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Infant mortality and mother's education in Ondo State, Nigeria

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  • Adetunji, Jacob Ayo
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    Abstract

    A bivariate analysis of infant mortality in the 1986/87 Ondo State Demographic and Health Survey data indicates that children of secondary school graduates experienced a higher rate of infant mortality than children of less educated mothers. Although this pattern has also been shown in a few other Demographic and Health Surveys, this paper explores the Ondo State data to explain why infant mortality showed such a counterintuitive pattern in relation to maternal education. This search for an explanation of the pattern started with an examination of the data for errors and then proceeded to examine the importance of some intermediate mechanisms that had been suggested for the education-child survival relationship. The results suggested that data errors, use of health services and quality of maternal care were not enough to explain the relationship. Rather, results of a logistic regression analysis showed that breastfeeding duration and maternal age at childbirth were statistically the most significant variables for predicting infant survival in Ondo State. The inverse relationship between mother's education and infant mortality rates that was not shown by bivariate analysis came out clearly only after controlling for the effect of breastfeeding duration. The linkage between these findings and broader social and economic realities of Nigeria was provided through reviews of available information. The conclusion from the study was that, although breastfeeding and maternal age showed up as the most statistically significant variables, they apparently are just the variables that effectively captured the effects of the harsh economic conditions, especially among secondary school graduates, that prevent most young mothers from translating their child-rearing ideals into reality.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 40 (1995)
    Issue (Month): 2 (January)
    Pages: 253-263

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    Handle: RePEc:eee:socmed:v:40:y:1995:i:2:p:253-263

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    Keywords: infant mortality mother's education breastfeeding maternal age Nigeria;

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    Cited by:
    1. Ellen van de Poel & Owen O'Donnell & Eddy Van Doorslaer, 2007. "What explains the Rural-Urban Gap in Infant Mortality — Household or Community Characteristics?," Tinbergen Institute Discussion Papers 07-067/3, Tinbergen Institute.
    2. Regina Fuchs & Elsie Pamuk & Wolfgang Lutz, 2010. "Education or wealth: which matters more for reducing child mortality in developing countries?," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 175-199.
    3. Ellen van de Poel & Owen O'Donnell & Eddy Van Doorslaer, 2007. "What explains the Rural-Urban Gap in Infant Mortality — Household or Community Characteristics?," Tinbergen Institute Discussion Papers 07-067/3, Tinbergen Institute.
    4. Adebayo, Samson B. & Fahrmeir, Ludwig & Klasen, Stephan, 2004. "Analyzing infant mortality with geoadditive categorical regression models: a case study for Nigeria," Economics & Human Biology, Elsevier, vol. 2(2), pages 229-244, June.
    5. Hajizadeh, Mohammad & Nandi, Arijit & Heymann, Jody, 2014. "Social inequality in infant mortality: What explains variation across low and middle income countries?," Social Science & Medicine, Elsevier, vol. 101(C), pages 36-46.

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