Background: One of the main objectives of health policy-makers is to promote children's growth, development, and survival. The current research evaluates the impact of breastfeeding on infant survival and highlights the major socioeconomic determinants of child survival from 0 to 5 years old in Côte d'Ivoire. Methods: This study uses Probit estimation to evaluate the impact of the type of breastfeeding on the survival of children aged from 0 to 5 years old. The main socioeconomic determinants of child survival were identified and analyzed. The sample of the study covers 7776 children under 5 years old drawn from the Côte d'Ivoire Demographic Health Surveys and the Multiple Indicators cluster survey of 2012. Results: A child is more likely to survive when immediate exclusive breastfeeding was practiced for up to 6 months. The probability of survival increases significantly when the mother lives in a healthy environment, when she has at least a primary school education, and when she plays a leading role in caring for the children. Likewise, when she better controls the market of some breast milk supplement and she chooses the best milk formula to complete feeding for her baby, the child's chances of survival increase significantly. Conclusion: Health policy-makers must strengthen programs to promote exclusive breastfeeding up to 6 months through social campaigns. It should also strengthen the capacity of health workers (midwives, nurses, doctors, etc.) to better guide and provide training to mothers and young women about childbearing age to allow them to practice exclusive breastfeeding for up to 6 months. It is only after 6 months that they have to complete infant feeding by providing some semi-solid food rich in vitamins, proteins, and minerals. Taking into account the time constraint when they are engaged in economic activity, they must choose the best formula milk to supplement breastfeeding. It is also important to educate women to improve hygiene in their housing, in their neighborhood and in their community in order to promote the welfare and health of their children.
This research analyzes the impact of decision making in couples on the usage of modern contraception and identifies the other relevant socioeconomic and cultural determinants. From "Côte d'Ivoire Demographic and Health Surveys 2012", the statistics results showed that the percent of women who have knowledge on contraception is very low. The usage of contraception is higher among young than older and is two times higher among urban than rural. The Probit regression results showed that decision-making power in couples has a strong positive significantly impact on using contraceptive methods. Furthermore, education, knowledge on methods, living environment and age are major determinants of the contraceptive practice. In contrast, Muslim religion has a negative significantly impact on the probability of using contraception. The reproductive health workers must involve couples and religious leaders, especially the Muslim authorities in advocacy and activities of sensitization for better usage of modern contraception in households. The health authorities must also reduce the regional gap concerning free distribution of the products of modern contraception. Similarly, the providers must play their role to increase access to the products of modern contraception to better meet the needs and satisfaction of women in family planning.
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