![]() The adolescent birth rate has fallen worldwide from 56 births per 1,000 adolescents aged 15-19 years in 2000 to 45 births in 2015 and 41 births in 2020. ![]() The ongoing COVID-19 pandemic may lead to a reversal of this trend because of supply chain disruptions and decreased access to family planning services. The proportion of women of reproductive age (15-49 years) whose need for family planning was satisfied through use of modern contraceptive methods stagnated at about 77 per cent between 2015 and 2022, while sub-Saharan Africa has seen the largest increase - almost 5 percentage points. Almost half of those deaths, 2.4 million, occurred in the first month of life. Even with that progress, 5 million children died before reaching their fifth birthday in 2020 alone, down from 5.9 million in 2015. The global under-5 mortality rate fell by 14 per cent, from 43 deaths per 1,000 live births in 2015 to 37 deaths per 1,000 live births in 2020, while the global neonatal mortality rate fell to 17 deaths per 1,000 live births in 2020 from 19 deaths per 1,000 live births in 2015, a 12 per cent reduction. Available data do not reflect the impact of the COVID-19 pandemic on the disruption of services, which may reverse gains made over the past decades. In sub-Saharan Africa, coverage is 20 percentage points lower. Furthermore, immunization coverage dropped for the first time in 10 years and deaths from tuberculosis and malaria increased.īased on data from 2015-2021, 84 per cent of births worldwide were assisted by skilled health professionals, including medical doctors, nurses and midwives, an increase from 77% in 2008-2014. The pandemic has severely disrupted essential health services, shortened life expectancy and exacerbated inequities in access to basic health services between countries and people, threatening to undo years of progress in some health areas. However, the most recent estimates suggest that the global number of excess deaths directly and indirectly attributable to COVID-19 could be as high as three times this figure. By April 2022, the coronavirus causing COVID-19 had infected more than 500 million people and killed more than 6.2 million worldwide.
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