Côte d’Ivoire

DHS Survey in 1994

Côte d’Ivoire

DHS Survey in 1998-99

Neonatal Mortality

Results for Côte d’Ivoire 1998-9• Risk of neonatal mortality compared with 36-47

month birth interval: – Births less than 24 months: 295 % – Births 24-35 months: 154 %– Births 36-47 months: 100 %– Births 48+ months: 101 %– First births: 204 %

• Lowest neonatal mortality at 42-47 and 54-59 month birth intervals

Neonatal Mortality in Côte d'Ivoire 1998-9

0.0

1.0

2.0

3.0

4.0

5.0

6.0

<18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +

Duration of Preceding Birth Interval (months)

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Infant Mortality

Results for Côte d’Ivoire 1998-9• Risk of infant mortality compared with 36-47 month

birth interval:

– Births less than 24 months: 312 %

– Births 24-35 months: 193 %

– Births 36-47 months: 100 %

– Births 48+ months: 103 %

– First births: 249 %

• Lowest infant mortality at 54-59 month birth intervals

Infant Mortality in Côte d'Ivoire 1998-9

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +Duration of Preceding Birth Interval (Months)

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Under Five Mortality

Results for Côte d’Ivoire 1998-9• Risk of under five mortality compared with 36-47

month birth interval: – Births less than 24 months: 238 %

– Births 24-35 months: 175 %

– Births 36-47 months: 100 %

– Births 48+ months: 66 %

– First births: 161 %

• Lowest under five mortality at 48-53 month birth intervals

Under Five Mortality in Côte d'Ivoire 1998-9

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +

Duration of Preceding Birth Interval (months)

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Ivoirienne Preferences for Short Birth Intervals, 1998-9

• In Côte d’Ivoire few women prefer very short birth intervals, only 15% want births with less than 2 years spacing but 41% prefer an interval of less than 3 years

• For Côte d’Ivoire as a whole, 17 percent of women have intervals shorter than 24 months, only 2 percent more than preferred.

• However, 54 percent of Ivoirienne women have intervals shorter than 36 months, 13 percent more than those who prefer such intervals.

Percent of Birth Intervals Less than 24 Months, Actual and Preferred, Côte d’Ivoire 1998-9

14

19

17

1110

11

17

15

0 10 20

Abidjan

Small cities

Countryside

COTE D'IVOIRE

Percent

Actual Preferred

Percent of Birth Intervals Less than 36 Months, Actual and Preferred, Côte d’Ivoire 1998-9

44

47

57

54

34

32

45

41

0 10 20 30 40 50 60 70

Abidjan

Small cities

Countryside

COTE D'IVOIRE

Percent

Actual Preferred

Infant Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Côte d'Ivoire 1998-9

0

20

40

60

80

100

120

COTE D'IVOIRE

Dea

ths

per

1000

bir

ths

Existing

Min. 24 mos.

Min. 36 mos.

5% of deaths averted

Additional 15% of deaths averted

Annual Number of Infant Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Côte d'Ivoire 2005

0

10

20

30

40

50

60

70

80

90

COTE D'IVOIRE

Tho

usan

ds o

f dea

ths

Existing

Min. 24 mos.

Min. 36 mos.

4,300 deaths averted

Additional 12,100 deaths averted

Under Five Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Côte d'Ivoire 1998-9

0

20

40

60

80

100

120

140

160

180

COTE D'IVOIRE

Dea

ths

per

1000

bir

ths

Existing

Min. 24 mos.

Min. 36 mos.

9% of deaths averted

Additional 22% of deaths averted

Annual Number of Under Five Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months

Côte d'Ivoire 2005

0

20

40

60

80

100

120

COTE D'IVOIRE

Tho

usan

ds o

f dea

ths

Existing Intervals

Min. 24 mos.

Min. 36 mos.

10,100 deaths avertedAdditional 23,100 deaths averted

In Côte d’Ivoire, if no births occurred before 36 months of a preceding birth:

• Infant Mortality Rate would drop 20%

• Under Five Mortality Rate would drop 31%

• Deaths to children under five years of age would fall by 33,200 annually