The Impacts of Birth Spacing through Family Planning

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Family planning is extremely promoted as a valuable maternal and child health intervention, especially appropriate for developing countries where the burden of child and maternal mortality is relatively high (Tsui & Creanga, 2009). For economic reason, Family Planning might be the most effective method of preventing unplanned and unwanted pregnancy, thereby, reducing the chance of infant mortality. Bongaarts (1987) mentions that recent reviews of relevant evidence have confirmed that an increase in the practice of family planning can, theoretically, reduce infant and child mortality rates. The reason for this relationship is that through family planning practice a couple can decide the time of birth, the time span between two births, and the (maximum) number of children they want to have (Saha & Soest, 2012) and can manage expenses thereby, enhancing the child’s chances for survival.
Unfortunately, most of the available research for developing country settings does not explicitly include the contribution of contraception, either to birth spacing or maternal and child health and survival (Tsui & Creanga, 2009) the focus is mainly on the other purposes of contraception not mentioned above. However the relationship, it is clear that Family Planning has an impact on Infant Mortality Rate (IMR). All these factors are related to the theory of demographic transition, which stated that mortality decline occurs along with an increase in industrialization and urbanization, a diffusion of medical technology, and rises in literacy and living standards (Yamada, 1985).
Infant Mortality Rate (IMR) is defined by the United Nations (UN) as the probability of dying between birth and exact age 1. It is expressed as average annual deaths per 1,000 b...

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Tsui , A., & Creanga, A. (2009). Does Contraceptive Use Reduce Neonatal and Infant Mortality? Findings from a Multi-Country Analysis. Population, Family and Reproductive Health Department . Retrieved from http://paa2009.princeton.edu/papers/91181
Wegman, M. (2001). Infant Mortality in the 20th Century, Dramatic but Uneven Progress. The American Society for Nutritional Sciences. Retrieved from http://jn.nutrition.org/content/131/2/401S.full
World Health Organization (2013). Infant Mortality. Global Health Observatory (GHO). Retrieved from http://www.who.int/gho/urban_health/outcomes/infant_mortality_text/en/index.html
Yamada, T. (1985). Causal Relationships between Infant Mortality and Fertility in Developed and Less Developed Countries. Southern Economic Journal, 52(2), 364-370. Retrieved from http://www.jstor.org/stable/1059622

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