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Countries Ranked by Under-5 mortality rate in 2020

Under-5 mortality rate for each country in 2020, ranked from highest to lowest. Source: The World Bank (CC BY 4.0).

Summary

In 2020, Central African Republic ranks #1 with 124.2 deaths per 1,000 live births. Niger is second with 119.5 deaths per 1,000 live births, 3.9% behind. The top five are Central African Republic, Niger, Nigeria, Somalia, Fed. Rep. and Chad. The median across all 196 is 15.6 deaths per 1,000 live births; San Marino is last at 1.5 deaths per 1,000 live births.

#1
Central African Republic · 124.2 deaths per 1,000 live births
Median
15.6 deaths per 1,000 live births
Coverage
196 countries
Data year
2020
Last updated
2026-11-14
Top 10: Under-5 mortality rateBar chart of the top 10: 1. Central African Republic 124.2; 2. Niger 119.5; 3. Nigeria 117.4; 4. Somalia, Fed. Rep. 114.7; 5. Chad 110.6; 6. Sierra Leone 104.4; 7. Guinea 102.9; 8. South Sudan 96.7; 9. Congo, Dem. Rep. 92.7; 10. Liberia 88.3.Central African Republic124.2Niger119.5Nigeria117.4Somalia, Fed. Rep.114.7Chad110.6Sierra Leone104.4Guinea102.9South Sudan96.7Congo, Dem. Rep.92.7Liberia88.3
Top 10: Under-5 mortality rate (deaths per 1,000 live births). Bar chart of the top 10: 1. Central African Republic 124.2; 2. Niger 119.5; 3. Nigeria 117.4; 4. Somalia, Fed. Rep. 114.7; 5. Chad 110.6; 6. Sierra Leone 104.4; 7. Guinea 102.9; 8. South Sudan 96.7; 9. Congo, Dem. Rep. 92.7; 10. Liberia 88.3.
Under-5 mortality rate over time, top 5Central African Republic: 173.7 in 1996 to 124.2 in 2020; Niger: 269.4 in 1996 to 119.5 in 2020; Nigeria: 198.1 in 1996 to 117.4 in 2020; Somalia, Fed. Rep.: 173.2 in 1996 to 114.7 in 2020; Chad: 194.7 in 1996 to 110.6 in 2020.0122.3244.7367489.3199620082020Central African Rep…NigerNigeriaSomalia, Fed. Rep.Chad
Under-5 mortality rate over time, top 5 (deaths per 1,000 live births). Central African Republic: 173.7 in 1996 to 124.2 in 2020; Niger: 269.4 in 1996 to 119.5 in 2020; Nigeria: 198.1 in 1996 to 117.4 in 2020; Somalia, Fed. Rep.: 173.2 in 1996 to 114.7 in 2020; Chad: 194.7 in 1996 to 110.6 in 2020.

Full ranking

Countries Ranked by Under-5 mortality rate in 2020, 2020
RankCountryUnder-5 mortality rate (deaths per 1,000 live births)
1Central African Republic124.2
2Niger119.5
3Nigeria117.4
4Somalia, Fed. Rep.114.7
5Chad110.6
6Sierra Leone104.4
7Guinea102.9
8South Sudan96.7
9Congo, Dem. Rep.92.7
10Liberia88.3
11Mali87.6
12Burkina Faso85.1
13Benin84.6
14Equatorial Guinea77.9
15Guinea-Bissau76.7
16Cameroon74.4
17Côte d'Ivoire73
18Mozambique67.6
19Lesotho66.3
20Madagascar65.1
21Togo63.9
22Pakistan63.7
23Zimbabwe61.7
24Afghanistan60.7
25Haiti59.8
26Kiribati58.3
27Djibouti55.7
28Burundi54.3
29Sudan54.3
30Angola54.2
31Timor-Leste53.4
32Zambia52.5
33Ethiopia51.5
34Uganda50.9
35Eswatini50.5
36Malawi50.4
37Gambia, The48.6
38Namibia44.8
39Papua New Guinea44.7
40Congo, Rep.44.5
41Senegal44.2
42Tanzania43.8
43Comoros43.7
44Yemen, Rep.43.4
45Turkmenistan42.9
46Ghana42.2
47Kenya42.1
48Myanmar42.1
49Mauritania42
50Rwanda41.6
51Eritrea39.1
52Botswana38.9
53Gabon36.8
54Lao PDR34.8
55South Africa33.9
56Dominica33.8
57Dominican Republic33.8
58India33
59Bangladesh31.4
60Marshall Islands30.3
61Tajikistan30.1
62Nepal29.6
63Guyana28.6
64Philippines28
65Fiji27.2
66Micronesia, Fed. Sts.25.6
67Iraq24.9
68Egypt, Arab Rep.24.4
69Venezuela, RB24.2
70Guatemala23.5
71Algeria22.9
72Palau22.9
73Solomon Islands22.5
74Syrian Arab Republic21.9
75Tuvalu21.9
76Cambodia21.8
77Azerbaijan21.5
78Bhutan21.3
79Indonesia20.8
80Trinidad and Tobago20.8
81Viet Nam19.5
82Bolivia19.3
83Jamaica18.7
84Grenada18.6
85Paraguay18.6
86Morocco18.3
87St. Lucia18.1
88Vanuatu18.1
89Suriname17.9
90Kyrgyz Republic17.8
91St. Kitts and Nevis17.8
92Korea, Dem. People's Rep.17.4
93Honduras17.1
94Samoa16.7
95São Tomé and Principe16.1
96Tunisia16
97Mauritius15.8
98Moldova15.6
99Panama15.5
100West Bank and Gaza15.2

Showing the top 100 of 196. Premium downloads the full list as CSV or JSON.

About the top 10

#4 Somalia, Fed. Rep.

Somalia, Fed. Rep. ranks #4 on this list with 114.7 deaths per 1,000 live births.

Capital
Mogadishu
Continent
Africa
Income group
Low income
Population
19.66 million people (2025)
GDP
US$13 billion (2025)
GDP per person
US$661.2 (2025)
Life expectancy
59 years (2024)
Urban population
55.1% of population (2025)

Largest cities: North East State of Somalia, Mogadishu.

Also ranks #1 in prevalence of undernourishment · #2 in population ages 0-14 share · #2 in age dependency ratio (young).

Full country profile

Profile facts: World Bank (CC BY 4.0) and Wikidata (CC0); weather links go to Purr Weather, another ChowChow Labs site.

Related rankings

Source and method

Under-5 mortality rate for each country in 2020, ranked from highest to lowest.

Source: The World Bank, indicator SH.DYN.MORT. Licence: CC BY 4.0. Retrieved: 2026-11-14.

The World Bank: Mortality rate, under-5 (per 1,000 live births): UN Inter-agency Group for Child Mortality Estimation, UN Children's Fund (UNICEF) (via World Development Indicators)

Original data provider, as recorded by the World Bank: UN Inter-agency Group for Child Mortality Estimation, UN Children's Fund (UNICEF); World Health Organization (WHO); World Bank (WB).

Values are shown as published. Provider terms: The World Bank. All licences: Sources & licences.