The Analysis of Relationship between Health inputs with Child Mortality in Based on Gini Coefficient and Lorenz Curve

Subject Areas : medical documents

fatemeh  karimnejad rami ¹ (MS, Department of Health Services Management, Sari unit, Islamic Azad University, Sari, Iran)
ghahraman  mahmoodi ² (Associate Professor, Department of Health Services Management, Sari University, Islamic Azad University, Sari, Iran)
mohamad ali  jahani ³ (Associate Professor, Research Center for Social Factors Affecting Health, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran)

Received: 2019-05-09 Accepted : 2019-06-08 Published : 2019-05-22

Keywords: Neonatal mortality, Inequalities, Child morta,

Abstract :

Introduction: Child mortality is one of the most important cultural, economic and health indicators in evaluating the health status of the community. This study aimed to analyze the relationship between health centers with the child mortality based on the Gini coefficient and Lorenz curve. Methods: This ecological descriptive study was conducted in 2016 to examine the equality or inequality in the distribution of health facilities in the cities of Mazandaran province based on demographic indicators. The research population consisted of health centers, health personnel, emergency centers and the number of employees in these centers. After collecting data from the Ministry of Health of Mazandaran and babol University of Medical Sciences, the obtained data was analyzed using Dasp2.1, STATA and SPSS19 software. Results: Gini coefficient for the distribution of rural health centers was 0.28 and 0.32 for urban health centers, based on population. The Gini coefficient for distribution of health centers and health personnel was higher than 0.3. There was a significant relationship between the ratio of rural health centers to the population and child mortality (r = -0.853, p-value = 0.03) of children under five years old (r = -0.901, p-value = 0.01), and between the ratio of health centers to population and child mortality (r = -0.367; p-value = 0.03) of children under five years old (r = 0.489, p-value = 0.03). Conclusion: Since a significant level of inequality was found in the distribution of some health centers, considering the relationship between health centers and child mortality.

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