Mortality rate, under 5 years per 1,000 live births fell 3.66% to 108 in Sierra Leone in 2020, according to World Bank / WHO.
Historically, mortality rate, under 5 years per 1,000 live births in Sierra Leone reached an all time high of 390 in 1960 and an all time low of 108 in 2020. When compared to Sierra Leone's main peers, mortality rate, under 5 years per 1,000 live births in Burkina Faso amounted to 85.0, 95.6 in Guinea, 78.3 in Liberia and 91.0 in Mali in 2020.
Sierra Leone has been ranked 4th within the group of 172 countries we follow in terms of mortality rate, under 5 years per 1,000 live births, 2 places below the position seen 10 years ago.
| Mortality Rate, Under 5 Years (Per 1,000 Live Births) | Unit | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 |
| Algeria | 25.5 | 25.2 | 24.8 | 24.3 | 23.8 | |||||||||||||||||
| Burkina Faso | 105 | 101 | 97.5 | 94.1 | 90.8 | |||||||||||||||||
| Ghana | 57.1 | 54.6 | 52.2 | 50.1 | 48.1 | |||||||||||||||||
| Guinea | 109 | 107 | 105 | 103 | 100 | |||||||||||||||||
| Ivory Coast | 93.6 | 90.8 | 88.4 | 86.0 | 83.2 | |||||||||||||||||
| Liberia | 92.1 | 88.3 | 86.1 | 84.3 | 82.5 | |||||||||||||||||
| Mali | 112 | 108 | 105 | 101 | 97.4 | |||||||||||||||||
| Mauritania | 85.1 | 82.7 | 80.1 | 77.7 | 75.5 | |||||||||||||||||
| Niger | 98.0 | 93.8 | 90.1 | 86.6 | 83.5 | |||||||||||||||||
| Senegal | 52.3 | 49.4 | 46.5 | 44.0 | 41.7 | |||||||||||||||||
| Sierra Leone | 139 | 140 | 125 | 121 | 116 |
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