Factors Effect on Under-Five Aged Child Survival at First Birth in Bangladesh

The childhood mortality may be vulnerable as many biological, environmental, social, cultural and behavioral factors have been responsible for structuring the patterns of mortality. The relation between first birth order and risk of child mortality is not well understood. Under the assumption there may be socio-demographic, behavioral, environment, etc factors behind this higher risk of mortality this study examines under-five aged child survival at first birth of the mother to identify the factors influence on child survival for policy suggestions. Using four rounds data set of the Bangladesh Demographic and Health Surveys (BDHS 1993-94, 1996-97, 1999-00 and 2004) binary logistic regression model shows that tetanus injection of mother before birth of the child is the most dominant determinant for the under-five aged first child survival; whereas educational attainment, antenatal visit for pregnancy before birth and tubewell as source of drinking water have had also impact with some variations. As higher education, access to antenatal visit and ensuring tetanus injection before pregnancy have had significant impact these should be taken into high consideration to accelerate further for child survival which will contribute to reduce mortality reduction as well. There are more scopes to examine other variables to understand child