Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Estimation of a Neonatal Health Production Function for Iran: Secondary Analysis of Iran’S Multiple Indicator Demographic and Health Survey 2010



Aminirarani M1 ; Rashidian A2, 3 ; Bayati M4 ; Khedmati Morasae E5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Information, Evidence and Research, World Health Organization, Eastern Mediterranean Region, Cairo, Egypt
  4. 4. Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Center for Systems Studies, Hull University Business School (HUBS), Hull York Medical School (HYMS), University of Hull, Hull, United Kingdom

Source: Iranian Journal of Public Health Published:2019

Abstract

Background: Despite constant decrease in rate of neonatal mortality, the rate is still higher than that of other under-five children. One of the first steps towards reduction of neonatal mortality is to identify its determinants using health production function. The aim of the present study was to estimate neonatal health production function for Iran. Methods: In this cross-sectional study, Iranian Multiple Indicator Demographic and Health Survey (Ir-MIDHS) 2010 was used. Four categories of socioeconomic, mother, neonatal demographic and healthcare system factors were entered into the Binomial Logistic Regression model to estimate neonate health production function. Households’ economic status was constructed using principal component analysis. Results: History of abortion/stillbirth had the highest significant positive impact on odds of neonatal mortality (odds ratio=1.98; 95 % CI=1.55-2.75), indicating that neonates of mothers with such a history had 1.98 times higher chance of death compared to other neonates. Moreover, odds ratio of neonatal death for the poorest quintiles was 1.70 (95 % CI=1.08-2.74), indicating that by moving from the poorest quintile to the richest one, the odds of being alive for neonates increased up to 70%. However, skilled birth attendant decreased the chance of death up to 58% (odds ratio=0.58; 95 % CI=0.36-0.93). Conclusion: Considering the most significant inputs of neonatal health production function in Iran, improvement of economic status of households, provision of appropriate care services for mothers, and improvement of delivery care provided by trained personnel, could be priorities for health policymakers to act and reduce neonatal mortality in Iran. © 2019, Iranian Journal of Public Health. All rights reserved.
Related Docs
View other Related Docs
1. Measuring Socioeconomic Inequality Changes in Child Mortality in Iran: Two National Surveys Inequality Analysis, Iranian Journal of Public Health (2018)
2. Changes in Socio-Economic Inequality in Neonatal Mortality in Iran Between 1995-2000 and 2005-2010: An Oaxaca Decomposition Analysis, International Journal of Health Policy and Management (2017)
3. Epidemiologic View and Spatial Analysis of the Mortality of Children Under 5 Years of Age in Isfahan Province in 2011-2016, International Journal of Preventive Medicine (2021)
4. Distribution of Mortality Among 1-59 Month-Old Children Across Iranian Provinces in 2009: The National Mortality Surveillance System, Archives of Iranian Medicine (2013)
5. Decomposing Educational Inequality in Maternal Mortality in Iran, Women and Health (2021)
6. An Exploratory Study Into Social and Healthcare Variables of Maternal Mortality: A Case-Control Study, Journal of Perinatal Medicine (2019)
7. Socioeconomic Inequality of Unintended Pregnancy in the Iranian Population: A Decomposition Approach, BMC Public Health (2018)
8. What Has Iran Achieved in Under-Five Mortality in Terms of Equity and Efficiency in the Past Decades?, Public Health (2019)
Experts (# of related papers)
View all Related Experts
Mostafa Amini Rarani (11)
Roya Kelishadi (6)
Other Related Docs
9. A Study of the Correlations of Socio-Economic and Demographic Indexes With the Causes of Infant Mortality (A Case Study of Isfahan Province, Iran, in 2015), Annals of Tropical Medicine and Public Health (2018)
10. Neonate, Infant, and Child Mortality in North Africa and Middle East by Cause: An Analysis for the Global Burden of Disease Study 2019, Archives of Iranian Medicine (2022)
11. Fairness in Household Financial Contribution to the Iran’S Healthcare System From 2008 to 2018, BMC Research Notes (2021)
12. Challenges to Implementing Physiologic Birth Program (Pbp): A Qualitative Study of Midwives Opinion in Iran, Acta Medica Mediterranea (2015)
13. A Comprehensive Home-Care Program for Health Promotion of Mothers With Preeclampsia: Protocol for a Mixed Method Study, Reproductive Health (2019)
14. The Rate and the Causes of Under-5-Year-Old Children Mortality in Isfahan Province, Iran, During the Years 2012-2018, Journal of Isfahan Medical School (2020)
15. Quality Assessment of Peripartum Care, Iranian Red Crescent Medical Journal (2014)
16. The Effects of Unsafe Abortion on the Health System From a Socio-Economic Perspective: A Narrative Review, Journal of Midwifery and Reproductive Health (2023)
