Health-seeking behavior of mothers and factors affecting infant and child mortality.
This paper investigates how health-seeking behavior of mothers is affecting infant and child mortality in Bangladesh. Data were obtained from the 1993-94 Demographic and Health Survey of the country, which interviewed a total of 9640 ever-married women from selected households. It was noted in the survey that despite availability of health centers at lowest administrative level, the utilization of health center is poor, with only 27.4% of the mothers utilizing antenatal care services. Results of the bivariate and logistic regression analyses identified some important determinants of child survival of different components of under-five mortality, including neonatal, infant, and child mortalities. A strong association between the survival status of the preceding child and the components of under-five mortality was indicated. Among the potentially strong predictors of the components of under-five mortality are education, age of the mothers at birth, sex of the child, immunization status of the child, birth order, birth interval, delivery place, birth interval, antenatal care and survival status of the previous child. In view of these findings, several implications for health policy and recommended initiatives for reducing under-five mortality are cited.