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Malawi 2015-16

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• Under-5 mortality declines with increasing level<br />

of the mother’s education.<br />

Figure 8.2 Under-5 mortality by<br />

household wealth<br />

• Under-5 mortality declines with the level of<br />

household wealth from 83 deaths per 1,000 live<br />

births in lowest wealth quintile to 60 deaths per<br />

1,000 live births in highest wealth quintile<br />

(Figure 8.2).<br />

Deaths per 1,000 live births for the<br />

10-year period before the survey<br />

83 81<br />

77<br />

68<br />

60<br />

8.2 BIODEMOGRAPHIC RISK FACTORS<br />

Researchers have identified multiple risk factors for<br />

infant and child mortality based on the<br />

characteristics of the mother and child and the<br />

circumstances of the birth. Table 8.3 illustrates the<br />

relationship between these risk factors and neonatal,<br />

infant, and under-5 mortality.<br />

• Boys are more likely to die before their fifth<br />

birthday than girls. The gender gap is most<br />

pronounced in the neonatal period (within 1<br />

month after birth).<br />

• Shorter birth intervals are associated with higher<br />

mortality. The under-5 mortality rate for<br />

children born less than 2 years after the<br />

preceding birth is over twice as high as that of<br />

children born 4 or more years after their<br />

preceding sibling (Figure 8.3).<br />

• Children reported to be small or very small are<br />

almost twice as likely to die in the first month of<br />

life as children reported to be average or larger<br />

(44 deaths per 1,000 live births versus 22 deaths<br />

per 1,000 live births).<br />

Lowest Second Middle Fourth Highest<br />

Poorest<br />

Figure 8.3 Childhood mortality by<br />

previous birth interval<br />

78<br />

Deaths per 1,000 live births for the<br />

10-year period before the survey<br />

Wealthiest<br />

Previous birth interval:<br />

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