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This represents about 14 million more cases in 2020 compared with 2019 and 69,000 more deaths. There were an estimated 241 million malaria cases and 627,000 malaria deaths worldwide in 2020. Between 20, tuberculosis treatment reached 20 million people, only half of the global target. Tuberculosis incidence is falling at a rate of about 2 per cent per year, which is much slower than the 4–5 per cent annual decline which was required to achieve the 2020 milestones of the End Tuberculosis Strategy. There was a rise in tuberculosis deaths for the first time in a decade, caused by the COVID-19 pandemic, from 1.2 million in 2019 to 1.3 million in 2020 (excluding tuberculosis deaths in people with HIV). In 2020, an estimated 10 million people fell ill with tuberculosis worldwide.

Measures to slow the spread of the COVID-19 pandemic and the additional strain the new pandemic has placed on health systems have disrupted HIV-related services. The incidence of HIV infections globally declined by 39 per cent between 2010 and 2020, far less than the 75 per cent target agreed by the General Assembly in 2016. Early adolescent childbearing, occuring in the 10–14 age group, is much more common in countries in sub-Saharan Africa and Latin America and the Caribbean than in other parts of the world.Īn estimated 1.5 million new HIV infections and 680,000 deaths from AIDS-related causes occurred in 2020.

The largest declines are occurring in Central and Southern Asia, from 70 births per 1,000 adolescent women in 2000 to 24 births in 2020. The adolescent birth rate has fallen worldwide from 56 births per 1,000 adolescents aged 15-19 years in 2000 to 45 births in 2015 and 41 births in 2020. The ongoing COVID-19 pandemic may lead to a reversal of this trend because of supply chain disruptions and decreased access to family planning services. The proportion of women of reproductive age (15-49 years) whose need for family planning was satisfied through use of modern contraceptive methods stagnated at about 77 per cent between 2015 and 2022, while sub-Saharan Africa has seen the largest increase - almost 5 percentage points. Almost half of those deaths, 2.4 million, occurred in the first month of life. Even with that progress, 5 million children died before reaching their fifth birthday in 2020 alone, down from 5.9 million in 2015. The global under-5 mortality rate fell by 14 per cent, from 43 deaths per 1,000 live births in 2015 to 37 deaths per 1,000 live births in 2020, while the global neonatal mortality rate fell to 17 deaths per 1,000 live births in 2020 from 19 deaths per 1,000 live births in 2015, a 12 per cent reduction. Available data do not reflect the impact of the COVID-19 pandemic on the disruption of services, which may reverse gains made over the past decades. In sub-Saharan Africa, coverage is 20 percentage points lower. Furthermore, immunization coverage dropped for the first time in 10 years and deaths from tuberculosis and malaria increased.īased on data from 2015-2021, 84 per cent of births worldwide were assisted by skilled health professionals, including medical doctors, nurses and midwives, an increase from 77% in 2008-2014.

The pandemic has severely disrupted essential health services, shortened life expectancy and exacerbated inequities in access to basic health services between countries and people, threatening to undo years of progress in some health areas. However, the most recent estimates suggest that the global number of excess deaths directly and indirectly attributable to COVID-19 could be as high as three times this figure. By April 2022, the coronavirus causing COVID-19 had infected more than 500 million people and killed more than 6.2 million worldwide.