More babies are dying each year in West and Central Africa even as child health improves overall, aid agencies said on Tuesday, calling the region’s newborn death rate a “hidden tragedy.”

Five of the 10 most dangerous countries to be born are in West and Central Africa, with infants there 50 times more likely to die within a month than if they were born in Japan or Iceland, the U.N. children’s agency UNICEF said in a report.

One in 16 pregnancies in the region results in stillbirth or death within a month — mostly preventable deaths caused by premature birth, labor complications or infection, UNICEF said.

“Neonatal health hasn’t really been addressed by governments or institutions,” UNICEF’s regional health specialist, Alain Prual, told the Thomson Reuters Foundation.

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