Exploring causes of neonatal mortality in south east of Iran: A qualitative study

Author:

Amini Elham1ORCID,Heidarzadeh Mohammad2,Sohbati Samira3,Behseresht Maryam4,Amiresmaili Mohammadreza1

Affiliation:

1. Health in Disaster and Emergencies Research Center Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran

2. Department of Pediatrics Tabriz University of Medical Science Tabriz Iran

3. Department of Obstetrics and Gynecology Clinical Research Development Unit Afzalipour Hospital Kerman University of Medical Sciences Kerman Iran

4. Social Determinants of Health Research Center Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran

Abstract

AbstractAimNeonatal mortality (NM) is a significant global challenge that has a profound impact on families, particularly mothers. To address this challenge, the first step is to identify its underlying causes. Accordingly, this study aimed to explore the phenomenon by consulting with stakeholders, including mothers and experts.Study DesignThis study utilized a qualitative design, conducting in‐depth interviews with 16 mothers and 15 healthcare experts to gather information. A conventional content analysis approach was employed to analyze the data.ResultsNM is influenced by personal, systemic, and socioeconomic factors. Personal factors can be further divided into those related to the neonate and those related to the mother. Systemic factors are primarily related to the healthcare system, while socioeconomic factors include low literacy, low income, lack of access to healthcare, and consanguineous marriage.ConclusionNM is influenced by a wide range of factors that require separate and targeted interventions to reduce its incidence. In the short term, priority should be given to preventable factors that can be addressed through simple interventions, such as screening mothers for urinary tract infections, educating mothers, and preparing them for pregnancy with necessary lab tests and supplements. In the long term, preventing premature birth, addressing maternal addiction, family poverty, and shortages in healthcare equipment and personnel must be thoroughly addressed.

Funder

Kerman University of Medical Sciences

Publisher

Wiley

Subject

Health Policy

Reference36 articles.

1. Child mortality and causes of death.2020.https://www.who.int/data/gho/data/themes/topics/topic‐details/GHO/child‐mortality‐and‐causes‐of‐death

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