Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-26T00:39:01.585Z Has data issue: false hasContentIssue false

Factors influencing infant mortality in Vietnam

Published online by Cambridge University Press:  31 July 2008

Ingrid E. Swenson
Affiliation:
Carolina Population Center, University of North Carolina, Chapel Hill, USA
Nguyen Minh Thang
Affiliation:
National Committee for Population and Family Planning
Pham Bich San
Affiliation:
Institute of Sociology
Vu Qui Nham
Affiliation:
Family Planning Division, National Committee for Population and Family Planning
Vu Duy Man
Affiliation:
Computer Science Institute, Vietnam Scientific Institute, Hanoi, Vietnam

Summary

Selected determinants of overall infant mortality in Vietnam were examined using data from the 1988 Vietnam Demographic and Health Survey, and factors underlying neonatal and post-neonatal mortality were also compared. Effects of community development characteristics, including health care, were studied by logistic regression analysis in a subsample of rural children from the 1990 Vietnam Accessibility of Contraceptives Survey.

Infant neonatal and post-neonatal mortality rates showed comparable distributions by birth order, maternal age, pregnancy intervals, mother's education and urban–rural residence. Rates were highest among first order births, births after an interval of less than 12 months, births to illiterate mothers and to those aged under 21 or over 35 years of age. Logistic regression analysis showed that the most significant predictor of infant mortality was residence in a province where overall infant mortality was over 40 per 1000 live births. In the rural subsample, availability of public transport was the most persistent community development predictor of infant mortality. Reasons for the low infant mortality rates in Vietnam compared to countries with similar levels of economic development are discussed.

Type
Research Article
Copyright
Copyright © 1993, Cambridge University Press

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

Aksit, B. & Aksit, B. (1989) Sociocultural determinants of infant and child mortality in Turkey. Social Sci. Med. 28, 571.CrossRefGoogle ScholarPubMed
Bagenholm, G. C. & Nasher, A. A. (1989) Mortality among children in rural areas of the People's Democratic Republic of Yemen. Ann. trop. Paediat. 9, 75.CrossRefGoogle ScholarPubMed
Baily, M. (1990) Individual and environmental influence on infant and child mortality in rural Sierra Leone: a multivariate analysis. J. Popul. Stud. 12, 155.Google Scholar
Caldwell, J. C. (1979) Education as a factor of mortality decline. Popul. Stud. 33, 395.CrossRefGoogle Scholar
Caldwell, J. C. & McDonald, P. (1981) Influence of maternal education on infant and child mortality. International Population Conference, Manila, Vol. 2. International Union for the Scientific Study of Population, Liège.Google Scholar
DaVanzo, J., Butz, W. P. & Habicht, J. P. (1983) How biological and behavioral influences on mortality in Malaysia vary during the first year of life. Popul. Stud. 37, 381.CrossRefGoogle Scholar
DeSweemer, C. (1984) The influences of child spacing on child survival. Popul. Stud. 38, 47.CrossRefGoogle Scholar
D'Souza, S. & Bhuiya, A. (1982) Socio-economic mortality differentials in a rural area of Bangladesh. Popul. Dev. Rev. 8, 753.CrossRefGoogle Scholar
Flegg, A. T. (1982) Inequality of income, illiteracy and medical care as determinants of infant mortality in underdeveloped countries. Popul. Stud. 36, 441.CrossRefGoogle ScholarPubMed
Fung, J. M. (1990) Neonatal death in 1987, maternal and child factors. Ann. Acad. Med. 19, 370.Google ScholarPubMed
Golding, J. & Shenton, T. (1990) Low birth weight and pre-term delivery in South East Asia: the WHO International Collaborative Study of Hypertensive Disorders of Pregnancy. Social Sci. Med. 30, 497.CrossRefGoogle ScholarPubMed
Hobcraft, J. N., McDonald, J. W. & Rutstein, S. O. (1985) Demographic determinants of infant and early child mortality: a comparative analysis. Popul. Stud. 39, 363.CrossRefGoogle Scholar
Johnston, F. E., Reid, W., De Baessa, Y., & Macvean, R. E. (1989) Socioeconomic correlates of fertility, mortality, and child survival in mothers from a disadvantaged, urban Guatemalan community. Am. J. hum. Biol. 1, 25.CrossRefGoogle ScholarPubMed
Kusin, J. A., Kardjati, S. & Dewith, C. (1989) Infant mortality in Madura, Indonesia, implications for action. J. trop. Paediat. 35, 129.CrossRefGoogle ScholarPubMed
McDonald, J. & Rutstein, S. (1984) Socio-economic factors in infant and child mortality: a cross-national comparison. Popul. Stud. 38, 193.Google Scholar
Mosley, W. H. & Chen, L. C. (1984) An analytical framework for the study of child survival in developing countries. Popul. Dev. Rev. 10 (Supplement), 25.CrossRefGoogle Scholar
Palloni, A. & Millman, S. (1986) Effects of inter-birth intervals and breastfeeding on infant and early childhood mortality. Popul. Stud. 40, 215.CrossRefGoogle Scholar
Rosetta, L. O. & Quigley, J. (1990) Mortality among swrere children in Senegal. Am. J. hum. Biol. 2, 719.CrossRefGoogle ScholarPubMed
Sandiford, P., Morales, P., Gortner, A., Coyle, E. & Smith, D. G. (1991) Why do child mortality rates fall? An analysis of the Nicaraguan experience. Am. J. publ. Hlth, 81, 30.CrossRefGoogle Scholar
Serrano, C. V. (1990) Infant, childhood and adolescent mortality in developing countries. In: Health Care of Women and Children in Developing Countries, p. 301. Edited by Wallace, H. M & K, Giri. Third Party Publishing, Oakland, Carlifornia.Google Scholar
Thaver, I. H., Ebrahim, G. J. & Richardson, R. (1990) Infant mortality and undernutrition in the squatter settlements of Karachi. J. trop. Paediat. 36, 135.CrossRefGoogle ScholarPubMed
Tiwari, H. (1989) Estimation of decline in the infant mortality rate in India due to fertility reduction. J. Fam. Welfare, 35, 75.Google Scholar
Trussell, J. & Pebley, A. R. (1984) The potential impact of changes in fertility on infant, child and maternal mortality. Stud. Fam. Plann. 15, 267.CrossRefGoogle ScholarPubMed
United Nations (1990) Vietnam Accessibility of Contraceptives, Asian Population Studies Services, No. 103-A, Economic and Social Commission for Asia and the Pacific, Bangkok.Google Scholar
Vietnam National Committee for Population and Family Planning (1990) Vietnam Demographic and Health Survey 1988. Hanoi, Vietnam.Google Scholar
Ware, H. (1984) Effects of maternal education, women’s roles and child care on child mortality. Popul. Dev. Rev. 10 (Supplement), 191.CrossRefGoogle Scholar
Weeks, J. & Rumbaut, R. (1988) Infant Health and Mortality Among Indochinese Refugees in San Diego County: Final Report, International Population Center, San Diego State University, California.Google Scholar
Wolfers, D. & Scrimshaw, S. (1975) Child survival and intervals between pregnancies in Guayequil, Ecuador. Popul. Stud. 29, 479.CrossRefGoogle ScholarPubMed
Yerushalmy, J. M. (1945) On the interval between successive births and its effect on survival of the infant, an indirect method of study. Hum. Biol. 17, 65.Google Scholar