Page 64 - IJPS-11-4
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International Journal of
            Population Studies                                                  Early marriage and infant mortality in SSA




                         Zimbabwe                     25.2      37.8
                           Zambia                        30.1  36.5
                           Uganda                          32.3       46
                          Tanzania                         31.2  37.8
                           Sierra-L                    26.2                     58.3
                           Rwanda                          31.9   40.3
                           Nigeria                                41.3          59.5
                             Niger               19.1      32.1
                           Namibia               18.9        34.5
                         Mozambiq                        29.4           48
                             Mali                           33.4     44.6
                            Malawi                           33.8  40.7            NMR/1000
                                                                                   IMR/1000 live births
                            Liberia                                42.4 45.7
                           Lesotho                        30.2    41.2
                            Kenya                    24.5        40.1
                           Guinea                                  42.2                    73.5
                            Ghana                   22.5 25.3
                           Garbon                                    45.3  50.9
                           Cote D'I                  23.6          42.1
                         Cosmoros                             35.3         53
                         Congo DR                                    45.3           64.4
                            Congo                   22.2     34.8
                             Chad                               38.5             60.2
                         Cameroon                     25.5       38.9
                           Burundi               19        32.2
                           Burkina                 21.8                 48.7
                            Benin                   22.8   32
                            Angola                      28.1      41
                                 0      10      20      30      40     50      60      70      80
                        Figure 1. Infant and neonatal mortality rates (per 1000 live births). Cote D’I = Cote D’Iviore; Sierra L = Sierra Leone
                                     Abbreviations: IMR: Infant mortality rate; NMR: Neonatal mortality rate.


            3.4. Child marriage, women’s empowerment, and        The results of the multivariable analysis are presented
            infant mortality                                   in Table 3. Model 1 shows the unadjusted HRs indicating
            Table 2 displays the relationships between child marriage,   the independent effects of age at first marriage (continuous
            women’s empowerment, selected maternal characteristics,   variable) on infant mortality. The findings reveal
            and infant mortality. Compared with the other categories,   significantly elevated  hazards of  infant  death  among
            infant  mortality was  higher  among  male  children   children whose mothers married at ages 15 (HR: 1.65,
            (ꭓ  = 10.26,  p < 0.05), children who are in first birth   CI: 1.18 – 2.31, p < 0.01) and 16 (HR: 1.40 CI: 1.04 – 1.90,
             2
            order (ꭓ  = 41.94,  p < 0.001), children of less empowered   p < 0.05) compared with those whose mothers married at
                  2
            women   (ꭓ  = 15.21,  p < 0.01), children of 15 – 19-old   ages 18+. The outcomes obtained after adjusting for the
                     2
            mothers (ꭓ  = 51.07, p < 0.001), children of uneducated   proxy measure for women’s empowerment in Model 2
                     2
            mothers (ꭓ  = 16.28,  p < 0.01), multiple-birth children   divulged similar patterns.
                     2
            (ꭓ  = 346.10,  p < 0.001), children of Muslim mothers   The unadjusted Model 3 is shown in Table 4, revealing that
             2
            (ꭓ  = 13.17, p < 0.05), children of mothers who married at   children whose mothers married before age 15 (HR: 1.34,
             2
            age 15 – 17 (ꭓ  = 3.68, p < 0.05), children delivered at home   CI: 1.01 – 1.89, p < 0.05) and at the age span of 15 – 17
                       2
            (ꭓ  = 45.51, p < 0.001), and children whose mothers had <4   (HR: 1.38, CI: 1.06 – 1.80, p < 0.05) were at significantly
             2
            antenatal care visits (ꭓ  = 89.65, p < 0.001).     higher risk of dying during infancy than children whose
                             2
            Volume 11 Issue 4 (2025)                        58                        https://doi.org/10.36922/ijps.2411
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