| Rank | Country | | Death rate |
1 | Swaziland | 30.70 |  30.7 deaths/1,000 population (2008 est.) |
2 | Angola | 24.44 |  24.44 deaths/1,000 population (2008 est.) |
3 | South Africa | 22.70 |  22.7 deaths/1,000 population (2008 est.) |
4 | Lesotho | 22.33 |  22.33 deaths/1,000 population (2008 est.) |
5 | Sierra Leone | 22.26 |  22.26 deaths/1,000 population (2008 est.) |
6 | Zimbabwe | 21.70 |  21.7 deaths/1,000 population (2008 est.) |
7 | Liberia | 21.45 |  21.45 deaths/1,000 population (2008 est.) |
8 | Zambia | 21.35 |  21.35 deaths/1,000 population (2008 est.) |
9 | Mozambique | 20.29 |  20.29 deaths/1,000 population (2008 est.) |
10 | Niger | 20.26 |  20.26 deaths/1,000 population (2008 est.) |
11 | Afghanistan | 19.56 |  19.56 deaths/1,000 population (2008 est.) |
12 | Djibouti | 19.16 |  19.16 deaths/1,000 population (2008 est.) |
13 | Central African Republic | 18.26 |  18.26 deaths/1,000 population (2008 est.) |
14 | Malawi | 17.89 |  17.89 deaths/1,000 population (2008 est.) |
15 | Nigeria | 16.41 |  16.41 deaths/1,000 population (2008 est.) |
16 | Chad | 16.39 |  16.39 deaths/1,000 population (2008 est.) |
17 | Mali | 16.16 |  16.16 deaths/1,000 population (2008 est.) |
18 | Russia | 16.06 |  16.06 deaths/1,000 population (2008 est.) |
19 | Guinea-Bissau | 16.05 |  16.05 deaths/1,000 population (2008 est.) |
20 | Ukraine | 15.93 |  15.93 deaths/1,000 population (2008 est.) |
21 | Somalia | 15.89 |  15.89 deaths/1,000 population (2008 est.) |
22 | Guinea | 15.19 |  15.19 deaths/1,000 population (2008 est.) |
23 | Cote d'Ivoire | 14.65 |  14.65 deaths/1,000 population (2008 est.) |
24 | Ethiopia | 14.49 |  14.49 deaths/1,000 population (2008 est.) |
25 | Rwanda | 14.46 |  14.46 deaths/1,000 population (2008 est.) |
26 | Bulgaria | 14.30 |  14.3 deaths/1,000 population (2008 est.) |
27 | Namibia | 14.07 |  14.07 deaths/1,000 population (2008 est.) |
28 | Botswana | 14.02 |  14.02 deaths/1,000 population (2008 est.) |