Based on recent estimates, as of 2021, the top 10 countries with the highest infant mortality rate (deaths of infants under 1 year of age per 1,000 live births) are:
- Sierra Leone
- Central African Republic
- Somalia
- Chad
- Mali
- Burundi
- South Sudan
- Nigeria
- Angola
- Equatorial Guinea
World Top Ten Countries With Highest Infant Mortality |
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| Rank | Country With Highest Infant Mortality Rate | (Deaths Per 1,000 Live Births) |
|---|---|---|
| 1 | Sierra Leone | 107 |
| 2 | Angola | 102 |
| 3 | Central African Republic | 96 |
| 4 | Somalia | 90 |
| 5 | Chad | 89 |
| 6 | Congo, Dem. Rep. | 86 |
| 7 | Guinea-Bissau | 78 |
| 8 | Mali | 78 |
| 9 | Nigeria | 74 |
| 10 | Lesotho | 73 |