Although health has improved even in the poor- est countries, the pace of progress has been un- even. In 1960 in Ghana and Indonesia about one child in five died before reaching age 5—a child mortality rate typical of many developing coun- tries. By 1990 Indonesia's rate had dropped to about one-half the 1960 level, but Ghana's had fallen only slightly. Table 1 provides a summary of regional progress in mortality reduction between 1975 and 1990. (Figure 1 illustrates the demo- graphic regions used in Table 1 and frequently throughout this Report.) In addition to premature mortality, a substantial portion of the.