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World Mortality Report 2013 World Mortality Report 2013 United Nations This page is intentionally left blank ST/ESA/SER.A/347 Department of Economic and Social Affairs Population Division World Mortality Report 2013 United Nations New York, 2013 DESA The Department of Economic and Social Affairs of the United Nations Secretariat is a vital interface between global policies in the economic, social and environmental spheres and national action. The Department works in three main interlinked areas: (i) it compiles, generates and analyses a wide range of economic, social and environmental data and information on which Member States of the United Nations draw to review common problems and take stock of policy options; (ii) it facilitates the negotiations of Member States in many intergovernmental bodies on joint courses of action to address ongoing or emerging global challenges; and (iii) it advises interested Governments on the ways and means of translating policy frameworks developed in United Nations conferences and summits into programmes at the country level and, through technical assistance, helps build national capacities. Note The designations employed in this report and the material presented in it do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Symbols of United Nations documents are composed of capital letters combined with figures. This publication has been issued without formal editing. Suggested citation: United Nations, Department of Economic and Social Affairs, Population Division (2013). World Mortality Report 2013 (United Nations publication). ST/ESA/SER.A/347 UNITED NATIONS PUBLICATION Copyright © United Nations 2013 All rights reserved PREFACE The World Mortality Report 2013, prepared by the Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, assesses changes in mortality risks at the global, regional and country levels, focusing in particular on the implementation period of the Programme of Action of the International Conference on Population and Development, from 1990-1995 to 2010- 2015. The report reviews the survival targets outlined in the ICPD Programme of Action and discusses them in the context of other internationally agreed mortality reduction goals, including the Millennium Development Goals. It evaluates the progress of regions and countries with respect to life expectancy at birth, child mortality, mortality in the reproductive and working ages, and life expectancy at advanced ages and discusses the contributions of improvements in survival at different stages of life towards the achievement of the ICPD survival targets. Disparities in progress towards those targets are partially explained by examining differences between selected countries in the sex and age patterns of mortality reduction. Some priorities for future reductions in mortality risks are discussed. The mortality estimates presented in this report are available in digital form. Interested users can request a CD-ROM 1 containing the corresponding data and interactive graphical analysis contained within the World Mortality Report 2013. A description of the data and tools provided on the CD-ROM and an order form can be found on page 84 of this publication. The electronic data files and interactive graphs associated with this report may also be accessed on the Population Division’s website or by clicking on the links below the graphs in the electronic pdf version of this document. http://www.un.org/en/development/desa/population/publications/mortality/world-mortality-report- 2013.shtml The Population Division is grateful to the Statistics Division of the United Nations Department of Economic and Social Affairs for its continuing cooperation. The Population Division also acknowledges the assistance and cooperation of the World Health Organization, UNICEF, Measure DHS, the Human Mortality Database, the International Programs Center of the U.S. Census Bureau, and IPUMS- International as well as national statistical offices in providing some of the data that inform the estimates presented in this report. For information about the World Mortality Report 2013, please contact the Director, Population Division, Department of Economic and Social Affairs, United Nations, New York, NY 10017, USA (email: [email protected]). __________________ 1 United Nations, Department of Economic and Social Affairs, Population Division (2013). World Mortality Report 2013, CD-ROM Edition, Datasets in Excel format and interactive charts (POP/DB/MORT/2013). United Nations Department of Economic and Social Affairs/Population Division iii World Mortality Report 2013 This page is intentionally left blank CONTENTS Page PREFACE .............................................................................................................................................................. iii EXPLANATORY NOTES .......................................................................................................................................... viii EXECUTIVE SUMMARY ......................................................................................................................................... xv I. HEALTH AND SURVIVAL IN THE ICPD PROGRAMME OF ACTION ...................................................................... 1 A. Introduction ........................................................................................................................................... 1 B. The ICPD Programme of Action: Background ........................................................................................ 1 C. Chapter VIII of the Programme of Action: Objectives and actions on health, morbidity and mortality ..... 1 D. Survival targets in the Programme of Action .......................................................................................... 3 E. Progress towards the ICPD survival targets ............................................................................................ 5 F. Overview of the World Mortality Report 2013 ....................................................................................... 9 II. GLOBAL LEVELS AND TRENDS IN MORTALITY ................................................................................................. 11 A. Introduction ........................................................................................................................................... 11 B. Life expectancy at birth.......................................................................................................................... 11 C. Child mortality ...................................................................................................................................... 16 D. Adult mortality ...................................................................................................................................... 22 E. Conclusions ........................................................................................................................................... 25 III. PROGRESS TOWARDS THE ICPD SURVIVAL TARGETS ...................................................................................... 27 A. Introduction ........................................................................................................................................... 27 B. Changes in life expectancy at birth since the ICPD ................................................................................. 27 C. Changes in probabilities of survival at different stages of life .................................................................. 33 D. Conclusions ........................................................................................................................................... 39 IV. COMPONENTS OF CHANGE IN LIFE EXPECTANCY OVER THE ICPD PROGRAMME OF ACTION IMPLEMENTATION PERIOD ................................................................................................................................................................ 41 A. Introduction ........................................................................................................................................... 41 B. Contribution of improved survival by age to overall change in life expectancy at birth ............................ 41 1. Low mortality countries .................................................................................................................... 42 2. Low-intermediate mortality countries ................................................................................................ 49 3. High-intermediate and high mortality countries.................................................................................. 52 C. Conclusions ........................................................................................................................................... 67 V. REFERENCES ................................................................................................................................................. 68 VI. ANNEX : TABLE OF MORTALITY INDICATORS IN 1990-1995 AND 2010-2015, BY COUNTRY OR AREA .................. 73 VII. ORDERING THE WORLD MORTALITY REPORT 2013 CD-ROM EDITION ............................................................. 84 United Nations Department of Economic and Social Affairs/Population Division v
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