HealthWork in progress

How many Indian children die before age five?

That is the latest rate for India. It has fallen sharply from 241.3 in 1960.

In this article 7 sections
  1. What is the headline answer?
  2. What exactly does 'under-five mortality rate' mean?
  3. How much has it changed over time?
  4. What is the difference between infant and child mortality?
  5. Does the national average hide inequalities?
  6. What does the number not tell us?
  7. What should the reader remember?

What is the headline answer?

In 2024, 26.6 out of every 1,000 children born in India died before reaching age five. This number comes from the World Bank. The WHO’s estimate for 2023 is similar: 27.82 . That means about 2.8% of children – roughly one in 36 – do not survive five years.

Chart

Infant mortality rate

It shows that most under-five deaths occur in the first year, giving context to the main number.

WHO GHO

per 1,000 live births
per 1,000 live births0501001502001960198020002020Infant mortality rate24.52023167 in 1953167 in 1953per 1,000 live births0501001502001960198020002020Infant mortality rate24.524.520232023167 in 1953167 in 1953
About this chart

It shows that most under-five deaths occur in the first year, giving context to the main number.

How to read it The rate is 24.5 per 1,000 live births in 2023, close to the under-five rate of 27.8. The line shows a similar downward trend.

Watch out Do not add the infant and neonatal rates – they overlap. Infant includes neonatal.

What exactly does 'under-five mortality rate' mean?

The under-five mortality rate counts the number of children who die before their fifth birthday for every 1,000 live births in a given year. It is not a percentage of all children but a rate per thousand. It is a standard global measure of child health and survival. A lower rate means more children live.

Chart

Under-five mortality rate

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

World Bank

per 1,000 live births
per 1,000 live births01002003001960198020002020Under-five mortality rate26.62024241 in 1960241 in 1960per 1,000 live births01002003001960198020002020Under-five mortality rate26.626.620242024241 in 1960241 in 1960
About this chart

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

How to read it The line goes from 241.3 in 1960 down to 26.6 in 2024. Each tick is a year. The steeper the line, the faster the fall.

Watch out Do not treat this as a percentage. It is per 1,000 live births. Also note the y-axis may not start at zero, which can exaggerate changes.

How much has it changed over time?

India’s progress is striking. In 1960, the rate was 241.3 per 1,000 – nearly one in four children. By 2024, it had fallen to 26.6. The World Bank data shows steady improvement. The UN projects further decline to 22.34 per 1,000 by 2030 (median scenario). The OWID data, which expresses the same rate as a percentage, shows 33.3% in 1911 and 2.8% in 2023.

Chart

How much changed?

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

Under-five mortality rate · first to latest point

per 1,000 live births
Under-five mortality rate−215from 1960 to 202426.620242411960−89% on the starting value · −3.35 a year on averageUnder-five mortality rate−215from 1960 to 202424126.6−89% on the starting value · −3.35 a year onaverage
About this chart

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

How to read it The line goes from 241.3 in 1960 down to 26.6 in 2024. Each tick is a year. The steeper the line, the faster the fall.

Watch out Do not treat this as a percentage. It is per 1,000 live births. Also note the y-axis may not start at zero, which can exaggerate changes.

What is the difference between infant and child mortality?

Most under-five deaths happen in the first year. The rate (deaths before age one) was 24.5 per 1,000 in 2023 (WHO). That means 24.5 of the 27.8 under-five deaths occur in infancy. The neonatal mortality rate (deaths in the first 28 days) was 30.78 per 1,000 in 2015 (WHO) – earlier data, but it shows that about half of infant deaths occur in the newborn period.

Chart

Change by decade

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

Under-five mortality rate · added during each period

per 1,000 live births
per 1,000 live births0−40−30−20−101960-70−26.91970-80−44.61980-90−42.81990-00−35.22000-10−33.72010-20−25.12020-24−6.4per 1,000 live births0−40−201960-70−26.91970-80−44.61980-90−42.81990-00−35.22000-10−33.72010-20−25.12020-24−6.4
About this chart

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

How to read it The line goes from 241.3 in 1960 down to 26.6 in 2024. Each tick is a year. The steeper the line, the faster the fall.

Watch out Do not treat this as a percentage. It is per 1,000 live births. Also note the y-axis may not start at zero, which can exaggerate changes.

Does the national average hide inequalities?

