بررسی ارتباط بین نوع زایمان با میزان شاخص های پنج گانه سلامت مادر و نوزاد قبل و بعد از اجرای طرح تحول نظام سلامت در بیمارستانهای منتخب استان آذربایجان شرقی

Publish Year: 1398
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_EBHPME-3-2_004

تاریخ نمایه سازی: 20 دی 1399

Abstract:

Background: To improve the individualschr('39') health, reforms should be made in the health systems. As a result, assessing the impacts of reforms is a way to evaluate the effectiveness of the health system. The aim of this study was to study the relationship between the kind of delivery and the five indexes of mother and babychr('39')s health before and after implementing the health reform plan in selected hospitals of East Azerbaijan, Iran. Methods: This descriptive-analytical study was conducted in 2018. The study was conducted among eight educational, medical, and private hospitals. Before and after the program, 800 files were selected using simple random sampling method. The researcher made a check list with confirmed validity to extract the data. The data were analyzed using descriptive statistics and T-tests by SPSS-22. Results: The average age of mothers in the two intervals was 27 years. Most participants did not deliver before and their education was diploma or lower. The rate of natural delivery from 34.5% (before the plan) reached 44.2% (after the plan)(p<0.05). The rate of mothers and babieschr('39') mortality reduced from 0.3 and 0.8 to 0 and 0.5, respectively. Mothers and babieschr('39') mortality and stillbirth had no significant difference based on the kind of delivery (p>0.05). Conclusion: Findings indicated significant increase of natural delivery after the reform plan in health system. Moreover, the rate of mothers and babieschr('39') mortality decreased. These results can guide the policymakers for deciding about the course of plan and its review.      

Keywords:

Health reform plan , Health indexes of mother and baby , کلمات کلیدی: طرح تحول نظام سلامت , شاخص های سلامت مادر و نوزاد

Authors

Hossein Jabari

علوم پزشکی تبریز

Bayaneh Seyedamini

Health care management, Department of nursing. Mahabad Branch. Islamic Azad University, Mahabad. Iran.

Elahe Navvabi

علوم پزشکی تبریز

Salah Asadi

علوم پزشکی تبریز