Three infants die every two minutes on an average in India due to lack of access to water, sanitation, proper nutrition or basic health services, according to a report by the United Nations Inter-agency Group for Child Mortality Estimation (UNIGME).
About 8,02,000 infant deaths were reported in India in 2017, the lowest in five years, but the infant death numbers still remained the highest in the world, followed by China at 3,30,000, according to the report.
Dr Gagan Gupta, Chief of Health at the World Health Organization, however, said India is making good progress in combatting reasons leading to infant deaths through a number of government-led initiatives.
"It has to be taken into consideration that India has a birth rate of 25 million every year and the number of infant deaths have come down and is lowest in five years. This is also the first time that the number of deaths under five is equal to number of births. The next step would be reducing the number of deaths," he said.
"About 18 per cent of children born globally are from India," he added.
The main reasons behind infant deaths remain to be lack of access to water, sanitation, proper nutrition or basic health services, Gupta said.
Infant deaths were reported highest in the world in India, followed by Nigeria at 4,66,000, Pakistan 3,30,000 and Democratic Republic of Congo 2,33,000 (DRC), the report said.
The UNIGME report said 6,05,000 neonatal deaths were reported in India in 2017, while the number of deaths among children aged 5-14 was 1,52,000.
"India continues to show impressive decline in child deaths, with its share of global under-five deaths for the first time equalling its share of childbirths," Yasmin Ali Haque, Representative, UNICEF India, said.
"The efforts for improving institutional delivery, along with countrywide scale up of special newborn care units and strengthening of routine immunisation, have been instrumental towards this," she said.
The number of infant deaths has come down from 8.67 lakh in 2016 to 8.02 lakh in 2017.
In 2016, India's infant mortality rate was 44 per 1,000 live births.
In 2017, sex-specific under-five mortality rate was 39 in 1,000 live births for male and 40 in 1,000 live births for females.
"Even more heartening is the fourfold decline in the gender gap in survival of the girl child over the last five years," Haque said.
The investment on ensuring holistic nutrition under the POSHAN campaign and national commitment to make India open defecation-free by 2019 are steps that will help in accelerating progress further, she added.
According to the report, an estimated 6.3 million children aged below 15 died in 2017, or 1 every 5 seconds, mostly of preventable causes, according to new mortality estimates released by UNICEF, WHO, the United Nations Population Division and the World Bank Group.
A vast majority of these deaths -- 5.4 million -- occur in the first five years of life, with newborns accounting for around half of the deaths.
"Without urgent action, 56 million children under five will die from now until 2030 - half of them newborns," said Laurence Chandy, UNICEF Director of Data, Research and Policy.
"We have made remarkable progress to save children since 1990, but millions are still dying because of who they are and where they are born. With simple solutions like medicines, clean water, electricity and vaccines, we can change that reality for every child," she said.
Globally, in 2017, half of all deaths under five years of age took place in sub-Saharan Africa, and another 30 per cent in Southern Asia. In sub-Saharan Africa, 1 in 13 children died before their fifth birthday. In high-income countries, that number was 1 in 185.
"Millions of babies and children should not still be dying every year from lack of access to water, sanitation, proper nutrition or basic health services," said Princess Nono Simelela, Assistant Director-General for Family, Women and Children's Health at WHO.
"We must prioritise providing universal access to quality health services for every child, particularly around the time of birth and through the early years, to give them the best possible chance to survive and thrive," Simelela said.
"More than six million children dying before their fifteenth birthday is a cost we simply can't afford," said Timothy Evans, Senior Director and Head of the Health, Nutrition and Population Global Practice at the World Bank Group.
"Ending preventable deaths and investing in the health of young people is a basic foundation for building countries' human capital, which will drive their future growth and prosperity," the report read.
For children everywhere, the most risky period of life is the first month. In 2017, 2.5 million newborns died in their first month.
Despite these challenges, fewer children are dying each year worldwide.
The number of children dying under five has fallen dramatically from 12.6 million in 1990 to 5.4 million in 2017. The number of deaths in older children aged between 5 and 14 years dropped from 1.7 million to under a million in the same period.
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