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During the nineteenth century, Bulgaria's child mortality rate fell from 370 deaths per thousand births in 1800 to 321 deaths per thousand births in 1900 (the steadiness of the decline suggests that the data is an average for the century). Bulgaria's child mortality rate then dropped at a faster rate until 1965, with the only increase coming in the 1940s, during the Second World War. Since the 1960s, Bulgaria's child mortality rate has been falling at a much slower rate, and there was even an increase in the 1990s, during a period of high unemployment and political instability that came with the end of communism. Since the year 2000, Bulgaria's child mortality rate has continued to fall, dropping from 19 deaths per thousand births to just seven in 2020.