Yes, sharply. The WHO provides a breakdown by wealth quintile for 2023. In the poorest 20% of households, the under-five mortality rate is 42.2 per 1,000. In the richest 20%, it is 14.3 per 1,000.

That is a three-fold difference. Even the second-poorest quintile has a rate of 32.3, while the fourth quintile is at 22.6. National averages mask these gaps.

Chart

Under-five mortality rate

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

WHO GHO

per 1,000 live births
per 1,000 live births01002003001960198020002020Under-five mortality rate27.72023269 in 1953269 in 1953per 1,000 live births01002003001960198020002020Under-five mortality rate27.727.720232023269 in 1953269 in 1953
About this chart

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

How to read it The line goes from 241.3 in 1960 down to 26.6 in 2024. Each tick is a year. The steeper the line, the faster the fall.

Watch out Do not treat this as a percentage. It is per 1,000 live births. Also note the y-axis may not start at zero, which can exaggerate changes.

What does the number not tell us?

The under-five mortality rate is an estimate. The WHO data has uncertainty ranges: for India’s 2023 rate of 27.82, the 95% uncertainty interval is 23.89 to 32.14. Also, these are UN IGME estimates – not the official India statistics. India’s Sample Registration System (SRS) is the official source.

This page does not include SRS data. Additionally, the rate does not tell us why children die – causes like pneumonia, diarrhoea, or malnutrition are not shown here.

Chart

Under-five mortality rate

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

UN Population

per 1,000 live births
per 1,000 live births0501002000201020202030Under-five mortality rate22.3203091.1 in 200091.1 in 2000per 1,000 live births0501002000201020202030Under-five mortality rate22.322.32030203091.1 in 200091.1 in 2000
About this chart

This is the main chart answering the page question: it shows the trend from 1960 to 2024.

How to read it The line goes from 241.3 in 1960 down to 26.6 in 2024. Each tick is a year. The steeper the line, the faster the fall.

Watch out Do not treat this as a percentage. It is per 1,000 live births. Also note the y-axis may not start at zero, which can exaggerate changes.

What should the reader remember?

India has cut child deaths dramatically from 241 to 27 per 1,000. But that progress is uneven. A child born into the poorest fifth of families is three times more likely to die before age five than one in the richest fifth. Closing that gap is the next challenge.

Tell me what this means, bro

Okay bro, what does this mean?

Translation: the main number to hold in your head is 26.6 in 2024. The useful comparison number is 2,023 in 2023. The chart is useful, but do not convert it into a WhatsApp forward. Read the caveat before the confidence.

Built from 14 local data artifacts, not live model memory.

Plain English concepts

under-five mortality rate

It counts how many children die before their fifth birthday out of every 1,000 babies born alive in a year. It is not a percentage but a rate per thousand. It captures overall child survival and is used by global health agencies to track progress. It does not tell us why children die.

This is the main number answering the page question. It shows how many children are lost and how that number has changed.

per 1,000 live births

This is the unit. It means out of every 1,000 babies born alive in a year. It is not per 1,000 people. It makes comparison across countries fair because it accounts for different birth rates.

You need to understand this unit to read the charts correctly. A rate of 26.6 means that if you took 1,000 newborns, about 27 would die before age five.

infant mortality

Deaths in the first year of life, per 1,000 live births. It is a subset of under-five mortality. Most under-five deaths happen in infancy.

It helps break down the under-five number: the infant mortality rate is close to the under-five rate, meaning most child deaths occur very early.

Bhuvanesh. “How many Indian children die before age five?” This Indian Life, October 2026. https://thisindianlife.today/articles/how-many-indian-children-die-before-age-five/

BibTeX
@misc{tilife-howmanyindianchildrendiebeforeagefive,
  author    = {Bhuvanesh},
  title     = {How many Indian children die before age five?},
  year      = {2026},
  publisher = {This Indian Life},
  url       = {https://thisindianlife.today/articles/how-many-indian-children-die-before-age-five/}
}
APA

Bhuvanesh. (2026). How many Indian children die before age five? This Indian Life. https://thisindianlife.today/articles/how-many-indian-children-die-before-age-five/

Keep reading

How long do Indians live? -> Is India getting healthier? -> How healthy are those extra years? -> What kills Indians? ->

Edit history

Published 1 Jun 2026 Updated 19 Oct 2026
  1. 1 Jun 2026 First published. diff
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