Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-26T18:49:27.077Z Has data issue: false hasContentIssue false

RELIGIOUS AFFILIATION AND UNDER-FIVE MORTALITY IN MOZAMBIQUE

Published online by Cambridge University Press:  03 August 2012

BOAVENTURA M. CAU
Affiliation:
Department of Geography, Eduardo Mondlane University, Maputo, Mozambique
ARUSYAK SEVOYAN
Affiliation:
Australian Population and Migration Research Centre, Adelaide, Australia
VICTOR AGADJANIAN
Affiliation:
Center for Population Dynamics, Arizona State University, Tempe, USA

Summary

The influence of religion on health remains a subject of considerable debate both in developed and developing settings. This study examines the connection between the religious affiliation of the mother and under-five mortality in Mozambique. It uses unique retrospective survey data collected in a predominantly Christian area in Mozambique to compare under-five mortality between children of women affiliated to organized religion and children of non-affiliated women. It finds that mother's affiliation to any religious organization, as compared with non-affiliation, has a significant positive effect on child survival net of education and other socio-demographic factors. When the effects of affiliation to specific denominational groups are examined, only affiliation to the Catholic or mainstream Protestant churches and affiliation to Apostolic churches are significantly associated with improved child survival. It is argued that the advantages of these groups may be achieved through different mechanisms: the favourable effect on child survival of having mothers affiliated to the Catholic or mainstream Protestant churches is probably due to these churches' stronger connections to the health sector, while the beneficial effect of having an Apostolic mother is probably related to strong social ties and mutual support in Apostolic congregations. The findings thus shed light on multiple pathways through which organized religion can affect child health and survival in sub-Saharan Africa and similar developing settings.

