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Birth intervals, breastfeeding and determinants of childhood mortality in Malawi


  • Manda, Samuel O. M.


Childhood mortality in Malawi is analyzed by employing proportional hazards models. The analysis uses highly reliable data collected from the 1992 Demographic and Health Survey (DHS) of Malawi. The results show that the substantial birth interval and maternal age effects are largely limited to the infant period. The influence of social and economic variables on the mortality risk and on the relationship between biodemographic variables and mortality risk is much enhanced with increasing age of the child. It has also been found that consideration of breastfeeding status of the child does not significantly alter interpretation of effects of preceding birth interval length on mortality risk, but does partially diminish the succeeding birth interval effect. The results are discussed and then summarized in the context of policy implications for Malawi. The paper addresses a very important issue in Malawi and it adds valuable insights to the base of knowledge in childhood mortality in sub-Sahara Africa.

Suggested Citation

  • Manda, Samuel O. M., 1999. "Birth intervals, breastfeeding and determinants of childhood mortality in Malawi," Social Science & Medicine, Elsevier, vol. 48(3), pages 301-312, February.
  • Handle: RePEc:eee:socmed:v:48:y:1999:i:3:p:301-312

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    Cited by:

    1. Joshua Kembo & Jeroen K Van Ginneken, 2009. "Determinants of infant and child mortality in Zimbabwe: Results of multivariate hazard analysis," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 21(13), pages 367-384, October.
    2. Augustus Kapungwe, 2005. "Quality of child health care and under-five-mortality in Zambia:," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 12(12), pages 301-322, May.
    3. Krzysztof Tymicki, 2009. "The correlates of infant and childhood mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(23), pages 559-594, May.


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