Trend of geographical disparities in child and maternal mortality indicators in Northwest Iran

Background: The present study was conducted to assess the trend of geographical disparities in child and maternal mortality rates in ۲۰ districts of East Azerbaijan, in the Northwest of Iran, between ۱۹۹۹ and ۲۰۱۳.Methods: Data on to health indicators between ۱۹۹۹ and ۲۰۱۳, extracted from population registry panels (ZIJ), was made available for the study by the East Azerbaijan Health Center. Disparities were measured by calculating the Index of Disparities (IDisp) and the trend was assessed using the general linear model test.Results: All the four indicators revealed decreasing trends between ۱۹۹۹ and ۲۰۱۳ (P<۰.۰۰۱), while there were no significant differences among the districts studied (P>۰.۰۵). The ranges of the IDisp between ۱۹۹۹ and ۲۰۱۳ were ۱۹-۳۲% for Neonatal Mortality Rate (NMR), ۱۶-۲۲% for Infantile Morality Rate (IMR), ۱۴-۲۰% for Under ۵ Mortality Rate (U۵MR), and ۱۲۰-۱۴۳% for Maternal Mortality Rate (MMR), which revealed an increasing trend for all the indices. The trend of health indicators before and after implementation of the family physician program showed no significant difference for MMR (P= ۰.۲۲۸), while significant declining trends were observed for NMR, IMR, and U۵MR (P<۰.۰۰۱).Conclusion: The results showed that despite the downtrend in NMR, IMR, U۵MR, and MMR indicators, there are still geographical disparities in these indicators among districts of the East Azerbaijan province, in the Northwest of Iran.

Keywords:

Geography , Infant Mortality , Maternal Mortality , Registries