Type
Articles
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrahamsson, H. & Nilsson, A. (1995) Mozambique: The Troubled Transition: From Socialist Construction to Free Market Capitalism. Zed Books, London.Google Scholar
Addai, I. (2000) Determinants of use of maternal–child health services in rural Ghana. Journal of Biosocial Science 32, 115.CrossRefGoogle ScholarPubMed
Agadjanian, V. (2001) Religion, social milieu, and the contraceptive revolution. Population Studies 55, 135148.CrossRefGoogle Scholar
Agadjanian, V. (2005) Gender, religious involvement, and HIV/AIDS prevention in Mozambique. Social Science & Medicine 61, 15291539.CrossRefGoogle ScholarPubMed
Agadjanian, V. & Menjívar, C. (2008) Talking about the ‘Epidemic of the Millennium’: religion, informal communication, and HIV/AIDS in sub-Saharan Africa. Social Problems 55(3), 301321.CrossRefGoogle Scholar
Agha, S. (2000) The determinants of infant mortality in Pakistan. Social Science & Medicine 51, 199208.CrossRefGoogle ScholarPubMed
Allison, P. D. (1995) Survival Analysis Using SAS: A Practical Guide. SAS Institute Inc, Cary, NC.Google Scholar
Andoh, S. Y., Umezaki, M., Nakamura, K., Kizuki, M. & Takano, T. (2007) Association of household demographic variables with child mortality in Côte D'Ivoire. Journal of Biosocial Science 39, 257265.CrossRefGoogle ScholarPubMed
Antai, D., Ghilagaber, G., Wedrén, S. & Macassa, G. (2009) Inequalities in under-five mortality in Nigeria: differentials by religious affiliation of the mother. Journal of Religion and Health 48(3), 290304.CrossRefGoogle ScholarPubMed
Avogo, W. A. & Agadjanian, V. (2010) Forced migration and child health and mortality in Angola. Social Science & Medicine 70, 5360.CrossRefGoogle ScholarPubMed
Bourdillon, M. F. C. (1983) Christianity and wealth in rural communities in Zimbabwe. Zambezia XI(i), 3753.Google Scholar
Brockerhoff, M. & Derose, L. F. (1996) Child survival in East Africa: the impact of preventive health care. World Development 24(12), 18411857.CrossRefGoogle Scholar
Carmody, B. (2003) Religious education and pluralism in Zambia. Religious Education 98(2), 139154.CrossRefGoogle Scholar
Cleland, J. G. & Sathar, Z. A. (1984) The effect of birth spacing on childhood mortality in Pakistan. Population Studies 38(3), 401418.CrossRefGoogle ScholarPubMed
Curtis, S. L., Diamond, I. & McDonald, J. W. (1993) Birth interval and family effects on postneonatal mortality in Brazil. Demography 30(1), 3343.CrossRefGoogle ScholarPubMed
Das Gupta, M. (1990) Death clustering, mother's education and the determinants of child mortality in rural Punjab, India. Population Studies 44(3), 489505.CrossRefGoogle Scholar
Ellison, C. G. & George, L. K. (1994) Religious involvement, social ties, and social support in a southeastern community. Journal for the Scientific Study of Religion 33(1), 4661.CrossRefGoogle Scholar
Farah, A. & Preston, S. H. (1982) Child mortality differentials in Sudan. Population and Development Review 8(2), 365383.CrossRefGoogle Scholar
Gallup International (2010) Religion in the World at the End of the Millennium. Gallup International. URL: http://www.gallup-international.com/ (accessed 31st May 2010).Google Scholar
Garner, R. C. (2000) Religion as a source of social change in new South Africa. Journal of Religion in Africa 30(3), 310343.CrossRefGoogle Scholar
George, L. K, Ellison, C. G. & Larson, D. B. (2002) Explaining the relationships between religious involvement and health. Psychological Inquiry 13(3), 190200.CrossRefGoogle Scholar
Gregson, S., Zhumu, T., Anderson, R. M. & Chandiwana, S. K. (1999) Apostles and Zionists: the influence of religion on demographic change in Zimbabwe. Population Studies 53, 179193.CrossRefGoogle ScholarPubMed
Gyimah, S. O. (2007) What has faith got to do with it? Religion and child survival in Ghana. Journal of Biosocial Science 39, 923937.CrossRefGoogle Scholar
Gyimah, S. O., Takyi, B. K. & Addai, I. (2006) Challenges to the reproductive-health needs of African women: on religion and maternal health utilization in Ghana. Social Science & Medicine 62, 29302944.CrossRefGoogle Scholar
Hummer, R. A., Ellison, C. G., Rogers, R. G., Moulton, B. E. & Romero, R. R. (2004) Religious involvement and adult mortality in the United States: review and perspective. Sourthern Medical Journal 97(12), 12231230.CrossRefGoogle ScholarPubMed
Instituto Nacional de Estatística & Macro International (2005) Moçambique inquérito demográfico e de saúde 2003 [Mozambique demographic and health survey 2003]. Instituto Nacional de Estatística, Maputo, and Macro International, Calverton.Google Scholar
