Distribution of mortality among 1 - 59 month-old children across Iranian provinces in 2009: the national mortality surveillance system.

Autor: Motlagh ME; Department of Pediatrics, Jondishapour University of Medical Sciences, Ahwaz, Iran., Kelishadi R, Barakati SH, Lornejad HR, Amiri M, Poursafa P
Jazyk: angličtina
Zdroj: Archives of Iranian medicine [Arch Iran Med] 2013 Jan; Vol. 16 (1), pp. 29-33.
DOI: 013161/AIM.0010
Abstrakt: Objective: To determine the distribution of mortality in 1 - 59 month-old children across Iranian provinces in a national mortality surveillance system. 
Methods: This national survey was conducted in 2009. A questionnaire was designed and standardized for collecting mortality data of children aged 1 - 59 months. The project team, consisting of collaborators from the whole 40 medical universities, filled in the questionnaires and returned them to the Ministry of Health and Medical Education (MOHME).
Results: The mortality in 1 - 59 month-old children was unequally distributed across provinces. The mortality was higher among children of less- educated mothers than in children of more- educated mothers. There was a reverse association between 1 - 59 months mortality and socioeconomic status across Iran as a whole and within most provinces.
Conclusion: Our results suggest that socioeconomic distribution in mortality of 1 - 59 month-old children favors the better-off in Iran as a whole and in most of its provinces. Investigating why mortality is higher in some provinces deserves special attention. Furthermore, it is advisable to conduct provincially-representative surveys to provide update estimates of different health situations and to allow their monitoring over time.
Databáze: MEDLINE