Mortality inequality in 1-59 months children across Iranian provinces: referring system and determinants of death based on hospital records

To determine inequality in mortality in 1-59 months children across Iranian provinces focusing on referring system and determinants of death. After designing and examining a national questionnaire for mortality data collection of children 1-59 months, 40 medical universities have been asked to fill...

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Bibliographic Details
Published in:International journal of preventive medicine 2013-03, Vol.4 (3), p.265-270
Main Authors: Amiri, Masoud, Lornejad, Hamid Reza, Barakati, Sayyed Hamed, Motlagh, Mohammad Esmaeil, Kelishadi, Roya, Poursafa, Parinaz
Format: Article
Language:English
Subjects:
Births
Central nervous system
Child mortality
Children
Children & youth
Children mortality
Childrens health
Data collection
Death
Developing countries
Equity
Health education
hospital records
Hospitals
Inequality
Iran
LDCs
Lung diseases
Medical research
national mortality registration system
Original
Parasitic diseases
Provinces
Questionnaires
referring system
Registration
Studies
Surveillance
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Summary:To determine inequality in mortality in 1-59 months children across Iranian provinces focusing on referring system and determinants of death. After designing and examining a national questionnaire for mortality data collection of children 1-59 months, 40 medical universities have been asked to fill in the questionnaires and return to the main researcher in the health ministry in 2009. Mortality in 1-59 months children was unequally distributed across provinces (universities). The recommended refer was 3466 but only 1620 patients were referred. The first five important determinants of death were congenital (671 children or 20.9%), accident (547 children or 17.1%), pulmonary diseases (370 children or 11.5%), cardiovascular (266 children or less than 8.3%), central nervous system (263 children or 8.2%), and infectious and parasitic diseases (245 children or 7.6%), respectively. Our results suggest that inequality in 1-59 months mortality based on the hospital records, and specially referring system, needs more attention in Iran. In addition, it is advisable to conduct provincially representative surveys to provide recent estimates of hospital access inequalities and to allow monitoring over time.
ISSN:2008-7802
2008-8213