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Effect of child mortality on contraceptive use in rural Iran.


 This paper examines the effect of child mortality experience on fertility level and contraceptive practice among women in a group of Iranian villages where family planning help is provided by trained rural midwives. 987 couples in 1213 households were interviewed, data on contraceptive practice and fertility collected from wives and socioeconomic data from husbands. Both the cumulative fertility level and contraceptive use were found to be strongly influenced by the individual woman's child loss experience. The more children who have died before reaching age 5, the greater the fertility and the lower the probability that contraceptives are, or have been, used. While no causal relationship is proved, the data suggest that, although contraceptive availability is an important factor in reducing the birth rate, reduction in the level of child mortality is also important.
