Mehdi SAFARPOUR
(Iran University of Medical Sciences, Faculty of Public Health, Department of Epidemiology, Tehran, Iran)
Amir TIYURI
(Iran University of Medical Sciences, Student Research Committee, Tehran, Iran)
Parvin MOHAMADZADE
(North Khorasan University of Medical Sciences, Health Deputy, Bojnurd, Iran)
Maryam DADJOO
(North Khorasan University of Medical Sciences, Health Deputy, Bojnurd, Iran)
Seyed Ahmad HASHEMY
(North Khorasan University of Medical Sciences, Health Deputy, Bojnurd, Iran)
Masume MOHAMADZADE
(Babol University of Medical Sciences, Health Deputy, Babol, Iran)
Ehsan SHAHRESTANAKI
(Tehran University of Medical Sciences, Faculty of Public Health, Department of Epidemiology and Biostatistics, Tehran, Iran)
Yıl: 2020Cilt: 7Sayı: 1ISSN: 2147-9445 / 2587-2478Sayfa Aralığı: 64 - 70İngilizce

72 0
Mortality Rate and Causes of Death in Children Aged 1-59 Months in Northeastern Iran During 2011-2017
Aim: The mortality rate indicator for children is one of the important indicators of population health and socioeconomic development of countries. In addition, to reduce the mortality in children, it is essential to determine causes of death. This study aims to determine the mortality causes in children aged 1-59 months in Northeastern Iran. Materials and Methods: This population-based cross-sectional study was conducted based on data from the child mortality surveillance system, from March 2011 to March 2017. The mortality rate was evaluated according to demographic variables (sex, place of residence and mother’s education). Causes of death were coded according to the International Classification of Diseases. Chi-square and Mann-Whitney U tests were applied to investigate the relationships. Results: The mortality rate in children aged 1-59 months was 8.2 per 1,000 live births (CI 95%: 7.6-8.8) from 2011 to 2017. Totally 53.2% of mortalities occurred in boys (p=0.07). The frequency of death in the age group of 1-11 months was 1.7 times more than the age group of 12-59 months. The highest mortality rates occurred in rural areas and among children with illiterate mothers. During the study period, on average, the mortality rate decreased by 0.7 per 1,000 live births every year. The most common causes of death were unintentional accidents (33.8%) and congenital or chromosomal abnormalities (22.1%). Conclusion: Improving maternal education is among the key strategies for reducing child mortality. Therefore, it is necessary to raise the level of education and awareness regarding childhood mortality, especially in rural areas.
DergiAraştırma MakalesiErişime Açık
  • 1. Murray CJ, Laakso T, Shibuya K, Hill K, Lopez AD. Can we achieve Millennium Development Goal 4? New analysis of country trends and forecasts of under-5 mortality to 2015. Lancet 2007;370:1040-54.
  • 2. WHO. WHO | Newborn death and illness: World Health Organization; 2011 [Available from: http://www.who.int/ pmnch/media/press_materials/fs/fs_newborndealth_illness/ en/.
  • 3. UNICEF. Levels and Trends in Child Mortality, 1990–2012. Report 2013. 2013.
  • 4. WHO. Children: reducing mortality: WHO; 2018 [updated October 2017. Available from: http://www.who.int/ mediacentre/factsheets/fs178/en/.
  • 5. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095-128.
  • 6. Soori H, Rafiei E, Entezami N, Hasani J, Hossaini SM. A comparison study on rate and causes of under 5 years old deaths in Iran, eastern Mediterranean region and the world. J Safety Promot Injury Prev 2016;4:1-8.
  • 7. Rahbar M, Ahmadi M, Lornejad H, Habibelahi A, Sanaei-Shoar T, Mesdeaghinia A. Mortality causes in children 1–59 Months in Iran. Iran J Public Health 2013;42(Supple1):93.
  • 8. Izadi N, Shetabi H, Bakhtiari S, Janat AM, Parabi M, Ahmadi K. The Rate and Causes of Infant Mortaliry in the Hospitals of Kermanshah Province During 2011-2014. J Rafsanjan Univ Med Sci 2016;15:129-38.
  • 9. UNICEF, WHO, World Bank. Levels and trends in child mortality 2017 [cited 2018. Available from: http://www.who.int/ maternal_child_adolescent/en/-2013/en/pdf.
  • 10. Rajaratnam JK, Marcus JR, Flaxman AD, et al. Neonatal, postneonatal, childhood, and under-5 mortality for 187 countries, 1970–2010: a systematic analysis of progress towards Millennium Development Goal 4. Lancet 2010;375:1988-2008.
  • 11. Health Department-Population and Family Health Office. Report of the national system of death surveillance of children 1-59 months. Tehran: Ministry of Health of the Islamic Republic of Iran; 2017.
  • 12. Ahmadi A, Javadi A. Trends and Determinants of Infant Mortality Rate in Fars Province during 2001-2011. J Rafsanjan Univ Med Sci 2015;14:37-46.
  • 13. Sharifian R, Ghanbari Jahromi M, Khammarnia M, Shokrpour N, Kasani A. The Comparison of Maternal and Child Health Indicators before and after the Family Physician Program in Shiraz, from 2001 to 2012. J Health Sci Surveillance Sys January 2017;5:15-21.
  • 14. Frey RS, Field C. The determinants of infant mortality in the less developed countries: a cross-national test of five theories. Soc Indicat Res 2000;52:215-34.
  • 15. Hossain MM, Mani KK, Islam MR. Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from the Bangladesh demographic and health survey, 2011. PLoS Neglected Trop Dis 2015;9:e0003616.
  • 16. Koffi AK, Kalter HD, Loveth EN, Quinley J, Monehin J, Black RE. Beyond causes of death: The social determinants of mortality among children aged 1-59 months in Nigeria from 2009 to 2013. PLoS One 2017;12:e0177025.
  • 17. Motlagh ME, Kelishadi R, Barakati SH, Lornejad HR, Poursafa P. Distribution of mortality among 1-59 month-old children across Iranian provinces in 2009: the national mortality surveillance system. Arch Iran Med 2013;16:29.
  • 18. Yi B, Wu L, Liu H, Fang W, Hu Y, Wang Y. Rural-urban differences of neonatal mortality in a poorly developed province of China. BMC Publ Health 2011;11:477.
  • 19. Veneman AM. Education is key to reducing child mortality: the link between maternal health and education. UN Chronicle 2007;44:58-9.
  • 20. Raghupathy S. Education and the use of maternal health care in Thailand. Soc Sci Med 1996;43:459-71.
  • 21. Kravdal Ø. Child mortality in India: the community-level effect of education. Popul Stud 2004;58:177-92.
  • 22. Pongou R. Why is infant mortality higher in boys than in girls? A new hypothesis based on preconception environment and evidence from a large sample of twins. Demography 2013;50:421-44.
  • 23. United Nations. Sex Differentials in Childhood Mortality New York: Department of Economic and Social Affairs Population Division; 2011 [cited 2018. Available from: http:// www.un.org/esa/population/publications/SexDifChildMort/ SexDifferentialsChildhoodMortality.pdf.
  • 24. Rosenstock S, Katz J, Mullany LC, et al. Sex differences in neonatal mortality in Sarlahi, Nepal: the role of biology and environment. J Epidemiol Community Health 2013;67:986-91.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.