Causes of Child MortalityAccording to UNICEF[4], most child deaths (and 70% in developing countries)[5] result from one the following five causes or a combination thereof: Two-thirds of child deaths are preventable.[6] Malnutrition and the lack of safe water and sanitation contribute to half of all these children’s deaths. Research and experience show that most of the children who die each year could be saved by low-tech, evidence-based, cost-effective measures such as vaccines, antibiotics, micronutrient supplementation, insecticide-treated bed nets, improved family care and breastfeeding practices [7], and oral rehydration therapy[8]. Child Mortality RateThe under-five mortality rate or child mortality rate is the number of children who die by the age of five, per thousand live births. In 2006, the world average was 72 (7.2%). The average in developing countries was 79 (down from 103 in 1990), whereas the average in industrialized countries was 6 (down from 10 in 1990). One in six children in Sub-Saharan Africa die before their fifth birthday. The biggest improvement between 1990 and 2006 was in Latin America and the Caribbean, which cut their child mortality rates by 50%.[9] A child in Sierra Leone, which has the world's highest child mortality rate (270)[10] is almost 100 times more likely to die than one born in Sweden (with a rate of 3).[11] Highest Rates in the WorldIn 2006, there were 41 countries in which at least 10% of children under five died. All but three were in Africa. Ten of the 41 had higher rates of child mortality than in 1990, and four were exactly the same. The worst 20 were: [12] In deaths per thousand
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