Effects of birth interval on child mortality: evidence from a sequential analysis

Unlike most existing studies, this paper examines the effects of birth interval on child mortality in a sequential framework. Birth spacing is captured by the length of time since the birth of the last child and the time varying covariates identifying the arrival of a younger sibling during any month after the birth of the present child. We use an instrumental variable method to reduce the endogeneity bias and compare the hazard estimates of child survival with and without instruments for birth spacing. These instrumented sequential results not only reaffirm the static inverse relationship, but also emphasize that the inverse relationship between birth interval and child mortality crucially depends on both the gender and the birth order of the child.