title: Changes in Under-5 Mortality Rate and Major Childhood Diseases: A Country-Level Analysis.
abstract: Under-5 child mortality decreased throughout the world by 49% from 1990 to 2013. However, it is unknown if this reduction was more effectively achieved in countries with a higher child mortality burden. We investigated the reduction of cause-specific global child mortality burden in 2000-2010. A total of 195 countries were selected for this analysis. A random-effect or fixed-effect model was chosen based on the Hausman test. Countries with a higher child mortality rate performed better with regard to the prevention of child deaths from major infectious diseases, but cause-specific progress was highly variable by disease within each country. Pneumonia-specific progress was much slower than that for diarrhea, and neonatal-specific child mortality increased in some countries. With a few exceptions, the overall performance in the countries with the largest share of child deaths was not good. This study identified priority interventions for child survival in the post-2015 period.
authors.affiliation: Korea International Cooperation Agency, Seoul, South Korea London School of Hygiene and Tropical Medicine, UK.
authors.forename: Seungman
authors.initials: S
authors.lastname: Cha
authors.affiliation: Seoul National University, South Korea youngtae@snu.ac.kr.
authors.forename: Youngtae
authors.initials: Y
authors.lastname: Cho
mesh_terms: D046688:Child Mortality / Q000639:trends*; D002675:Child, Preschool; D003141:Communicable Diseases / Q000401:mortality; D003967:Diarrhea / Q000401:mortality; D014943:Global Health / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends*; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000401:mortality; D011014:Pneumonia / Q000401:mortality
keywords: cause-specific progress; disease-specific child mortality; effective reduction by disease burden; under-5 child mortality