The fight against child mortality has reached an historic milestone the UN announced on Wednesday with latest estimates revealing the number of children dying prematurely before their fifth birthday fell to 4.9 million in 2022.

**© UNICEF/Patricia Willocq** A five-month-old child receives a vaccine at a health centre in Alta Verapaz, Guatemala.

Figures released by the UN Interagency Group for Child Mortality Estimation (UN IGME) reveal the global under-five mortality rate has declined by 51 per cent since 2000.

Some countries such as Cambodia, Malawi, Mongolia and Rwanda reduced under-five mortality rate by over 75 per cent over the time period.

UNICEF Executive Director Catherine Russell praised the dedicated efforts of midwives, health workers and community health workers, whose commitment has contributed to the remarkable decline.

“Through decades of commitment by individuals, communities and nations to reach children with low-cost, quality and effective health services, we’ve shown that we have the knowledge and tools to save lives,” she said.

The UN IGME was formed in 2004 to share data and enhance methods for child mortality estimates, tracking progress made towards child survival goals. It is led by UNICEF and comprises the World Health Organization (WHO), the World Bank Group and the Population Division at the UN Department for Economic and Social Affairs (DESA).

Long road ahead

Despite these gains, the report noted there is still a long way to go to end all preventable child and teen deaths, as millions continue to die from treatable causes, including preterm birth complications, pneumonia, diarrhoea and malaria.

The majority of these deaths occur in sub-Saharan Africa and southern Asia, highlighting regional disparities in access to quality healthcare.

The report also noted that economic instability, conflicts, climate change and the lingering impact of the COVID-19 pandemic are continuing to undermine progress and exacerbate existing disparities in mortality rates.

“While there has been welcome progress, every year millions of families still suffer the devastating heartbreak of losing a child, often in the very first days after birth,” said Tedros Adhanom Ghebreyesus, WHO Director-General.

“Where a child is born should not dictate whether they live or die. It is critical to improve access to quality health services for every woman and child, including during emergencies and in remote areas.”

Critical frontline responders

Improving access to quality health services and saving children’s lives from preventable deaths requires investment in education, jobs and decent working conditions for health workers to deliver primary health care, including community health workers.

Juan Pablo Uribe, Global Director for Health, Nutrition and Population at the World Bank, emphasized the need to accelerate progress.

“We owe it to all children to ensure they have access to the same healthcare and opportunities, regardless of where they are born.”