Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study
Background: Equity in distribution of resources is considered as an important priority in health care systems. Equitable distribution of obstetrics and gynecology (Ob/Gyn) services in the country level is critical in maternal and neonatal health for qualitative promotion of maternal care in pregn...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Shahid Sadoughi University of Medical Sciences
2017-08-01
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| Series: | International Journal of Reproductive BioMedicine |
| Online Access: | http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2486 |
| _version_ | 1819119688711405568 |
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| author | Sogand Tourani Mohammad Zarezadeh Mehdi Raadabadi Fatemeh Pourshariati |
| author_facet | Sogand Tourani Mohammad Zarezadeh Mehdi Raadabadi Fatemeh Pourshariati |
| author_sort | Sogand Tourani |
| collection | DOAJ |
| description | Background: Equity in distribution of resources is considered as an important
priority in health care systems. Equitable distribution of obstetrics and gynecology
(Ob/Gyn) services in the country level is critical in maternal and neonatal health for
qualitative promotion of maternal care in pregnancy, delivery, and post-delivery
periods.
Objective: The present study aimed at determining regional disparity of obstetrics
and gynecology services and its association with children and infants mortality rates.
Materials and Methods: This was a descriptive-analytical study conducted in 2015
to investigate distribution of Ob/Gyn services using three indicators of number of
nursing and midwifery personnel, total Ob/Gyn specialists, and total delivery beds
among 30 provinces of the country. Equity criteria in the present study included
population, normal vaginal deliveries, cesarean sections, and total deliveries. Data
were gathered using a researcher-made form and Stata 12 was used to calculate Gini
coefficient. The association of Ob/Gyn services with children and infant mortality
rates was investigated using SPSS package and linear regression test.
Results: The lowest Gini coefficient was observed in distribution of nursing and
midwifery personnel in delivery wards in terms of vaginal delivery (0.38 from 1)
and the highest value was related to distribution of Ob/Gyn specialists in terms of
vaginal delivery (0.73 from 1). Infant mortality was significantly associated with
number of nursing and midwifery personnel in delivery wards, and total number of
Ob/Gyn specialists.
Conclusion: Considering new population policies in Iran and increased fertility rate,
it is recommended to facilitate accessibility of the required services for the women,
particularly those of reproductive age. |
| first_indexed | 2024-12-22T06:08:45Z |
| format | Article |
| id | doaj.art-234f08ab067a4a30899ec84dfe9248a2 |
| institution | Directory Open Access Journal |
| issn | 2476-4108 2476-3772 |
| language | English |
| last_indexed | 2024-12-22T06:08:45Z |
| publishDate | 2017-08-01 |
| publisher | Shahid Sadoughi University of Medical Sciences |
| record_format | Article |
| series | International Journal of Reproductive BioMedicine |
| spelling | doaj.art-234f08ab067a4a30899ec84dfe9248a22022-12-21T18:36:17ZengShahid Sadoughi University of Medical SciencesInternational Journal of Reproductive BioMedicine2476-41082476-37722017-08-01153147154Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional studySogand Tourani0Mohammad Zarezadeh1Mehdi Raadabadi2Fatemeh Pourshariati3School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranStudents Scientific Research Center, Tehran University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranBackground: Equity in distribution of resources is considered as an important priority in health care systems. Equitable distribution of obstetrics and gynecology (Ob/Gyn) services in the country level is critical in maternal and neonatal health for qualitative promotion of maternal care in pregnancy, delivery, and post-delivery periods. Objective: The present study aimed at determining regional disparity of obstetrics and gynecology services and its association with children and infants mortality rates. Materials and Methods: This was a descriptive-analytical study conducted in 2015 to investigate distribution of Ob/Gyn services using three indicators of number of nursing and midwifery personnel, total Ob/Gyn specialists, and total delivery beds among 30 provinces of the country. Equity criteria in the present study included population, normal vaginal deliveries, cesarean sections, and total deliveries. Data were gathered using a researcher-made form and Stata 12 was used to calculate Gini coefficient. The association of Ob/Gyn services with children and infant mortality rates was investigated using SPSS package and linear regression test. Results: The lowest Gini coefficient was observed in distribution of nursing and midwifery personnel in delivery wards in terms of vaginal delivery (0.38 from 1) and the highest value was related to distribution of Ob/Gyn specialists in terms of vaginal delivery (0.73 from 1). Infant mortality was significantly associated with number of nursing and midwifery personnel in delivery wards, and total number of Ob/Gyn specialists. Conclusion: Considering new population policies in Iran and increased fertility rate, it is recommended to facilitate accessibility of the required services for the women, particularly those of reproductive age.http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2486 |
| spellingShingle | Sogand Tourani Mohammad Zarezadeh Mehdi Raadabadi Fatemeh Pourshariati Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study International Journal of Reproductive BioMedicine |
| title | Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study |
| title_full | Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study |
| title_fullStr | Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study |
| title_full_unstemmed | Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study |
| title_short | Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study |
| title_sort | association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates a cross sectional study |
| url | http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2486 |
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