This study investigates the effect of both total and unsupplemented br
east-feeding in conjunction with birth interval on early childhood mor
tality, using longitudinal data from Matlab, Bangladesh. A discrete ha
zard model approach shows that it is not the duration of total breast-
feeding but the duration of unsupplemented breast-feeding which increa
ses child survival. Unsupplemented breast-feeding appears as such a cr
ucial determinant of early childhood mortality that its effect could n
ot be substantially attenuated even when important demographic and soc
ioeconomic factors were controlled. Each of the covariates-supplementa
tion, previous birth interval and onset of a subsequent conception-has
an independent influence on early childhood mortality.