Related Experiment Videos
Equality in safe delivery and its determinants in Iran
Maziar Moradi-Lakeh1, Mozhdeh Ramezani, Mohsen Naghavi
1Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. mmoradi@iums.ac.ir
Archives of Iranian Medicine
|October 2, 2007
Summary
Safe delivery in Iran shows socioeconomic disparities. Higher economic status correlates with appropriate delivery locations and skilled attendants, but less with normal vaginal delivery. Maternal education is key.
Area of Science:
- Public Health
- Maternal Health
- Health Economics
Background:
- Assessing equity in safe delivery indices is crucial for public health.
- Safe delivery encompasses appropriate place, type, and skilled attendant for childbirth.
- Socioeconomic factors significantly influence access to and outcomes of safe delivery services.
Purpose of the Study:
- To determine the equality in safe delivery indices in Iran.
- To identify the determinants of safe delivery, focusing on socioeconomic status.
- To analyze disparities in access to appropriate delivery locations, delivery types, and skilled birth attendants.
Main Methods:
- Utilized data from the 2000 Iran Demographic and Health Survey.
- Included 17,991 married Iranian women aged 10-49 with recent deliveries.
- Employed concentration index for equality assessment and logistic regression for factor analysis.
Main Results:
- Concentration indices indicated pro-rich inequality for appropriate place of delivery and skilled attendants.
- Normal vaginal delivery showed a pro-poor inequality.
- Maternal age, education, and economic status were significant determinants, with education being the most influential factor.
Conclusions:
- Despite improvements, significant socioeconomic disparities persist in safe delivery care in Iran.
- Targeted interventions are needed to address inequalities in access to safe childbirth services.
- Maternal education emerges as a critical factor for improving equitable safe delivery outcomes.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Socioemotional Experience and Gender Development
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
01:21Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:23Factors Affecting Drug Distribution: Physiological Barriers
Drug distribution in the body is intricately regulated by various physiological barriers that control the passage of substances. These include the capillary endothelial barrier, the blood-brain, blood-cerebrospinal fluid, blood-placental, and blood-testis barriers.
The capillary endothelial barrier allows only smaller molecules below 600 Da (Daltons) to pass through. It also restricts drugs like heparin that are bound to blood components, limiting their movement within the bloodstream.
The...
The capillary endothelial barrier allows only smaller molecules below 600 Da (Daltons) to pass through. It also restricts drugs like heparin that are bound to blood components, limiting their movement within the bloodstream.
The...
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...