Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-23T09:14:44.375Z Has data issue: false hasContentIssue false

Effect of birth spacing on infant and child mortality in rural Nepal

Published online by Cambridge University Press:  31 July 2008

Bhakta B. Gubhaju
Affiliation:
Nepal Family Planning and Maternal Child Health Project, Kathmandu, Nepal

Summary

This examination of the effect of birth spacing on infant and child mortality in rural Nepal is based on data from the Nepal Fertility Survey 1976 carried out by the Nepal Family Planning and Maternal Child Health Project in collaboration with the World Fertility Survey. The study confirms that the higher risk of infant death to first-born children is mainly due to the higher proportions of younger women having first births, rather than due to their being first order births per se. The effect of maternal age on infant and child mortality is largely associated with birth interval. Previous birth interval, therefore, stands out as the most important factor affecting infant mortality; the next most important factor is the survival of the preceding child.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adlakha, A. (1973) Fertility and infant mortality: an analysis of Turkish data. Demography India, 2, 56.Google Scholar
Baker, R.J. & Nelder, J.A. (1978) The GLIM System: Release 3, Numerical Algorithms Group, Oxford.Google Scholar
Bennett, L. (1977) Mother's Milk and Mother's Blood: An Analysis of the Social and Symbolic Role of Brahman and Chetri Women in Nepal. PhD thesis, Columbia University, New York.Google Scholar
Brass, W. & Barrett, J.C. (1978) Measurement problems in the analysis of linkages between fertility and child mortality. In: The Effects of Infant and Child Mortality on Fertility, pp. 209233. Edited by Preston, S. H.Academic Press, New York.Google Scholar
Caldwell, J.C. (1979) Education as a factor in mortality decline: an examination of Nigerian data. Popul. Stud. 33, 395.CrossRefGoogle Scholar
Carlaw, R.W. & Vaidya, K. (1983) Birth intervals and the survival of children to age five—some data from Nepal. J. trop. Pediat. 29, 31.CrossRefGoogle ScholarPubMed
Cleland, J. & Sathar, Z. (1983) The Effect of Birth Spacing on Childhood Mortality in Pakistan. Popul. Stud. 38, 401.Google Scholar
Coburn, B. (1982) Nepali Aama: Portrait of a Nepalese Hill Woman. Ross-Erikson, Santa Barbara, California.Google Scholar
Cochrane, S.H., Leslie, J. & O'Hara, D.J. (1980) The Effects of Education on Health. Staff Working Paper No. 405. World Bank, Washington, DC.Google Scholar
De Sweemer, C. (1984) The influence of child spacing on child survival. Popul. Stud. 38, 47.CrossRefGoogle Scholar
Edmonston, B. (1983) Demographic and maternal correlates of infant and child mortality in Bangladesh. J. biosoc. Sci. 15, 183.CrossRefGoogle ScholarPubMed
Frenzen, P.D. & Hogan, D.P. (1982) The impact of class, education, and health care on infant mortality in a developing society: the case of rural Thailand. Demography, 19, 391.CrossRefGoogle Scholar
Goodman, L. (1972) A modified multiple regression approach to the analysis of dichotomous variables. Am. sociol. Rev. 37, 38.CrossRefGoogle Scholar
Gubhaju, B.B. (1984) Demographic and Social Correlates of Infant and Child Mortality in Nepal. PhD thesis. Australian National University, Canberra.Google Scholar
Haas, J. & Harrison, G. (1977) Nutritional anthropology and biological adaption. Ann. Rev. Anthrop. 6, 101.CrossRefGoogle Scholar
Hobcraft, J., Mcdonald, J.W. & Rutstein, S. (1983) Child-spacing effects on infant and early child mortality. Popul. Ind. 49, 585.CrossRefGoogle Scholar
Janowitz, B. & Nichols, D. (1983) Child survivorship and pregnancy spacing in Iran. J. biosoc. Sci. 15, 35.CrossRefGoogle ScholarPubMed
Knodel, J. (1968) Infant mortality and fertility in three Bavarian villages: an analysis of family histories from the 19th century. Popul. Stud. 22, 297.CrossRefGoogle ScholarPubMed
Molnar, A.M. (1980) Flexibility and Option: A Study of the Dynamics of Women's Participation Among the Kham Magar of Nepal, PhD thesis, University of Wisconsin–Madison.Google Scholar
Nepal Family Planning and Maternal Child Health Project (1977) Nepal Fertility Survey 1976: First Report, His Majesty's Government, Ministry of Health, Kathmandu.Google Scholar
Peckham, C.S., Ross, E.M. & Farmer, R.D.T. (1982) Pregnancy, childbirth and perinatal mortality. In: Epidemiology of Diseases, pp. 412451. Edited by Miller, D. L. and Farmer, R. D. T.Blackwell Scientific Publications, Oxford.Google Scholar
Preston, S.H. (1978) The Effects of Infant and Child Mortality on Fertility, Academic Press, New York.Google Scholar
Trussell, T.J. & Hammerslough, C. (1983) A hazards-model analysis of the covariates of infant and child mortality in Sri Lanka. Demography, 20, 1.CrossRefGoogle ScholarPubMed
Winikoff, B. (1983) The effects of birth spacing on child and maternal health. Stud. Fam. Plann. 14, 231.CrossRefGoogle ScholarPubMed
Wolfers, D. & Scrimshaw, S. (1975) Child survival and intervals between pregnancies in Guayaquil, Ecuador. Popul. Stud. 29, 479.CrossRefGoogle ScholarPubMed
Young, F.W., Edmonston, B. & Andes, N. (1983) Community-level determinants of infant and child mortality in Peru. Social Indicators Res. 12, 65.CrossRefGoogle Scholar