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Quantitative Studies of Mortality Decline in the Developing World
註釋The infant mortality rate has declined dramatically in Peninsular Malaysia since World War II. This study uses individual-level retrospective data on infant mortality and its correlates (from the Malaysian Family Life Survey) to examine possible reasons for this decline. One important factor has been the substantial increase in mothers' education. Improvements in water and sanitation also played a role; however, the reduction in breastfeeding that has taken place in Malaysia has kept the infant mortality rate from declining as rapidly as it would have otherwise. This paper shows that the detrimental effects of reduced breastfeeding have more than offset the beneficial effects of improvements in water and sanitation. In a majority of the cases, infant mortality decline is not explained by changes in the variables considered here, but is due to factors not investigated here - most likely, increases in income and improvements in medical and health care.