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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   JANUARY 2013 , Volume 16 , Number 1; Page(s) 29 To 33.
 
Paper: 

DISTRIBUTION OF MORTALITY AMONG 1-59 MONTH-OLD CHILDREN ACROSS IRANIAN PROVINCES IN 2009: THE NATIONAL MORTALITY SURVEILLANCE SYSTEM

 
 
Author(s):  MOTLAGH MOHAMMAD ESMAEIL, KELISHADI ROYA, BARAKATI SAYYED HAMED*, LORNEJAD HAMID REZA, AMIRI MASOUD, POURSAFA PARINAZ
 
* CHILD HEALTH OFFICE, MINISTRY OF HEALTH AND MEDICAL EDUCATION, TEHRAN, IRAN
 
Abstract: 

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.
Conclusions: 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.

 
Keyword(s): CHILDREN MORTALITY, DISTRIBUTION, IRAN, NATIONAL MORTALITY REGISTRATION SYSTEM
 
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