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Child Mortality in East Asia-Pacific down over two thirds since 1990

But increasing disparities in region must be tackled for continued progress

© UNICEF/NYHQ2009-0908/Brian Sokol

Bangkok, 15 September 2011 – The latest global child mortality estimates were released today by UNICEF and the World Health Organization (WHO) and show great progress in reducing the number of children in East Asia and the Pacific who die before their fifth birthday.

According to the new estimates, the total number of under-five deaths decreased in the region from nearly 2.2 million in 1990 to 694,000 in 2010. This is a 68% decline in child mortality regionally in 20 years, translating into over 4,000 fewer children dying each day.

The new estimates were published in the report Levels & Trends in Child Mortality 2011, issued by the UN Inter-agency Group for Child Mortality Estimation (IGME), of which UNICEF and WHO are members.

Despite this positive progress, the new figures highlight a number of critical challenges for East Asia-Pacific policy makers in the lead up to 2015 when countries have committed to achieving the Millennium Development Goal of reducing child mortality by two thirds.

“Much of the success in reducing child deaths in the region has been the result of years of investment in national immunization programmes,” said Basil Rodriques, UNICEF’s Young Child Survival & Development Advisor for East Asia and the Pacific.  “This has led to the number of vaccine preventable illnesses and deaths decreasing dramatically over the past 20 years, particularly among children aged 2-5 years. But we are now seeing infant and neonatal deaths making up a much higher percentage of child deaths in the region.”

According to the new estimates, 79% of child deaths in the region occur in the first year of life, and the vast majority of these children die within a month of being born.

“Tackling this requires different, more systemic, approaches if we are to continue to see progress on child mortality or risk stagnation,” said Rodriques. “It is going to require governments to invest more strategically in healthcare infrastructure and services, especially in rural and remote areas, and to improve the quality and capacity of healthcare personnel.”

Effective health systems are critical in the battle to reduce infant and neonatal deaths. Since a delivery cannot be planned, it requires a much stronger health system to provide these services. The same is true for treating pneumonia and diarrheal diseases, the two biggest killers of children in the region, which again occur randomly and require the availability of round-the-clock health services.

Rapid economic growth has transformed the region into one of the most rapidly developing in the world. While a majority of children have experienced the benefits of this, increasing social and economic disparities have meant that large numbers of children from vulnerable and socially excluded groups - the poor, ethnic minorities, and children in remote and rural areas - remain without adequate healthcare and nutrition.

According to data collected in the region between 2005-2008, level of poverty along with where a child lives in a country are the major factors determining access to health services and chances of survival.

“The growing disparities that exist throughout the region must be addressed to ensure all communities have access to reliable health services and not just those living in well-off urban environments,” said Rodriques. “There is clear evidence of how this divide impacts a child’s chances of survival and speaks directly to the need for countries to increase access to health services in rural areas as a key strategy for meeting the MDG on child mortality,” Rodriques concluded.

Note to Editors:

• While the vast majority of East and Southeast Asian countries are on track to meet the MDG goal in 2015, many Pacific islands are likely to fail to meet the goal along with Myanmar, Papua New Guinea and Timor Leste.

• The Pacific Islands have achieved only around a 30% reduction in child mortality since 1990.

• Under-five mortality is increasingly concentrated in a few countries. About half of global under-five deaths occurred in just five countries in 2010: India, Nigeria, Democratic Republic of Congo, Pakistan and China.

About the IGME
Inter-agency Group for Child Mortality Estimation was formed in 2004 to share data on child mortality, harmonize estimates within the UN system, improve methods for child mortality estimation and produce consistent estimates of child mortality worldwide for reporting on progress towards the Millennium Development Goals. The IGME, led by the United Nations Children’s Fund and the World Health Organization, also includes the World Bank and the United Nations Population Division of the Department of Economic and Social Affairs.

The IGME’s independent Technical Advisory Group, comprising eminent scholars and independent experts in demography, provides technical guidance on estimation methods, technical issues and strategies for data analysis and data quality assessment.

The IGME updates its child mortality estimates annually after reviewing newly available data and assessing data quality. This report contains the latest IGME estimates of child mortality at the country, regional and global levels. Country-specific estimates and the data used to derive them are available from the child mortality database of the IGME: CME Info (

UNICEF is on the ground in over 150 countries and territories to help children survive and thrive, from early childhood through adolescence.  The world’s largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS.  UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments. For more information about UNICEF and its work visit:

For more information, please contact:

Geoffrey Keele, UNICEF East Asia and Pacific Regional Office, +662-356-9407,

Madeline Eisner, UNICEF East Asia and Pacific Regional Office, +662-356-9408,



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