world cultures & travelanalysisOur World in Data2023 · Africa
Africa's child mortality rate is the highest of any world region, and the gap is huge
In 2023, about 2.84 million children in Africa died before their fifth birthday, giving the continent the highest child mortality rate of any region at about 5.9 percent. Most of these deaths come from preventable causes such as pneumonia, diarrhoea, malaria, preterm birth and malnutrition. Rates in Africa are several times higher than in Europe or North America. Comparing what would happen with other regions' rates shows that most of these deaths are avoidable with the health care that already exists elsewhere.
Child deaths are usually caused by diseases that are treatable or preventable, such as infections, dehydration and malaria. Access to vaccines, antibiotics, clean water and trained staff greatly reduces these risks. Where these services are thin or hard to reach, the same illnesses kill far more children.
The comparison turns an abstract inequality into a concrete count of lives. It highlights how much child survival depends on where a child is born, and why vaccination, clean water and basic clinics matter so much.
Child mortality fell across the world over the twentieth century as vaccines, oral rehydration and better nutrition spread. Regions that started with the highest rates have seen the largest absolute gains, though gaps persist.
