Being the Younger Child in a Large African Family

Article

Being the Younger Child in a Large African Family

A Study of Birth Order as a Risk Factor for Poor Health Using the Demographic and Health Surveys for 18 Countries

Abstract

One hundred eighty six nations have adopted 17 Sustainable Development Goals (SDGs), one of which, SDG 3.2, aims to reduce under-5 mortality to 25 deaths per thousand in all countries by 2030. Achieving this goal is daunting for many African countries, where child mortality remains high. Research around the world and over time has shown an association between birth order and mortality, with later born children (of higher “birth order”) generally having higher mortality, in addition to having less education and fewer health services. We aim to investigate how child mortality and nutritional status vary by birth order in Africa.

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