In urban areas of developing countries, infant mortality rate remains particularly high at 61 deaths per 1000 live births in Africa (including 31 countries). In all four regions shown, children in the poorest 20% urban households are 1.7–2.2 times as likely to die before their first birthday than children in the richest 20% urban households.
In urban areas of Africa, Americas and Asia, infant mortality rate has fallen by 20%, 39% and 25%, respectively, between the 1990–1999 and 2000–2011 for included countries. Death rates for infants in the poorest 20% urban households have fallen by 24%, 35% and 34% in Africa, Americas and Asia, respectively, for the countries included in the analysis. Although significant reductions have been made, especially for children from the poorest households, infant mortality rate is still disproportionately higher amongst the urban poorest populations.