Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study

Ibrahim Khalil, Michael Collison, Charbel Elbcheraoui, Raghid Charara, Maziar Moradi-Lakeh, Ashkan Afshin, Kristopher J. Krohn, Farah Daoud, Adrienne Chew, Nicholas J. Kassebaum, Danny Colombara, Leslie Cornaby, Rebecca Ehrenkranz, Kyle J. Foreman, Maya Fraser, Joseph Frostad, Laura Kemmer, Xie Rachel Kulikoff, Michael Kutz, Hmwe H. KyuPatrick Liu, Joseph Mikesell, Grant Nguyen, Puja C. Rao, Naris Silpakit, Amber Sligar, Alison Smith, Jeffrey D. Stanaway, Johan Ärnlöv, Kalkidan Hassen Abate, Aliasghar Ahmadkiadaliri, Khurshid Alam, Deena Alasfoor, Raghib Ali, Reza Alizadeh-Navaei, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nelson Alvis-Guzman, Nahla Anber, Hossein Ansari, Carl Abelardo T. Antonio, Palwasha Anwari, Al Artaman, Hamid Asayesh, Solomon Weldegebreal Asgedom, Peter Azzopardi, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Neeraj Bedi, GBD 2015 Eastern Mediterranean Region Neonatal, Infant, and under-5 Mortality Collaborators

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objectives: Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study. Methods: We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries. Results: In 2015, 755,844 (95% uncertainty interval (UI) 712,064–801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812–181,463) in 1990 to 80,985 (76,308–85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally. Conclusions: Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths.

Original languageEnglish
Pages (from-to)63-77
Number of pages15
JournalInternational Journal of Public Health
Volume63
DOIs
Publication statusPublished - 1 May 2018

Keywords

  • Burden of disease
  • Child mortality
  • Eastern Mediterranean Region
  • Infant mortality
  • Neonatal mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Khalil, I., Collison, M., Elbcheraoui, C., Charara, R., Moradi-Lakeh, M., Afshin, A., ... GBD 2015 Eastern Mediterranean Region Neonatal, Infant, and under-5 Mortality Collaborators (2018). Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study. International Journal of Public Health, 63, 63-77. https://doi.org/10.1007/s00038-017-0998-x