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Does Family Planning Reduce Infant Mortality? Evidence from Surveillance Data in Matlab, Bangladesh

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  • Soest, A.H.O. van
  • Saha, U.R.

    (Tilburg University, Center for Economic Research)

Abstract

Abstract: Analyzing the effect of family planning on child survival remains an important issue but is not straightforward because of several mechanisms linking family planning, birth intervals, total fertility, and child survival. This study uses a dynamic model jointly explaining infant mortality, whether contraceptives are used after each birth, and birth intervals. Infant mortality is determined by the preceding birth interval and other covariates (such as socio-economic status). The decisions about using contraceptives after each birth are driven by similar covariates, survival status of the previous child, and the family’s gender composition. Birth spacing is driven by contraceptive use and other factors. We find favourable effects of contraceptive use, reducing infant deaths in second and higher order births. Because the mortality risks for first-borns is higher than for later births and contraceptive use reduces the number of higher order births, the net effect on the total infant mortality rate is small.

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Bibliographic Info

Paper provided by Tilburg University, Center for Economic Research in its series Discussion Paper with number 2012-019.

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Date of creation: 2012
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Handle: RePEc:dgr:kubcen:2012019

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Web page: http://center.uvt.nl

Related research

Keywords: child mortality; family planning; contraceptive use; demography; dynamic panel data models; Bangladesh;

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  1. Hajivassiliou, Vassilis A. & Ruud, Paul A., 1986. "Classical estimation methods for LDV models using simulation," Handbook of Econometrics, in: R. F. Engle & D. McFadden (ed.), Handbook of Econometrics, edition 1, volume 4, chapter 40, pages 2383-2441 Elsevier.
  2. Sonia Bhalotra & Arthur van Soest, 2007. "Birth Spacing, Fertility and Neonatal Mortality in India:Dynamics, Frailty and Fecundity," The Centre for Market and Public Organisation 07/168, Department of Economics, University of Bristol, UK.
  3. Bhalotra, Sonia R. & Valente, Christine & van Soest, Arthur, 2009. "The Puzzle of Muslim Advantage in Child Survival in India," IZA Discussion Papers 4009, Institute for the Study of Labor (IZA).
  4. Train,Kenneth E., 2009. "Discrete Choice Methods with Simulation," Cambridge Books, Cambridge University Press, number 9780521747387, October.
  5. Robert Retherford & Minja Choe & Shyam Thapa & Bhakta Gubhaju, 1989. "To what extent does breastfeeding explain Birth-interval effects on early childhood mortality?," Demography, Springer, vol. 26(3), pages 439-450, August.
  6. Wiji Arulampalam & Sonia Bhalotra, 2006. "Sibling death clustering in India: state dependence "versus" unobserved heterogeneity," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(4), pages 829-848.
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