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Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis

Background: As one of the main criteria of health outcomes, maternal mortality indicates the socioeconomic development level of countries. The present study aimed at identifying and analyzing the effective factors on maternal mortality in Eastern Mediterranean Region (EMR) of the World Health Organi...

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Autores principales: Bayati, Mohsen, Vahedi, Sajad, Esmaeilzadeh, Firooz, Kavosi, Zahra, Jamali, Zahra, Rajabi, Abdolhalim, Alimohamadi, Yousef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934458/
https://www.ncbi.nlm.nih.gov/pubmed/27453890
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author Bayati, Mohsen
Vahedi, Sajad
Esmaeilzadeh, Firooz
Kavosi, Zahra
Jamali, Zahra
Rajabi, Abdolhalim
Alimohamadi, Yousef
author_facet Bayati, Mohsen
Vahedi, Sajad
Esmaeilzadeh, Firooz
Kavosi, Zahra
Jamali, Zahra
Rajabi, Abdolhalim
Alimohamadi, Yousef
author_sort Bayati, Mohsen
collection PubMed
description Background: As one of the main criteria of health outcomes, maternal mortality indicates the socioeconomic development level of countries. The present study aimed at identifying and analyzing the effective factors on maternal mortality in Eastern Mediterranean Region (EMR) of the World Health Organization (WHO). Methods: Analytical model was developed based on the literature review. Panel data of 2004-2011 periods for 22 EMR countries was used. Required data were collected from WHO online database. Based on results of diagnostic tests for panel data model, parameters of model were estimated by fixed effects method. Results: Descriptive statistics demonstrated the large disparities in social, economic, and health indicators among EMRO countries. Findings obtained from evaluating the model showed a negative, significant relationship between GDP per capita (β=-0.869, p<0.01), health expenditure) β=-0.525, p<0.01 (female literacy rate) β=-1.045, <0.01 (skilled birth attendance) β=-0.899, p<0.05) and maternal mortality rate. Conclusion: Improved income and economic development, increased resources allocated to the health sector, improved delivery services particularly the increased use of trained staff in the delivery, improve quality of primary care centers, mitigating the risks of marginalization and its dangers, and especially improving the level of women's education and knowledge are the key factors in policy making related to maternal health promotion.
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spelling pubmed-49344582016-07-22 Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis Bayati, Mohsen Vahedi, Sajad Esmaeilzadeh, Firooz Kavosi, Zahra Jamali, Zahra Rajabi, Abdolhalim Alimohamadi, Yousef Med J Islam Repub Iran Original Article Background: As one of the main criteria of health outcomes, maternal mortality indicates the socioeconomic development level of countries. The present study aimed at identifying and analyzing the effective factors on maternal mortality in Eastern Mediterranean Region (EMR) of the World Health Organization (WHO). Methods: Analytical model was developed based on the literature review. Panel data of 2004-2011 periods for 22 EMR countries was used. Required data were collected from WHO online database. Based on results of diagnostic tests for panel data model, parameters of model were estimated by fixed effects method. Results: Descriptive statistics demonstrated the large disparities in social, economic, and health indicators among EMRO countries. Findings obtained from evaluating the model showed a negative, significant relationship between GDP per capita (β=-0.869, p<0.01), health expenditure) β=-0.525, p<0.01 (female literacy rate) β=-1.045, <0.01 (skilled birth attendance) β=-0.899, p<0.05) and maternal mortality rate. Conclusion: Improved income and economic development, increased resources allocated to the health sector, improved delivery services particularly the increased use of trained staff in the delivery, improve quality of primary care centers, mitigating the risks of marginalization and its dangers, and especially improving the level of women's education and knowledge are the key factors in policy making related to maternal health promotion. Iran University of Medical Sciences 2016-04-23 /pmc/articles/PMC4934458/ /pubmed/27453890 Text en © 2016 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Bayati, Mohsen
Vahedi, Sajad
Esmaeilzadeh, Firooz
Kavosi, Zahra
Jamali, Zahra
Rajabi, Abdolhalim
Alimohamadi, Yousef
Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title_full Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title_fullStr Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title_full_unstemmed Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title_short Determinants of maternal mortality in Eastern Mediterranean region: A panel data analysis
title_sort determinants of maternal mortality in eastern mediterranean region: a panel data analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934458/
https://www.ncbi.nlm.nih.gov/pubmed/27453890
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