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Infant and child survival and contraceptive use in the closed pregnancy interval

While previous studies have examined the relationship between child survival and contraceptive use, they have not considered the impact of the sequence of child mortality on the practice of family planning. The present paper addresses this issue by considering how the birth order of nonsurviving outcomes affects the decision to contracept in the subsequent interval, using data collected from over 10,000 women at the time of hospital delivery. Results indicate that, even when gravidity and the total number of surviving children are held constant, the outcome of the penultimate pregnancy is highly associated with interval contraception.

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