Data on child mortality in Bulgaria show a significant decrease: between 2000 and 2022, the under-5 mortality rate fell from 18 per thousand to 6 per thousand. This is according to the latest report of the UN Inter-agency Group for Child Mortality Estimation (UN IGME). 

For children up to 1 year of age, the rate is 4.8‰, which, despite the positive downward trend, is still significantly higher than the EU average (3.2‰ in 2021). There are significant regional differences in the indicator, with some administrative districts (e.g. Sliven and Montana) more than twice the national average. According to Christina de Bruin, UNICEF Representative in Bulgaria, serious investment in primary health care is needed if Bulgaria's infant mortality rate is to reach the European average.