17. Explanatory Social Variables of Under-5 Mortality Caused by Injury in Isfahan Province, Islamic Republic of Iran; [Variables Sociales Explicatives De La Mortalite Des Moins De 5 Ans Due a Des Traumatismes Dans La Province D’Ispahan (Republique Islamique D’Iran)], Eastern Mediterranean Health Journal (2020)
18. Socioeconomic Inequality in Congenital Heart Diseases in Iran, International Journal for Equity in Health (2021)
19. Evaluation of Reproductive Health Indicators in Women Affected by East Azarbaijan Earthquake on August 2012, Iranian Journal of Nursing and Midwifery Research (2016)
20. Epidemiological Study of Factors Related to the Mortality of Under-Five Years in Isfahan Province in the Years 2018 to 2021, Iranian Journal of Epidemiology (2022)
21. Socio-Demographic and Lifestyle Factors in Breastfeeding Mothers, Referring to Isfahan Health Centers, International Journal of Pediatrics (2016)
22. Early Childhood Development in Iran and Its Provinces: Inequality Versus Average, International Journal of Health Planning and Management (2018)
23. Maternal Mortality in Isfahan Province 2001-2006, Journal of Medical Sciences (2007)
24. Evaluating the Implementation of Helping Babies Survive Program to Improve Newborn Care Conditiona, Journal of Education and Health Promotion (2021)
25. Maternal‑Infant Outcomes of Birth Planning: A Review Study, Journal of Education and Health Promotion (2023)
26. Women’S Relative Status and Childbearing Intentions: Empirical Evidence From Iran, PLoS ONE (2018)
27. Evaluating the Prevalence of Different Types of Obstetric Hemorrhage and Its Related Factors in the Second-And Third-Level Hospitals Affiliated to Isfahan University of Medical Sciences, Iran, During the Third Quarter of Year 2016, Journal of Isfahan Medical School (2018)
28. The Utilization Rate of Antenatal Care After Health Sector Reform Implementation in Rural Areas of Islamic Republic of Iran, Iranian Journal of Nursing and Midwifery Research (2014)
29. Mothers and Their Children’S Health (Match): A Study Protocol for a Population‐Based Longitudinal Cohort, BMC Pregnancy and Childbirth (2021)
30. Lifetime Prevalence of Abortion in 15-50 Year-Old Females in Tehran and Its Predictors; a Population-Based Cross-Sectional Study, Iranian Journal of Epidemiology (2021)
31. Global, Regional, and National Age-Sex-Specific Mortality and Life Expectancy, 1950-2017: A Systematic Analysis for the Global Burden of Disease Study 2017, The Lancet (2018)
32. Mortality Inequality in 1-59 Months Children Across Iranian Provinces: Referring System and Determinants of Death Based on Hospital Records, International Journal of Preventive Medicine (2013)
33. Review of Epidemiology of Gestational Diabetes in Iran, Journal of Isfahan Medical School (2010)
34. Estimating the Lifetime and Age-Conditional Risk of an Hiv Diagnosis in Iran, 2011-2015, Iranian Journal of Public Health (2021)
35. To What Extent Has the Iranian Health Transformation Plan Addressed Inequality in Healthcare Financing in Iran?, International Journal for Equity in Health (2023)
36. Cord Blood Lipid Profile and Associated Factors: Baseline Data of a Birth Cohort Study, Paediatric and Perinatal Epidemiology (2007)
37. Food Security Among Pregnant Women and Its Relationship With Body Mass Index in Eastern Iran, Journal of Nutrition and Food Security (2023)
38. Decomposition of Socioeconomic Inequalities in Preterm Deliveries in Tehran, Iran, International Journal of Gynecology and Obstetrics (2018)
39. Study of Maternal Death in Amin Hospital in Isfahan, Iran, Iranian Journal of Public Health (1976)
40. Effect of Vaginal Bleeding in First Trimester of Pregnancy on Pregnancy Outcomes, Journal of Isfahan Medical School (2011)
41. Effective Strategies for Reducing Maternal Mortality in Isfahan University of Medical Sciences, 2014, Iranian Journal of Nursing and Midwifery Research (2016)
42. Is Women's Employment in Health Centers Associated With Their Quality of Life? a Case Study of Employed Women in Zabol, Iran in 2010, Iranian Journal of Epidemiology (2013)
43. Income-Related Inequality in Completed Suicide Across the Provinces of Iran, Epidemiology and Health (2018)
44. Prevalence of Multiple Birth in Isfahan, Iran, Journal of Research in Medical Sciences (2018)
45. Comparing the Main Reproductive Health Indices in Rural Areas of Isfahan Province, Iran, Before and After Family Physician Program Intervention During 2001-2011, Journal of Isfahan Medical School (2014)
46. Nutritional Status of Under Six Years Old Children in Kalar City, Kurdistan Region, Iraq, BMC Public Health (2022)
47. Risk Factors of Postpartum Depression in Rural Areas of Isfahan Province, Iran, Archives of Iranian Medicine (2009)
48. Early Outcome of Preterm Infants With Birth Weight of 1500 G or Less and Gestational Age of 30 Weeks or Less in Isfahan City, Iran, World Journal of Pediatrics (2010)
49. A National Survey on the Pattern of Breastfeeding in Iranian Infants: The Irmidhs Study, Medical Journal of the Islamic Republic of Iran (2016)
50. Association Between Air Pollution and Preterm Birth Among Neonates Born in Isfahan, Iran, Journal of Research in Medical Sciences (2013)