Instituto Nacional de Estatística (2009) Sinopse dos resultados definitivos do terceiro censo geral de população [Synopsis of definitive results of the third general population census]. Instituto Nacional de Estatística, MaputoGoogle Scholar
Jarvis, G. K. & Northcott, H. C. (1987) Religion and differences in morbidity and mortality. Social Science & Medicine 25(7), 813824.CrossRefGoogle ScholarPubMed
Jules-Rosette, B. (1997) At the threshold of the millennium: prophetic movements and independent churches in Central and Southern Africa. Archives de Sciences Sociales des Religions 99, 153167.CrossRefGoogle Scholar
Kollehlon, K. T. (1994) Religious affiliation and fertility in Liberia. Journal of Biosocial Science 26, 493507.CrossRefGoogle ScholarPubMed
Kravdal, O. (2004) Child mortality in India: the community-level effect of education. Population Studies 58(2), 177192.CrossRefGoogle ScholarPubMed
Minter, W. (1994) Apartheid's Contras: An Inquiry into the Roots of War in Angola and Mozambique. Zed Books, London.Google Scholar
Mpofu, E., Dune, T. M., Hallfors, D. D., Mapfumo, J., Mutepfa, M. M. & January, J. (2011) Apostolic faith church organization contexts for health and wellbeing in women and children. Ethnicity & Health 16(6), 551566.CrossRefGoogle ScholarPubMed
Omariba, D. W. R., Beaujot, R. & Rajulton, F. (2007) Determinants of infant and child mortality in Kenya: an analysis controlling for frailty effects. Population Research and Policy Review 26, 299321.CrossRefGoogle Scholar
Pew Research Center (2010) Tolerance and Tension: Islam and Christianity in Sub-Saharan Africa. Pew Research Center, Washington, DC.Google Scholar
Pfeiffer, J. (2002) African independent churches in Mozambique: healing the afflictions of inequality. Medical Anthropology Quarterly, New Series 16(2), 176199.CrossRefGoogle ScholarPubMed
Republic of Mozambique (2010) Report on the Millennium Development Goals. Republic of Mozambique. URL: http://web.undp.org/africa/documents/mdg/mozambique_september2010.pdf (accessed 24th May 2012).Google Scholar
SAS Institute Inc (2008) SAS/STAT ®9.2 User's Guide. SAS Institute Inc, Cary, NC.Google Scholar
Schellenberg, J. R. M., Nathan, R., Abdulla, S., Mukasa, O., Marchant, T. J., Tanner, M.et al. (2002) Risk factors for child mortality in rural Tanzania. Tropical Medicine and International Health 7(6), 506511.CrossRefGoogle Scholar
Schoffeleers, M. (1991) Ritual healing and political acquiescence: the case of the Zionist churches in Southern Africa. Journal of the International African Institute 61(1), 125.CrossRefGoogle Scholar
Sear, R., Steele, F., McGregor, I. A. & Mace, R. (2002) The effects of kin on child mortality in rural Gambia. Demography 39(1), 4363.CrossRefGoogle Scholar
Takyi, B. K. & Addai, I. (2002) Religious affiliation, marital processes and women's educational attainment in a developing society. Sociology of Religion 63(2), 177193.CrossRefGoogle Scholar
Taylor, R. J. & Chatters, L. M. (1988) Church members as a source of informal social support. Review of Religious Research 30(2), 193203.CrossRefGoogle Scholar
Trinitapoli, J. (2006) Religious response to AIDS in sub-Saharan Africa: an examination of religious congregations in rural Malawi. Review of Religious Research 47(3), 253270.Google Scholar
Turner, H. W. (1980) African independent churches and economic development. World Development 8, 523533.CrossRefGoogle Scholar
UN Mozambique (2012) Mozambique Key Development Indicators. United Nations, Mozambique. URL: http://mz.one.un.org/eng/About-Mozambique/Mozambique-Key-Development-Indicators (accessed 24th May 2012).Google Scholar
United Nations (2010) The Millennium Development Goals Report 2010. United Nations, New York.Google Scholar
Valle, E. D. V., Fernández, L. & Potter, J. E. (2009) Religious affiliation, ethnicity, and child mortality in Chiapas, México. Journal for the Scientific Study of Religion 48(3), 588603.CrossRefGoogle ScholarPubMed
Verona, A. P. D., Hummer, R., Júnior, C. S. D. & De Lima, L. C. (2010) Infant mortality and mothers religious involvement in Brazil. Revista Brasileira de Estudos de População 27(1), 5974.CrossRefGoogle Scholar
WHO (2011) World Health Statistics 2011. World Health Organization, Geneva. URL: http://www.doh.gov.za/docs/stats/2011/who.pdf (accessed 24th May 2012).Google Scholar
Wood, C. H., Williams, P. & Chijiwa, K. (2007) Protestantism and child mortality in northeast Brazil, 2000. Journal for the Scientific Study of Religion 46(3), 405416.CrossRefGoogle Scholar
World Bank (2012) World Development Indicators, Mozambique. URL: http://data.worldbank.org/country/mozambique (accessed 24th May 2012).Google Scholar