Countries by under-five mortality rate

The Central African Republic had the highest under-five mortality rate of 195 countries in 2019, at 254.7 per 1,000 live births. San Marino had the lowest, at 1.5 per 1,000 live births. The median was 15.9 per 1,000 live births and the figure for the World was 39.6 per 1,000 live births. Source: the World Bank.

Lowest1.5San Marino
Median15.9195 countries
World39.6History

Top 40 countries, 2019

Central African Republic: 254.7 per 1,000 live birthsCentral African Republic254.7Niger: 120.8 per 1,000 live birthsNiger120.8Somalia: 118.4 per 1,000 live birthsSomalia118.4Nigeria: 117.4 per 1,000 live birthsNigeria117.4Chad: 114 per 1,000 live birthsChad114Sierra Leone: 108.3 per 1,000 live birthsSierra Leone108.3Guinea: 105.4 per 1,000 live birthsGuinea105.4South Sudan: 96.7 per 1,000 live birthsSouth Sudan96.7Democratic Republic of the Congo: 92.2 per 1,000 live birthsDemocratic Republic of the Congo92.2Mali: 91.9 per 1,000 live birthsMali91.9Liberia: 88.7 per 1,000 live birthsLiberia88.7Burkina Faso: 88.1 per 1,000 live birthsBurkina Faso88.1Benin: 87 per 1,000 live birthsBenin87Equatorial Guinea: 80.7 per 1,000 live birthsEquatorial Guinea80.7Guinea-Bissau: 79.5 per 1,000 live birthsGuinea-Bissau79.5Cameroon: 76.6 per 1,000 live birthsCameroon76.6Côte d’Ivoire: 75.3 per 1,000 live birthsCôte d’Ivoire75.3Mozambique: 68.6 per 1,000 live birthsMozambique68.6Lesotho: 68.1 per 1,000 live birthsLesotho68.1Togo: 66 per 1,000 live birthsTogo66Pakistan: 65.8 per 1,000 live birthsPakistan65.8Madagascar: 65 per 1,000 live birthsMadagascar65Afghanistan: 62.7 per 1,000 live birthsAfghanistan62.7Haiti: 61.5 per 1,000 live birthsHaiti61.5Kiribati: 59.1 per 1,000 live birthsKiribati59.1Zimbabwe: 58.6 per 1,000 live birthsZimbabwe58.6Djibouti: 57.5 per 1,000 live birthsDjibouti57.5Burundi: 56.2 per 1,000 live birthsBurundi56.2Sudan: 56.1 per 1,000 live birthsSudan56.1Angola: 55.3 per 1,000 live birthsAngola55.3Timor-Leste: 54.8 per 1,000 live birthsTimor-Leste54.8Ethiopia: 53.6 per 1,000 live birthsEthiopia53.6Zambia: 53.5 per 1,000 live birthsZambia53.5Republic of the Congo: 52.2 per 1,000 live birthsRepublic of the Congo52.2Uganda: 51.6 per 1,000 live birthsUganda51.6Eswatini: 51.5 per 1,000 live birthsEswatini51.5Malawi: 51.3 per 1,000 live birthsMalawi51.3Gambia: 50.4 per 1,000 live birthsGambia50.4Namibia: 46.6 per 1,000 live birthsNamibia46.6Senegal: 46.2 per 1,000 live birthsSenegal46.2
per 1,000 live births. Source: World Bank (modelled estimate), Mortality rate, under-5, per 1,000 live births (SH.DYN.MORT). Retrieved 2026-10-11.

