Almost ten percent of all children born in Timor-Leste die at birth. Many births take place at home, particularly in rural areas. Of the ninety percent of children who survive birth, malnutrition, parasitic diseases and infections, and general poor health mean that many children die before their fifth birthday, bringing the total who die to over twelve percent. Poor sanitation, an interupted immunisation program and limited access to health services for what reamains a predominately rural population contributes to a high incidence of children with serious diseases.