The only exception is South Asia, where the proportion of neonatal deaths is among the highest (62 per cent) despite a relatively high under-five mortality rate. In regions where under-five mortality rates are relatively low, more than half of all under-five deaths occur during the neonatal period. While neonatal deaths accounted for 47 per cent of global under-five deaths in 2021, the share of neonatal deaths among under-five deaths is still relatively low in sub-Saharan Africa (38 per cent), which remains the region with the highest under-five mortality rates. Lower under-five mortality is associated with a higher concentration of under-five deaths occurring during the neonatal period. Across all regions, the annual rate of reduction from 1990 to 2021 was larger for children aged 1–59 months than for newborns. As a result, the share of neonatal deaths among all under-five deaths increased from 40 per cent in 1990 to 47 per cent in 2021. Globally, the average annual rate of reduction in the neonatal mortality rate was 2.4 per cent from 1990 to 2021, a smaller reduction than among children aged 1–59 months with 3.3 per cent. While neonatal mortality declined globally and across all regions, it declined more slowly than mortality among children aged 1–11 months or 1-4 years. Saint Helena, Ascension and Tristan da Cunha
China, Hong Kong Special Administrative RegionĬhina, Macao Special Administrative Region
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