Spatial distribution of Prematurity - Infant Mortality (0-27 Days Old) over 2000-2017

Authors

1 Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2 PhD Student, Health Education and Health Promotion, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Kermanshah University of Medical Sciences, Kermanshah, Iran.

4 Department of Anatomical Sciences, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran.

5 Department of Medical Emergencies, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran.

6 MSc of Community Health Nursing, Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

Abstract

Abstract
Background
the present research aimed to study the spatial modeling of prematurity- infant mortality (0-27 days old) in 194 countries over 2000-2017.

Materials and Methods
In this descriptive study, the data were re-analyzed. First, the infant mortality data were collected from the official website of the World Health Organization (WHO). Then, a database was created in Geographic Information System (GIS) - ArcGIS 10.6 software, and the statistical tests and related maps were extracted. To this end, the Global Moran’s I and Gtis-Ord-Gi spatial correlation analyses were utilized.

Results
The results of the present study demonstrated that infant mortality (0-27 days old) followed a downward trend, but its spatial pattern was clustered (Moran’s I>0, Z-score> 2.58). This situation was concentrated as Hot Spots in the West Pacific region and part of Asia (Central, South and Southeast Asia) from 2000 to 2017 (with 90%, 95% and 99% confidence intervals). In addition, it was revealed that there were no Cold Spots between countries.

Conclusion
The results of the present study demonstrated that the total infant mortality followed a downward trend, while the Hot Spots of infant mortality were in the West Pacific region and part of Asia by 2000 and remaining as Hot Spots by 2017. Iran had inappropriate situation in the world. Moreover, it was found out that no Cold Spots have been formed in 194 countries thus far. Finally, the results of this research can be used in regional decisions made especially by global health organizations.

Keywords