Of the 4.9 million under-five deaths in 2022, 2.3 million occurred during the first month of life and 2.6 million children died between the ages of 1 and 59 months. There are also broad disparities in rates of child survival by region, with children under-5 facing the greatest risks in sub-Saharan Africa. Worldwide, children born into the poorest households are twice as likely to die before the age of 5 compared to the wealthiest households.