ArticleBMJ open2019
Impact of rural Family Physician programme on maternal and child health indicators in Iran: an interrupted time series analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Insufficient evidence on the effectiveness of family physician program in Iran: a systematic review of existing literature.BMC public health · 2026Pooled it
- The Effectiveness of Regionalization of Perinatal Care and Specific Facility-Based Interventions: A Systematic Review.Neonatology · 2025Pooled it
- Pooled it
- Iran's progress in reducing maternal mortality: an analysis of policies and interventions using the who's six building blocks and universal health coverage approach.BMC health services research · 2025Article
- Translating policy into health outcomes: a mixed-methods health impact assessment of the family physician program in Bonab County, Iran.BMC public health · 2025Article
- The association between china's primary health care reform and inequalities in primary care utilisation and maternal mortality: a quasi-experimental longitudinal study from 2010 to 2019.International journal for equity in health · 2025Article
- Effective coverage for reproductive, maternal, neonatal and newborn health: an analysis of geographical and socioeconomic inequalities in 39 low- and middle-income countries.BMJ global health · 2025Article
- Article
- Urban Family Physician Program after a Decade of Implementation from the Perspective of People: A Qualitative Study from Iran.International journal of preventive medicine · 2024Article
- Article
- Trends, influencing factors and prediction analysis of under-five and maternal mortality rates in China from 1991 to 2020.Frontiers in public health · 2023Article
- Comparison of Health Status Indicators in Iran with the Eastern Mediterranean Countries Using Multiple Attribute Decision-Making Methods.Iranian journal of medical sciences · 2022Article
- Maternal Mortality and Morbidity by Cause in Provinces of Iran, 1990 to 2019: An Analysis for the Global Burden of Disease Study 2019.Archives of Iranian medicine · 2022Article
- Effects of Family Doctor Contract Services on the Health-Related Quality of Life Among Individuals With Diabetes in China: Evidence From the CHARLS.Frontiers in public health · 2022Article
- The impacts of family physician plan and health transformation plan on hospitalization rates in Iran: an interrupted time series.BMC health services research · 2021Article
- The effects of family physician-contracted service on health-related quality of life and equity in health in China.International journal for equity in health · 2021Article
- A policy brief on improving the finance of family physician program: An experience from urban areas of Iran.Journal of family medicine and primary care · 2020Article
- Assessment of Prenatal Care Quality and Related Factors after the Implementation of the Family Physician Program in Northwest Iran.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe establishment of the Family Physician (FP) programme in the rural areas of Iran in 2005 has made health services accessible and affordable. This paper aims to assess the overall trends of maternal and child health (MCH) indicators in a 20-year period and possible effects of the FP programme (intervention) on these indicators in Iran. DESIGN AND
settingAn interrupted time series analysis was conducted on 20 annual MCH-related data points from 1994 to 2013. The intervention time was at the 12th data point in 2005. OUTCOMES: MCH indicators were grouped into three categories:
resultsThe adjusted slope of the ACV trend decreased sharply after the intervention (b=-0.36, p<0.01), whereas it increased for the frequency of ultrasounds (b=0.2, p<0.01) and did not change for number of laboratory tests (b=-0.09, p=0.95). The intensification of the descending slope observed for NVD (b=-1.91, p=0.03) disappeared after the adjustment for structural confounders (b=1.33, p=0.26). There was no significant slope change for MMR (b=1.12, p=0.28) and NMR (b=0.67, p=0.07) after the intervention. The slope for the history of abortion trend was constant before and after the intervention, but it considerably intensified for the history of stillbirths after the intervention (b=1.72, p<0.01). The decreasing trend of BW turned into a constant mode after the intervention (b=33.2, p<0.01), but no change was observed for Hb (b=-0.02, p=0.78).
conclusionAlthough the FP programme had a positive effect on the
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