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Millions of newborns, children and mothers continue to die needlessly, especially in sub-Saharan Africa where rates of child mortality are the highest in the world. In this region one out of every eight children die before their fifth birthday, twenty times the rate of industrialised countries. Speaking at a Healthcare in Africa conference yesterday (WED) Carolyn Miles, President and CEO of Save the Children, said although there has been a reduction in the under five mortality rate, the death of newborns was still the 'stubborn piece of the problem'.