Advances in Nursing & Midwifery

Vol. 33 No. 1 (2024)

Access Priorities in Controlling Neonatal Mortality in Iran

Advances in Nursing & Midwifery, Vol. 33 No. 1 (2024), 15 January 2024 , Page 28-35
https://doi.org/10.22037/anm.v33i1.44787

Abstract

Introduction: Despite the success in reducing neonatal mortality in Iran, it is still far from developing countries and some Asian countries in this field. This study seeks to identify access priorities in controlling neonatal mortality for planning. Therefore, factors affecting access can be a predictive factor in controlling neonatal mortality in future macro-level management policies.
Methods: This applied cross-sectional research was done by the factor analysis method based on four patterns of reducing neonatal mortality. After reviewing different texts and patterns, the common and non-common dimensions of these patterns were set in a comparative table. The results of comparative studies were designed in the form of a questionnaire and sent to 20 experts for reliability and validity. Validity was confirmed by CVI and CVR methods and reliability by Cronbach's method. To validate the model, the final questionnaire was completed and collected by interviewing 311 people from seven provinces in a multi-stage interview with the multi-stage random sampling method. Data were analyzed using SPSS25 and AMOS-18 software.
Results: A total of six factors were identified as effective in controlling neonatal mortality, which include access to health services, policy-making, health care delivery, health information systems, family participation, and evaluation. Among these, access to health services and evaluation had the highest and the least effects with 23.19% and 1.19% of explained variances, respectively.
Conclusions: The availability of a skilled and trained person and the guarantee of the national budget for the availability of these people are the most important factors in access to controlling the mortality rate.

Keywords:
  • Health Services
  • Health Policy
  • Factor Analysis
  • Neonatal Mortality

How to Cite

Madadzadeh, N., Hesam, S., & Yousefi, S. (2024). Access Priorities in Controlling Neonatal Mortality in Iran. Advances in Nursing & Midwifery, 33(1), 28–35. https://doi.org/10.22037/anm.v33i1.44787

References

1. World Bank. Mortality rate, neonatal mortality rate 2021 [updated 2024; cited 2024]. Available from: https://data.worldbank.org/indicator/SH.DYN.NMRT?locations=IR.

2. Marandi SA, Ezzeddin-Zanjani N. The promotion of breast feeding in the Islamic Republic of Iran. Int J Prev Med. 2012;3(8):520-1.

3. Statistical Center of Iran. Population and Development Data Sheet for the Islamic Republic of Iran. 2003.

4. Blencowe H, Cousens S. Addressing the challenge of neonatal mortality. Trop Med Int Health. 2013;18(3):303-12. doi: 10.1111/tmi.12048 pmid: 23289419

5. UNICEF. Neonatal mortality rate 2022 [updated 2025; cited 2024]. Available from: https://data.unicef.org/country/irn/#child-survival.

6. Evans M, Jeemon J, Strysko C, Toole L, Catts R. A systematic review: Infant and maternal mortality and morbidity in developing countries. J Nursing Undergraduate Work. 2018.

7. Mbwele B, Reddy E, Reyburn H. A rapid assessment of the quality of neonatal healthcare in Kilimanjaro region, northeast Tanzania. BMC Pediatr. 2012;12:182. doi: 10.1186/1471-2431-12-182 pmid: 23171226

8. Desalew A, Sintayehu Y, Teferi N, Amare F, Geda B, Worku T, et al. Cause and predictors of neonatal mortality among neonates admitted to neonatal intensive care units of public hospitals in eastern Ethiopia: a facility-based prospective follow-up study. BMC Pediatr. 2020;20(1):160. doi: 10.1186/s12887-020-02051-7 pmid: 32290819

9. Erchick DJ, Lackner JB, Mullany LC, Bhandari NN, Shedain PR, Khanal S, et al. Causes and age of neonatal death and associations with maternal and newborn care characteristics in Nepal: a verbal autopsy study. Arch Public Health. 2022;80(1):26. doi: 10.1186/s13690-021-00771-5 pmid: 35012655

10. Lee AC, Katz J, Blencowe H, Cousens S, Kozuki N, Vogel JP, et al. National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. Lancet Glob Health. 2013;1(1):e26-36. doi: 10.1016/S2214-109X(13)70006-8 pmid: 25103583

11. Lawn JE, Cousens S, Zupan J, Lancet Neonatal Survival Steering T. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365(9462):891-900. doi: 10.1016/S0140-6736(05)71048-5 pmid: 15752534

12. Vesel L, Manu A, Lohela TJ, Gabrysch S, Okyere E, Ten Asbroek AH, et al. Quality of newborn care: a health facility assessment in rural Ghana using survey, vignette and surveillance data. BMJ Open. 2013;3(5). doi: 10.1136/bmjopen-2012-002326 pmid: 23667161

13. Heidarnia MA, Abadi A, Motlagh MF, Heidarzadeh M, Habibelahi A, Raji F. Profile of neonatal mortality in Iran in 1391. 2016.

