Evidence map›Paper›PMID 28812805›Full record

ArticleInternational journal of health policy and management2017

Changes in Socio-Economic Inequality in Neonatal Mortality in Iran Between 1995-2000 and 2005-2010: An Oaxaca Decomposition Analysis.

Mostafa Amini Rarani, Arash Rashidian, Ardeshir Khosravi, Mohammad Arab, Ezatollah Abbasian, Esmaeil Khedmati Morasae

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Article in International journal of health policy and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

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21citing papers in PubMed
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21 citing papers in PubMed.

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  12. Health equity in Iran: A systematic review.Medical journal of the Islamic Republic of Iran · 2021
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5 · Who and what money

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6 authors.

Mostafa Amini RaraniDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Arash RashidianDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ardeshir KhosraviDeputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
Mohammad ArabDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ezatollah AbbasianDepartment of Economics, Bu-Ali Sina University, Hamadan, Iran.
Esmaeil Khedmati MorasaeDepartment of Public Health, Qom University of Medical Sciences, Qom, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExploring changes in health inequality and its determinants over time is of policy interest. Accordingly, this study aimed to decompose inequality in neonatal mortality into its contributing factors and then explore changes from 1995-2000 to 2005-2010 in Iran.

methodsRequired data were drawn from two Iran's demographic and health survey (DHS) conducted in 2000 and 2010. Normalized concentration index (CI) was used to measure the magnitude of inequality in neonatal mortality. The contribution of various determinants to inequality was estimated by decomposing concentration indices in 1995-2000 and 2005-2010. Finally, changes in inequality were investigated using Oaxaca-type decomposition technique.

resultsPro-rich inequality in neonatal mortality was declined by 16%, ie, the normalized CI dropped from -0.1490 in 1995-2000 to -0.1254 in 2005-2010. The largest contribution to inequality was attributable to mother's education (32%) and household's economic status (49%) in 1995-2000 and 2005-2010, respectively. Changes in mother's educational level (121%), use of skilled birth attendants (79%), mother's age at the delivery time (25-34 years old) (54%) and using modern contraceptive (29%) were mainly accountable for the decrease in inequality in neonatal mortality.

conclusionPolicy actions on improving households' economic status and maternal education, especially in rural areas, may have led to the reduction in neonatal mortality inequality in Iran.

Indexed as

Child Health ServicesFemaleHealthcare DisparitiesHumansInfantInfant MortalityInfant, NewbornInfant WelfareResidence CharacteristicsRisk FactorsSocial ClassSocioeconomic FactorsIranNeonatal MortalityOaxaca DecompositionSocio-Economic Inequality

Identifiers

PMID28812805
PMCPMC5384984

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