By Bunmi Yekini
The number of children dying before their fifth birthday has reached a record low of 4.8 million in 2023, marking a significant decline from previous years. However, the progress is at risk due to global funding cuts, according to two new reports released by the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME).
The reports highlight that child deaths have dropped by more than half since 2000, and stillbirths have decreased by over a third, thanks to sustained investments in healthcare, vaccines, and improved sanitation. However, financial challenges threaten to reverse these achievements.
“Millions of children are alive today because of the global commitment to proven interventions, such as vaccines, nutrition, and access to safe water and basic sanitation,” said Catherine Russell, Executive Director of UNICEF. “Bringing preventable child deaths to a record low is a remarkable achievement. But without the right policy choices and adequate investment, we risk reversing these hard-earned gains.”
The reports warn that major donor cuts are leading to health worker shortages, clinic closures, and disruptions in vaccination programs, especially in regions already struggling with high child mortality rates. These setbacks could make it harder to track and reach vulnerable children.
Dr. Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization (WHO), urged greater collaboration to mitigate the impact of these funding reductions. “From tackling malaria to preventing stillbirths and ensuring evidence-based care for the tiniest babies, we can make a difference for millions of families,” he said.
The findings also reveal stark disparities in child survival rates. A child born in sub-Saharan Africa is 18 times more likely to die before turning five than one born in Australia or New Zealand. Additionally, nearly 80% of stillbirths occur in sub-Saharan Africa and Southern Asia.
Juan Pablo Uribe, World Bank Global Director for Health, emphasized the economic benefits of investing in children’s health. “Investing in children’s health ensures their survival, education, and future contributions to the workforce. With strategic investments and strong political will, we can continue to reduce child mortality.”
The UN IGME has called on governments, donors, and private sector partners to protect the progress made and accelerate efforts to improve child healthcare access. The reports stress the urgent need for increased investments, service integration, and innovation to prevent further loss of life.
“Every child deserves a fair chance at life,” said UN DESA Under-Secretary-General Li Junhua. “Reducing disparities in child mortality is not just a moral imperative but a fundamental step towards sustainable development and global equity.”
With funding cuts looming, the UN agencies warn that millions of children could be at risk unless urgent action is taken to sustain and expand life-saving interventions.