Sapkota Nirmal, Gautam Nirmal, Lim Apiradee, Ueranantasun Attachai
Lecturer, Department of Medical and Allied Science, Faculty of Public Health, Karnali College of Health Science, Gaushala, Kathmandu, Nepal.
Associate Professor, Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani, Thailand.
Child Health Nurs Res. 2020 Oct;26(4):463-469. doi: 10.4094/chnr.2020.26.4.463. Epub 2020 Oct 31.
Reduction of the under-5 mortality rate is a target of the Sustainable Development Goals. Therefore, this study aimed to estimate under-5 child mortality rates in 52 low-migration countries using population data. The study utilized population data from the US Census Bureau from 1990 to 2015. The method involved first estimating mortality rates for countries with negligible net migration and then applying these rates to countries with matching mortality profiles, where it is reasonable to assume that migration is negligible for children under the age of 5 years. The highest child mortality was concentrated in the African region, followed by Asia and the Western region. However, steady progress in child mortality trends was concentrated in low-income countries. This simple method demonstrated that child mortality has significantly improved in high-income countries, followed by middle- and low-income countries. To reduce the under-5 mortality rates even further in these 52 countries, there is a need to accelerate equitable plans and policies related to child health to promote children's longevity and survival.
降低五岁以下儿童死亡率是可持续发展目标之一。因此，本研究旨在利用人口数据估算52个低移民国家的五岁以下儿童死亡率。该研究使用了美国人口普查局1990年至2015年的人口数据。该方法首先估算净移民可忽略不计国家的死亡率，然后将这些死亡率应用于死亡率特征匹配的国家，因为有理由假设五岁以下儿童的移民可忽略不计。最高的儿童死亡率集中在非洲地区，其次是亚洲和西部地区。然而，儿童死亡率趋势的稳步进展集中在低收入国家。这种简单方法表明，高收入国家的儿童死亡率有显著改善，其次是中等收入和低收入国家。为了在这52个国家进一步降低五岁以下儿童死亡率，有必要加快与儿童健康相关的公平计划和政策，以促进儿童的长寿和生存。
