4. Close up shot, a child receives a dose of the polio vaccine in the Gaza Strip, 2025
5. Medium shot, a health worker marks the finger of a child vaccinated against polio in the Gaza Strip, 2025
6. Medium shot, families walk in the corridors of a health center in Bangladesh, 2025
7. Medium shot, a child sleeps in their mother’s arms while waiting for health service in Bangladesh, 2025
8. Medium shot, a child gets screened for malnutrition in Bangladesh, 2025
9. Medium shot, a child sleeps in a hospital bed next to his caregiver in Bangladesh, 2025
10. Close up shot, a baby sleeping in a blanket in Bangladesh, 2025
11. Medium shot, a child standing on a scale. Bangladesh, 2025
12. Medium shot, a doctor examines a young child who sits on his caregiver’s lap at a clinic in Bangladesh, 2025
13. Close up shot, several RUFT (Ready-to-use Therapeutic Food) sachets to treat children with severe acute malnutrition. Bangladesh, 2025
14. Wide shot, a crowded health center hallway where caregivers and children wait to receive health services in Haiti, 2025.
15. Close up shot, a child is screened for malnutrition at a clinic in Haiti, 2025
16. Medium shot, a baby sleeps in an incubator in Haiti, 2025
17. Medium shot, a doctor examines a child with a stethoscope in Haiti, 2025
18. Medium shot, a health worker checks the content in a vaccine cooler box at a clinic in Haiti, 2025
19. Medium shot, a Haitian child receives vaccination. Haiti, 2025
20. Wide shot, Al Houri camp for displaced families in Sudan, 2025
21. Close up shot, piles of medicine on a table in Al Houri camp for displaced families in Sudan, 2025
22. Medium shot, children play while waiting for medical services in Sudan, 2025
23. Wide shot, health workers arrive at a mobile clinic in Cibitoke refugee camp, Burundi, 2025
24. Wide shot, mothers and children outside a mobile clinic in Burundi, 2025
25. Medium shot, a male health worker checks a child’s temperature with a thermometer. Burundi, 2025
26. Medium shot, a female health worker examines a young baby’s throat at a mobile clinic. Burundi, 2025
27. Medium shot, a baby rests in his mother’s arms while she talks to a health worker in Burundi, 2025
28. Close up shot, an ultrasound on screen during examinations in a mobile clinic in Burundi, 2025
29. Wide shot, families wait for health services outside a mobile clinic in Burundi, 2025
30. Wide shot, temporary housing of people displaced by earthquake in Ethiopia, 2025
31. Medium shot, caregivers and children awaiting health services in Ethiopia, 2025
32. Medium shot, a mother and two children speak to a health worker in Ethiopia, 2025
33. Medium shot, a health worker examines a baby in Ethiopia, 2025

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Storyline

The number of children dying globally before their fifth birthday declined to 4.8 million in 2023, while stillbirths declined modestly, still remaining around 1.9 million, according to two new reports released today by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME).

Since 2000, child deaths have dropped by more than half and stillbirths by over a third, fueled by sustained investments in child survival worldwide. In 2022, the world reached a historic milestone when child deaths dropped slightly below 5 million for the first time. However, progress has slowed, and too many children are still being lost to preventable causes.

“Millions of children are alive today because of the global commitment to proven interventions, such as vaccines, nutrition, and access to safe water and basic sanitation,” said UNICEF Executive Director Catherine Russell.

“Bringing preventable child deaths to a record low is a remarkable achievement. But without the right policy choices and adequate investment, we risk reversing these hard-earned gains, with millions more children dying from preventable causes. We cannot allow that to happen.”

Decades of progress in child survival are now at risk as major donors have announced or indicated significant funding cuts to aid ahead. Reduced global funding for life-saving child survival programmes is causing healthcare worker shortages, clinic closures, vaccination programme disruptions, and a lack of essential supplies, such as malaria treatments. These cuts are severely impacting regions in humanitarian crises, debt-stricken countries, and areas with already high child mortality rates. Global funding cuts could also undermine monitoring and tracking efforts, making it harder to reach the most vulnerable children, the Inter-agency Group warned.

“From tackling malaria to preventing stillbirths and ensuring evidence-based care for the tiniest babies, we can make a difference for millions of families,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “In the face of global funding cuts, there is a need more than ever to step up collaboration to protect and improve children’s health.”

Even before the current funding crisis, the pace of progress on child survival had already slowed. Since 2015, the annual rate of reduction of under-five mortality has slowed by 42 per cent, and stillbirth reduction has slowed by 53 per cent, compared to 2000–2015.

Almost half of under-five deaths happen within the first month of life, mostly due to premature birth and complications during labour. Beyond the newborn period, infectious diseases, including acute respiratory infections such as pneumonia, malaria, and diarrhoea, are the leading causes of preventable child death. Meanwhile, 45 per cent of late stillbirths occur during labour, often due to maternal infections, prolonged or obstructed labour, and lack of timely medical intervention.

Better access to quality maternal, newborn, and child health care at all levels of the health system will save many more lives, according to the reports. This includes promotive and preventive care in communities, timely visits to health facilities and health professionals at birth, high-quality antenatal and postnatal care, well-child preventive care such as routine vaccinations and comprehensive nutrition programmes, diagnosis and treatment for common childhood illnesses, and specialized care for small and sick newborns.

“Most preventable child deaths occur in low-income countries, where essential services, vaccines, and treatments are often inaccessible”, said Juan Pablo Uribe, World Bank Global Director for Health and Director of the Global Financing Facility. “Investing in children's health ensures their survival, education, and future contributions to the workforce. With strategic investments and strong political will, we can continue to reduce child mortality, unlocking economic growth and employment opportunities that benefit the entire world.”

The reports also show that where a child is born greatly influences their chances of survival. The risk of death before age five is 80 times higher in the highest-mortality country than the lowest-mortality country, for example, while a child born in sub-Saharan Africa is on average 18 times more likely to die before turning five than one born in Australia and New Zealand. Within countries, the poorest children, those living in rural areas, and those with less-educated mothers face the higher risks.

Stillbirth disparities are just as severe, with nearly 80 per cent occurring in sub-Saharan Africa and Southern Asia, where women are six to eight times more likely to experience a stillbirth than women in Europe or North America. Meanwhile, women in low-income countries are eight times more likely to experience a stillbirth than those in high-income countries.

“Disparities in child mortality across and within nations remain one of the greatest challenges of our time,” said the UN DESA Under-Secretary-General, Li Junhua. “Reducing such differences is not just a moral imperative but also a fundamental step towards sustainable development and global equity. Every child deserves a fair chance at life, and it is our collective responsibility to ensure that no child is left behind.”

UN IGME members call on governments, donors, and partners across the private and public sectors to protect the hard-won gains in saving children’s lives and accelerate efforts. Increased investments, service integration, and innovations are urgently needed to scale up access to proven life-saving health, nutrition, and social protection services for children and pregnant mothers.

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