Child survival improving worldwide, except in America

Contrary to many earlier gloomy estimates, researchers in Seattle have found substantial reductions in child mortality worldwide.

They also found the U.S. does far worse than most of the rest of the developed world, including much less wealthy countries like Croatia or Estonia.

“Previous estimates had shown child deaths falling slowly and neonatal deaths nearly at a standstill,” said Julie Knoll Rajaratnam, a global health researcher at the University of Washington’s Institute for Health Metrics and Evaluation. Rajaratnam was lead author of the study published in the current issue of The Lancet.

Change in child mortality rates 1990-2010

The Seattle team decided to take a more in-depth look at these depressing claims, analyzing more than 16,000 different kinds of records in 187 countries (census reports, birth histories, hospital records, etc.) and applying some fairly sophisticated mathematics.

They discovered more improvement than had been previously reported, with under-5 mortality in children dropping from 11.9 million deaths in 1990 to 7.7 million deaths in 2010 – a 35 percent reduction in two decades. Many poor sub-Saharan countries showed improvement.

Ethiopia cut its child mortality rate exactly in half from 202 deaths per 1,000 live births in 1990 to 101 deaths per 1,000 births in 2010. And contrary to expectations, neonatal death rates are falling even faster.

The primary purpose of the report was to examine how many countries are on target to achieve this portion of a massive international assistance project known as the Millennium Development Goals.

Though most Americans remain oblivious to this ambitious project, it has likely helped to focus the international community’s previously highly disorganized and often counterproductive attempts at assistance. Most poor countries are still far from achieving these goals aimed at reducing poverty, improving health, education and general well-being.

Some major initiatives, especially over the past decade, have made MDG Goal 4 — improving child survival — a renewed top priority in global health. The Gates Foundation’s largest funded project GAVI, which is aimed at getting basic immunizations to children, is already estimated to have prevented 3-4 million deaths in the last decade.

U.S. child mortality rates were not a primary focus of the article, but it’s worth noting this new estimate shows we haven’t improved much at keeping our kids alive. We still rank way down on the list among developed countries, 42nd place to be precise, below Croatia, Estonia and Hungary.

Tom

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