Evaluating maternal and child health indicators for the Sustainable Development Goals in 2018: what is Iran’s position?
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OBJECTIVES: Since many Millennium Development Goals (MDGs) were not achieved, countries including Iran—despite achieving some of the MDGs—need regular planning to achieve the Sustainable Development Goals (SDGs) by 2030. This article examines maternal and child health indicators in the early years of the SDGs in Iran relative to several other countries. METHODS: This study was carried out through a secondary analysis of maternal and child health indicators in Iran. The results were compared with data from other countries divided into three groups: countries with upper-middle income levels, countries in the Eastern Mediterranean region, and the countries covered by the Outlook Document 1,404 (a regional classification). Then, the relationship between these indicators and the Human Development Index was investigated. RESULTS: Iran has attained better results than other countries with respect to maternal mortality, family planning, skilled birth attendance, under-5 deaths, incidence of hepatitis B, diphtheria-tetanus-pertussis vaccination coverage, and antenatal care. In contrast, Iran performed worse than other countries with respect to under-5 wasting, under-5 stunting, and care-seeking behavior for children. CONCLUSIONS: Overall, among the 11 indicators surveyed, Iran has attained better-than-average results and seems to be improving. We recommend that Iran continue interventions in the field of maternal and child health.
Abstract
OBJECTIVES: Since many Millennium Development Goals (MDGs) were not achieved, countries including Iran—despite achieving some of the MDGs—need regular planning to achieve the Sustainable Development Goals (SDGs) by 2030. This article examines maternal and child health indicators in the early years of the SDGs in Iran relative to several other countries. METHODS: This study was carried out through a secondary analysis of maternal and child health indicators in Iran. The results were compared with data from other countries divided into three groups: countries with upper-middle income levels, countries in the Eastern Mediterranean region, and the countries covered by the Outlook Document 1,404 (a regional classification). Then, the relationship between these indicators and the Human Development Index was investigated. RESULTS: Iran has attained better results than other countries with respect to maternal mortality, family planning, skilled birth attendance, under-5 deaths, incidence of hepatitis B, diphtheria-tetanus-pertussis vaccination coverage, and antenatal care. In contrast, Iran performed worse than other countries with respect to under-5 wasting, under-5 stunting, and care-seeking behavior for children. CONCLUSIONS: Overall, among the 11 indicators surveyed, Iran has attained better-than-average results and seems to be improving. We recommend that Iran continue interventions in the field of maternal and child health.
참고문헌 (29)
- "Transforming our world: the 2030 agenda for sustainable development" (2015)[URL]
- "Trends in maternal mortality: 1990 to 2015" (2015)[URL]
- Kuruvilla S, "Success factors for reducing maternal and child mortality", Bull World Health Organ, 92, pp.533~544 (2014)
- Gurusamy PS, "A success story : the burden of maternal, neonatal and childhood mortality in Rwanda-critical appraisal of interventions and recommendations for the future", Afr J Reprod Health, 22, pp.9~16 (2018)
- "Tracking universal health coverage: 2017 global monitoring report"[URL]
- "What is health financing for universal coverage?"[URL]
- Mohammadi Y, "Measuring Iran’s success in achieving Millennium Development Goal 4: a systematic analysis of under-5 mortality at national and subnational levels from 1990 to 2015", Lancet Glob Health, 5, pp.e537~e544 (2015)
- Veghari G, "Trend of stunting, overweight and obesity among children under five years in a rural area in Northern Iran, 1998-2013 : results of three cross-sectional studies", Arch Iran Med, 19, pp.397~402 (2016)
- "Human development indices and indicators: 2018 statistical update"[URL]
- Lee KS, "Human development index as a predictor of infant and maternal mortality rates", J Pediatr, 131, pp.430~433 (1997)
- Nuhu KM, "Effect of healthcare spending on the relationship between the Human Development Index and maternal and neonatal mortality", Int Health, 10, pp.33~39 (2018)
- Garcia-Tizon Larroca S, "Human Development Index(HDI)of the maternal country of origin as a predictor of perinatal outcomes-a longitudinal study conducted in Spain", BMC Pregnancy Childbirth, 17, pp.314~ (2017)
- Morisaki N, "Risk factors for spontaneous and provider- initiated preterm delivery in high and low Human Development Index countries: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health", BJOG, 121(Suppl 1), pp.101~109 (2014)
- Dumuid D, "Human development index, children’s health-related quality of life and movement behaviors : a compositional data analysis", Qual Life Res, 27, pp.1473~1482 (2018)
- Khazaei S, "Variations of infant and under-five child mortality rates around the world, the role of human development index(HDI)", Int J Pediatr, 4, pp.1671~1677 (2016)
- "Global health observatory data repository" (2019)[URL]
- "World Bank open data"[URL]
- "The decline of child mortality rates: a Middle East North Africa success story" (2014)[URL]
- "Regional office for the Eastern Mediterranean"[URL]
- "World bank country and lending groups"[URL]
- Madarshahi MS, "Iran’s"Twenty-Year Vision Document" : an outlook on science and technology", Iran Stud, 45, pp.619~643 (2012)
- Dadipoor S, "Causes of maternal mortality in Iran : a systematic review", Int J Pediatr, 5, pp.6757~6570 (2017)
- Berhan Y, "Skilled health personnel attended delivery as a proxy indicator for maternal and perinatal mortality: a systematic review", Ethiop J Health Sci, 24(Suppl), pp.69~80 (2014)
- Khadivi R, "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, 32, pp.712~725 (2014)
- "Methodology for a World Bank Human Capital Index (English)" (2018)[URL]
- "Human Capital Index and components" (2018)[URL]
- Mohaghegh Shelmani H, "Demographic changes of hepatitis B virus infection in Iran for the last two decades", Gastroenterol Hepatol Bed Bench, 10(Suppl1), pp.S38~S43 (2017)
- Dornbusch HJ, "We strongly support childhood immunisation-statement from the European Academy of Paediatrics(EAP)", Eur J Pediatr, 176, pp.679~680 (2017)
- "Strengthening primary health care systems to increase effective coverage and improve health outcomes in Ethiopia"[URL]