14. World Health Organization. Maternal and newborn health regional office for Europe 2020. Available from: https://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/maternal-and-newborn-health.

15. Habibelahi A, Heidarzadeh M, Abdollahi L, Taheri M, Ghaffari-Fam S, Vakilian R, et al. Clinical cause of neonatal mortality in Iran: analysis of the national Iranian Maternal And Neonatal network. BMJ Paediatr Open. 2024;8(1). doi: 10.1136/bmjpo-2023-002315 pmid: 38508661

16. Rosa-Mangeret F, Benski AC, Golaz A, Zala PZ, Kyokan M, Wagner N, et al. 2.5 Million Annual Deaths-Are Neonates in Low- and Middle-Income Countries Too Small to Be Seen? A Bottom-Up Overview on Neonatal Morbi-Mortality. Trop Med Infect Dis. 2022;7(5). doi: 10.3390/tropicalmed7050064 pmid: 35622691

17. Chou D, Daelmans B, Jolivet RR, Kinney M, Say L, Every Newborn Action Plan, et al. Ending preventable maternal and newborn mortality and stillbirths. BMJ. 2015;351:h4255. doi: 10.1136/bmj.h4255 pmid: 26371222

18. Jemal B, Abebe T, Zemedkun A, Basu B, Mola S, Neme D, et al. Determinants of neonatal mortality in the neonatal intensive care unit of Dilla University Referral Hospital, Southern Ethiopia; 2019-2020; A matched, case-control study. Heliyon. 2022;8(9):e10389. doi: 10.1016/j.heliyon.2022.e10389 pmid: 36091958

19. World Health Organization. Regional Office for the Western Pacific, Action Plan for Healthy Newborn Infants in the Western Pacific Region (2014-2020) 2020 [updated 2020; cited 2024]. Available from: https://iris.wpro.who.int/handle/10665.1/10454.

20. UNICEF. Maternal and neonatal health in East Asia and the Pacific: country profiles and case studies. Bangkok: UNICEF East Asia and Pacific Regional Office, 2013.

21. Bakhshi F, Mokhtari N, Jafroodi S, Abbasi M, Atrkar N. Survey influencing factors on prenatal care in refrrring maternal to health care centers in Rasht city. Iranian Journal of Nursing Research. 2012;6(23):41-50.

22. Zylbersztejn A, Gilbert R, Hjern A, Wijlaars L, Hardelid P. Child mortality in England compared with Sweden: a birth cohort study. Lancet. 2018;391(10134):2008-18. doi: 10.1016/S0140-6736(18)30670-6 pmid: 29731173

23. World Health Organization. Action plan for healthy newborn infants in the Western Pacific region (2014-2020). 2014.

24. Malqvist M, Yuan B, Trygg N, Selling K, Thomsen S. Targeted interventions for improved equity in maternal and child health in low- and middle-income settings: a systematic review and meta-analysis. PLoS One. 2013;8(6):e66453. doi: 10.1371/journal.pone.0066453 pmid: 23840474

25. Sambo LG, Kirigia JM. Africa's health: could the private sector accelerate the progress towards health MDGs? Int Arch Med. 2011;4:39. doi: 10.1186/1755-7682-4-39 pmid: 22118626

26. Homai Rad A, Samadi A, Bayazidi Y, Hayati R. Comparison of economic and social factors affecting the mortality of children under one year in MENA countries. Economic Modeling Research Quarterly. 2012;3(12):135-51.

27. Mousavi M, Meshkini A, Visian M, Hosseini M. Assessing the levels of development of health services with multi-criteria decision model (Case study: Cities of Khorasan Razavi province). Journal of Studies Of Human Settlements Planning. 2016;73(4).

28. Office of Population, Family and School Health - Children's Health Department. Integrated Care of Healthy Children: Andishehnegar Publications; 2020.

29. Okeke EN, Chari AV. Health care at birth and infant mortality: Evidence from nighttime deliveries in Nigeria. Soc Sci Med. 2018;196:86-95. doi: 10.1016/j.socscimed.2017.11.017 pmid: 29161641

30. Dev A, Casseus M, Baptiste WJ, LeWinter E, Joseph P, Wright P. Neonatal mortality in a public referral hospital in southern Haiti: a retrospective cohort study. BMC Pediatr. 2022;22(1):81. doi: 10.1186/s12887-022-03141-4 pmid: 35130857

  • Abstract Viewed: 102 times
  • pdf Downloaded: 81 times

Download Statastics

Information

Language