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Publication Embargo Macroeconomic determinants of child mortality in low and lower-middle-income nations(Emerald Publishing, 2025-05-18) Samarawickrama, P.A; Fernando, G; Bernadeen, R; Jayasuriya, N; Pathirana, UPurpose: Child mortality remains a major problem in the world, especially for children under five, as many deaths are reported each year. Disproportionately high death rates are seen in low- and lower-middle-income nations. This study seeks to examine the impact of macroeconomic factors on child mortality in low- and lower-middle-income countries to formulate policies for those income levels to achieve SDG 3.2 by 2030. Design/methodology/approach: The study uses panel regression analysis to investigate the impact of macroeconomic factors including inflation, labor force participation female, Current healthcare expenditure and GDP per capita income on child mortality within the two income groups, covering 18 low-income and 41 lower-middle-income nations from the year 2000 to 2022. Findings: The findings of the study indicated that in low-income countries women’s employment positively and significantly affects child mortality, while GDP per capita and current health expenditure negatively and significantly affect child mortality. In lower middle-income countries, inflation and GDP per capita negatively and significantly affect child mortality. This demonstrates the significance of economic stability, health investments and modifications in labor force participation female in mitigating child mortality in low and middle-income countries while offering critical insights for achieving the Sustainable Development Goals (SDG) related to infant mortality reduction by 2030. Originality/value: Although previous research has investigated child mortality, there is a lack of comprehensive research that has examined the combined impact of inflation, labor force participation rate female, current healthcare expenditure and GDP per capita in these countries. This study offers new empirical evidence regarding the influence of macroeconomic conditions on trends in child mortality by implementing a rigorous methodological approach.