Estimated Impact of the COVID-19 Economic Recession on Under-5 Mortality Rates for 129 Countries

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY

OSI STATISTICS

Open access articles:
1052
Annotations added:
3
Countries represented:
109
No. of contributors:
13
Bookmarks made:
22

Estimated Impact of the COVID-19 Economic Recession on Under-5 Mortality Rates for 129 Countries


JournalThe Lancet
Article typePre-print – Clinical research
Publication date – Jan – 2021
Authors – Marcelo Cardona Cabrera , Joseph Millward , Katelyn Jison Yoo, Alison Gemmill , David M. Bishai
Keywordschildren under five years old, covid-19, health system
Open access – Yes
SpecialityHealth policy, Paediatric surgery
World region Global

Language – English
Submitted to the One Surgery Index on January 17, 2021 at 7:53 am
Abstract:

Background: This study estimates the potential loss of life in children under five years old attributable to the economic recessions of 2020. Multiple prior studies have shown a strong and independent effect of GDP per capita on child mortality in developing countries after controlling for health system effects, demography, politics, environment, and literacy.

Methods: Data were retrieved from the World Bank World Development Indicators database and the United Nations World Populations Prospects estimates for the years 1990-2020 for 129 countries with GDP per capita below 12,375 US$ (defined as low, lower-middle, and upper-middle income countries; LMICs). We used a multi-level, mixed effects, multivariate model to estimate the adjusted relationship between GDP per capita and the under-5 mortality rate (U5MR) specific to each country. The model’s country-specific parameters were used to simulate the impact on U5MR due to reductions in GDP per capita of 5%, 10%, and 15%.

Findings: In a conservative scenario, a 5% reduction in GDP per capita in 2020 is estimated to cause an additional 282,996 deaths in children under 5 in one year compared to a baseline of no economic recession. Recessions at 10% and 15% lead to higher losses of under-5 lives, increasing to 585,802 and 911,026 additional deaths, respectively. We estimate that nearly half of all the potential under-5 lives lost from economic recessions in LMICs are estimated to occur in Sub-Saharan Africa.

Interpretation: In developing countries, under-5 mortality rates are closely tied to national income. We estimate that the recessions of 2020 will lead to around 300,000 deaths in the under-5 population. Our results do not take into account the irreparable effects of economic deprivation on child development. We expect to see similar trends of child mortality in the next few years in the absence of sufficient SARS-CoV-2 vaccination or herd immunity.

OSI Number – 20880

Public annotations on this article:
No public annotations yet