Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Rate and the Causes of Under-5-Year-Old Children Mortality in Isfahan Province, Iran, during the Years 2012-2018

Document Type : Original Article (s)

Authors
Reza Khadivi 1
Monir Sadat Mirnasiry 2
Sara Fazelian 3
Mohammad Aghababayi-Badi 3
1 Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Deputy of Health, Provincial Health Center, Isfahan, Iran
10.22122/jims.v38i582.12798
Abstract
Background: The aim of present study was to evaluate the rate and causes of mortality of under-5-year-old children in a 7-year period.Methods: This retrospective cross-sectional study was performed in 2019. The data about mortality of under-5-year-old children were collected in districts covered by Isfahan University of Medical Sciences (MUI), Isfahan, Iran, between the years 2012 and 2018. The data gathered as census from the database of family and population group in the provincial health center. We evaluated all the data of deaths and their causes.Findings: The neonatal mortality rate ranged between 6.56 and 7.34 per 1000 live births during the study period. The most common causes of neonatal deaths were malformations, respiratory distress syndrome, and sepsis, respectively. The infantile mortality rate aged less than 12 months ranged 9.01 and 10.24 per 1000 live births. The mortality rate of children between 1 and 59 months old reduced from 4.6 to 4.27 per 1000 live births. The most common causes of death in 1-59-month-old children were cardiovascular diseases, accidents, and neurological diseases, respectively. Under-5 mortality rate reduced from 11.79 to 10.83 per 1000 live births.Conclusion: In studied 7-year period, the trend of less than 5 years old mortality rate decreased in regions that covered by Isfahan University of Medical Sciences.
Keywords
Mortality rate
Infants
Neonates
Children
  1. World Health Organization. Under-five mortality. Global Health Observatory (GHO) data [Online]. [cited 2014]; Available from: URL: https://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/
  2. Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000-15: An updated systematic analysis with implications for the Sustainable Development Goals. Lancet 2016; 388(10063): 3027-35.
  3. Mohammadi Y, Parsaeian M, Farzadfar F, Kasaeian A, Mehdipour P, Sheidaei A, et al. Levels and trends of child and adult mortality rates in the Islamic Republic of Iran, 1990-2013; protocol of the NASBOD study. Arch Iran Med 2014; 17(3): 176-81.
  4. Nojomi M, Naserbakhat M, Ramezany M, Anbary K. Under-5 Year Mortality: Result of In-Hospital Study, Tehran, Iran. Acta Med Iran. 47(4):319-324.
  5. Naderimagham S, Jamshidi H, Khajavi A, Pishgar F, Ardam A, Larijani B, et al. Impact of rural family physician program on child mortality rates in Iran: A time-series study. Popul Health Metr 2017; 15(1): 21.
  6. Heidarnia MA, Abadi A, Motlagh ME, Heidarzadeh M, Habibelahi A, Dalili H, et al. Neonatal mortality rate in Iran: The Iranian Perinatal Mortality Surveillance System. J Pediatr Neonat Individual Med 2018; 7(2): e070217.
  7. Golestan M, Fallah R, Akhavan Karbasi S. Neonatal mortality of low birth weight infants in Yazd, Iran. Iran J Reprod Med 2008; 6 (5): 205-8.
  8. Chaman R, Holakouie Naieni K, Golestan B, Nabavizadeh H, Yunesian M. Neonatal mortality risk factors in a rural part of Iran: A nested case-control study. Iran J Public Health 38(1):48-52.
  9. Wu QJ, Li LL, Li J, Zhou C, Huang YH. Time trends of neonatal mortality by causes of death in Shenyang, 1997-2014. Oncotarget 2016; 7(13): 16610-8.
  10. World Health Organization. Tables of health statistics by country, WHO region and globally [Online]. [cited 2020 Jul 30]; Available from: URL: https://www.who.int/gho/publications/world_health_statistics/2020/EN_WHS_2020_Annex2.pdf?ua=1
  11. Forouzanfar MH, Sepanlou SG, Shahraz S, Dicker D, Naghavi P, Pourmalek F, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Arch Iran Med 2014; 17(5): 304-20.
  12. Lawn JE, Wilczynska-Ketende K, Cousens SN. Estimating the causes of 4 million neonatal deaths in the year 2000. Int J Epidemiol 2006; 35(3): 706-18.
  13. Mathews TJ, MacDorman MF. Infant mortality statistics from the 2006 period linked birth/infant death data set. Natl Vital Stat Rep 2010; 58(17): 1-31.
  14. Matthews TJ, MacDorman MF, Thoma ME. Infant Mortality Statistics from the 2013 Period Linked Birth/Infant Death Data Set. Natl Vital Stat Rep 2015; 64(9): 1-30.
  15. Mehrkash M, Kermani R, Hosseinifard R, Mostofizadeh N, Hovsepian S. Hospital mortality rate and causes of deaths among the hospitalized children in Imam Hossein Children’s Hospital in Isfahan, Iran, during the years 2012-2017. J Isfahan Med Sch 2020; 37(556): 1361-8. [In Persian].
  16. You D, Wardlaw T, Salama P, Jones G. Levels and trends in under-5 mortality, 1990-2008. Lancet 2010; 375(9709): 100-3.
  17. Wang H, Liddell CA, Coates MM, Mooney MD, Levitz CE, Schumacher AE, et al. Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014; 384(9947): 957-79.
  18. 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): 93-7.
  19. Khadivi R, Kor A, Foruzandeh E. Comparing the main reproductive health indices in rural areas of Isfahan province, Iran, before and after Family Physician Program intervention during 2001-2011. J Isfahan Med Sch 2014; 32(286): 712-25 [In Persian].
Journal of Isfahan Medical School
Volume 38, Issue 582 - Serial Number 582
May and June 2020
Pages 469-476

  • Receive Date 28 February 2020
  • Accept Date 06 April 2022