Full ranking

RankCountries2019
per 1,000 live births
Change on 2018
1Central African Republic254.7+134.5
2Niger120.8-1.1
3Somalia118.4-18
4Nigeria117.4+0.2
5Chad114-3.6
6Sierra Leone108.3-4.1
7Guinea105.4-2.1
8South Sudan96.7-37
9Democratic Republic of the Congo92.2+0.5
10Mali91.9-4.3
11Liberia88.7-0.7
12Burkina Faso88.1-2.9
13Benin87-2.4
14Equatorial Guinea80.7-2.5
15Guinea-Bissau79.5-2.7
16Cameroon76.6-2.3
17Côte d’Ivoire75.3-2.6
18Mozambique68.6-1.6
19Lesotho68.1-0.7
20Togo66-2.1
21Pakistan65.8-2.1
22Madagascar65+0.1
23Afghanistan62.7-2.1
24Haiti61.5-1.9
25Kiribati59.1-0.5
26Zimbabwe58.6+2.3
27Djibouti57.5-1.9
28Burundi56.2-2.3
29Sudan56.1-1.7
30Angola55.3-1.2
31Timor-Leste54.8-1.2
32Ethiopia53.6-2.2
33Zambia53.5-1.2
34Republic of the Congo52.2+4.6
35Uganda51.6-1.1
36Eswatini51.5+1.1
37Malawi51.3-0.7
38Gambia50.4-1.9
39Namibia46.6-1.9
40Senegal46.2-1.7
41Papua New Guinea46.1-1.4
41Yemen46.1-1.2
43Tanzania45.6-2
44Comoros44.8-1
45Ghana44.1-2
46Myanmar43.6-1.6
47Turkmenistan43.5-0.3
48Mauritania43.4-1.3
49Kenya42.7-1
49Rwanda42.7-1
51Eritrea40.5-1.4
52Botswana40-1.2
53Gabon38.5-1.4
54Laos36.5-1.8
55India34.9-2
56Dominican Republic34.4-0.3
57South Africa34.3-0.6
58Dominica33+0.9
59Bangladesh32.3-1.2
60Marshall Islands31.2-1
61Nepal31-1.6
62Tajikistan30.4-0.3
63Guyana29.6-0.9
64Philippines28+0.1
65Micronesia26.4-0.9
66Fiji25.7+1.5
66Iraq25.7-0.8
68Egypt24.8-0.4
69Syria24.6-7.9
70Bahamas24.3+10.8
70Guatemala24.3-0.8
72Venezuela24.20
73Algeria23.3-0.4
74Solomon Islands23.1-0.5
75Palau23+0.1
76Cambodia22.8-1.3
77Azerbaijan22.7-1.1
77Bhutan22.7-1.5
77Tuvalu22.7-0.8
80Indonesia21.8-1
81Trinidad and Tobago21.2-0.4
82Bolivia20.6-1.4
83Samoa20+2.5
83Vietnam20-0.5
85Paraguay19.2-0.7
86Morocco19.1-0.8
87Jamaica18.8+0.1
88Grenada18.5+0.2
89Suriname18.4-0.5
90Kyrgyzstan18.3-0.7
91Saint Kitts and Nevis18.2-0.4
91Saint Lucia18.2-0.2
93Vanuatu18.1-0.1
94Honduras17.7-0.5
94North Korea17.7-0.7
96São Tomé and Príncipe17.1-1.1
97Tunisia16.9-0.6
98Panama15.9-0.4
99Mauritius15.7+0.3
99Palestine15.7-0.6
99Uzbekistan15.7-0.7
102Mongolia15.6-0.8
103Moldova15.5+0.1
104Brazil15-0.2
104Mexico15-0.4
106Jordan14.9-0.4
106Peru14.9-0.4
108Seychelles14.80
109Lebanon14.5+0.5
110Nicaragua14.3-0.3
110Saint Vincent and the Grenadines14.3-0.7
112British Virgin Islands14.2-0.4
113Cape Verde14.1-1
114Ecuador13.8-0.3
115Belize13.5-0.4
115Colombia13.5-0.5
117Iran13.4-0.5
118El Salvador12.2-0.5
119Armenia12.1-0.6
120Nauru12-1.1
121Libya11.6-0.3
122Barbados11.4-0.4
123Türkiye11.3-0.4
124Tonga10.9-0.2
125Oman10.8-0.1
126Argentina10.5-0.2
126Brunei10.5-0.1
128Thailand10.4-0.4
129Antigua and Barbuda10.3-0.2
130Kazakhstan10.2-0.1
131Georgia9.6-0.2
132Albania9.4+0.1
133Costa Rica9.1+0.1
134Kuwait8.90
135Ukraine8.5-0.2
136Malaysia8.20
137China8-0.6
138Bahrain7.8+0.1
139Uruguay7.5-0.2
140Maldives7.4-0.6
141Saudi Arabia7.2-0.4
141Sri Lanka7.2-0.4
143North Macedonia7.1-1.3
144Chile7-0.3
145Cuba6.9+0.3
146Romania6.8-0.5
147Bosnia and Herzegovina6.7-0.1
147Bulgaria6.7-0.3
149Qatar6.6-0.2
150United States6.50
151United Arab Emirates6.3-0.4
152Malta6.1-0.2
153Russia6-0.4
154Slovakia5.90
155Serbia5.6-0.2
156Turks and Caicos Islands5.5-0.1
157Canada5.20
157New Zealand5.2-0.1
159Croatia4.7-0.1
160Poland4.50
161United Kingdom4.40
162France4.20
163Greece4.1-0.1
163Hungary4.1-0.2
165Netherlands40
165Switzerland4-0.1
167Belgium3.9-0.1
167Latvia3.9-0.3
167Lithuania3.9-0.3
170Australia3.80
170Denmark3.8-0.1
172Germany3.7-0.1
173Israel3.6-0.1
174Austria3.50
174Portugal3.50
176Ireland3.40
177Spain3.20
178Belarus3.1-0.3
178Italy3.1-0.1
178Monaco3.1-0.1
178Montenegro3.1-0.2
178South Korea3.1-0.1
183Andorra3-0.1
183Cyprus3+0.3
183Czechia3-0.1
186Iceland2.8+0.1
187Sweden2.6-0.1
188Estonia2.5-0.2
188Japan2.50
188Singapore2.50
191Finland2.40
191Luxembourg2.40
191Norway2.4-0.1
191Slovenia2.40
195San Marino1.5-0.1

Other periods

About this ranking

Probability that a newborn dies before reaching age five, per 1,000 live births, if subject to the age-specific mortality of the year.

Includes infant deaths, so it is always higher than the infant mortality rate.

Every value in the ranking comes from the same publisher and the same period, so the countries are compared on one definition. Equal values share a rank.

How to cite

World Bank, World Development Indicators, modelled estimate. Mortality rate, under-5, per 1,000 live births (SH.DYN.MORT). https://data.worldbank.org/indicator/SH.DYN.MORT. Retrieved 2026-10-11.

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Questions

Which country has the highest under-five mortality rate?

The Central African Republic, with 254.7 per 1,000 live births in 2019, according to the World Bank.

Which country has the lowest under-five mortality rate?

San Marino, with 1.5 per 1,000 live births in 2019.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: World Bank, Mortality rate, under-5, per 1,000 live births (SH.DYN.MORT). Retrieved 2026-10-11.

Under-five mortality rate: other rankings

Countries: more rankings