Changes and Determinants in Under-five Mortality Rate in Turkey since 1988

Tezel, Başak; Köse, M Rıfat; Tugay, Deniz; Mollahaliloğlu, Salih; Erkoç, Yasin

doi:10.21101/cejph.a3825

Cited by 9 publications

(7 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study from Ethiopia evaluating the national data of African countries, it was found that skilled delivery attendance was associated with significant reduction of maternal, foetal and neonatal mortality (36). Currently in Turkey, within HTP, risk caring pregnant women living in rural areas, where might be problems during transportation to the health centre, have been hospitalized from the last trimester to delivery (5,37). This way, the proportion of newborns born in health facilities increased from 49.7% in the Turkey Demographic and Health Survey (TDHS) 1993 to 89.7% in the TDHS 2008 (7).…”

Section: The Main Risk Factors Related To Infant and Neonatal Mortalitymentioning

confidence: 99%

Recent Declines in Infant and Neonatal Mortality in Turkey from 2007 to 2012: Impact of Improvements in Health Policies

Díllí¹,

Köse²,

Gündüz³

et al. 2016

Cent Eur J Public Health

Self Cite

View full text Add to dashboard Cite

SUMMARYBackground: Infant mortality rate (IMR) and neonatal mortality rate (NMR) are accepted as good indicators to measure the health status of a nation. This report describes recent declines in IMR and NMR in Turkey.Methods: Data on infants who died before 12 months of life were obtained from the Infant Mortality Monitoring System of Ministry of Health of Turkey between 2007 and 2012. A total of 94,038 infant deaths were evaluated.Results: Turkey IMR and NMR exhibited a marked decline from 2007 (16.4 and 12.2) to 2010 (10.1 and 6.6) and then plateaued in 2012 (9.7 and 6.3), despite regional differences. Prematurity, congenital anomalies and congenital heart diseases (CHD) were the three most common causes of infant deaths between 2007 and 2012. While the rates of respiratory distress syndrome (RDS), sudden infant death syndrome (SIDS), and metabolic diseases increased, the rates of congenital anomalies and birth injuries decreased. IMR and NMR significantly increased with the number of infants per paediatrician, per doctor, and per midwife, while was decreasing with the increased rate of hospital birth, caesarean delivery, antenatal care, infant follow-up, and staff trained within the Neonatal Resuscitation Programme (NRP).Conclusion: From 2007-2012, Turkey showed remarkable encouraging advances in reducing IMR and NMR. Any interventions aimed at further reductions in IMR and NMR should target the common causes of death and defined risk factors especially in socioeconomically disadvantaged regions.

show abstract

Section: The Main Risk Factors Related To Infant and Neonatal Mortalitymentioning

confidence: 99%

Recent Declines in Infant and Neonatal Mortality in Turkey from 2007 to 2012: Impact of Improvements in Health Policies

Díllí¹,

Köse²,

Gündüz³

et al. 2016

Cent Eur J Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…In Turkey, routine vaccines, including BCG, Hepatitis B, oral polio vaccine, pentavalent vaccine (DTaP, IPV, Haemophilus influenzae type b), Streptococcus pneumonia, and measles-mumps-rubella, varicella and hepatitis A are included in the National Immunization Program and given free of charge to all children throughout the country. The Ministry of Health has tried to achieve a target of at least 90% vaccination coverage at the national and regional levels through public health facilities [ 9 , 10 ]. The catch-up schedule for both zero-dose and partially vaccinated children has been defined by the Ministry of Health [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Zero-dose children in Turkey: regional comparison of pooled data for the period 1990 to 2018

Eryurt

Yalçın

2022

BMC Infect Dis

View full text Add to dashboard Cite

Background Immunization plays a vital role in child health and survival. Zero-dose children are coming increasingly into focus as part of the global Immunization Agenda 2030. Although the percentage of zero-dose children has decreased in Turkey over time, regional/socioeconomic inequalities persist. This study aims to analyze the trend in zero-dose children and the factors associated with this problem in Turkey in light of regional inequalities. Methods Six data sets (1993, 1998, 2003, 2008, 2013, and 2018) were pooled from the last six Turkey Demographic and Health Surveys (TDHSs). The vaccination module for children aged 12–35 months and variables related to household characteristics, socio-economic, cultural characteristics of parents, bio-demographic/health-related factors were taken from the DHS data. Binary logistic regression analyses were carried out by taking into account the complex sample design of surveys for Turkey in general, the East region, and other regions. Results Significant progress has been made in reducing the number of zero-dose children in Turkey over the last three decades, as it has dropped from 3.2 to 0.9%. The results of multivariate analyses revealed that survey year, household wealth, the mother’s level of education, payment of bride price, mother’s native language, place of delivery, and the number of antenatal care visits are associated with zero-dose children. Factors associated with zero-dose children also differ between the East region, and other regions. Conclusion Public health programs targeting uneducated parents, poor households, lack of social security, Kurdish-speaking mothers, older mothers and those without antenatal care should be implemented to promote childhood immunization.

show abstract

“…A global approach containing all of the mothers' and the newborns' aspects of health, with an improvement of the environmental and socioeconomic conditions of the mom, follow-ups of the pregnancy, medicalisation of the births and an improvement of the care given to the newborn seem necessary knowing that prematurity and perinatal asphyxia are still the main causes of mortality. On the other hand, increasing the number of adapted units and neonatology wards for a better approach of the healthcare provision seems to be a priority [20,23].…”

Section: Discussionmentioning

confidence: 99%

Mortality at the pediatric emergency unit of the Mohammed VI teaching hospital of Marrakech

Lahmini

Bourrous

2020

BMC Emerg Med

View full text Add to dashboard Cite

Background: The death of a child at the emergency ward is one of the most difficult problems that the clinicians of these wards have to deal with. In our country the published data concerning the causes and the factors related to pediatric mortality especially in the pediatric emergency wards is very rare. This study aimed to study the epidemiology of the pediatric mortality in the pediatric emergency department (PED), to determine its rate and identify its most frequent causes. Methods: It is a retrospective and descriptive study, over five years (1st January 2012 and 31st December 2016) including all children aged from 0 to 15 years old who died at the PED in the Mohamed VI Hospital in Marrakech. Results: During the period of the study a total of 172.691 patients presented to the PED, among which 628 died (pediatric mortality rate: 3.63%). The masculine gender was predominant (n = 383) with a gender ratio of 1.59. Twothirds of the patients died in the first 24 h (n = 421). The median of time from admission to death was around 12 h. Majority of the deceased children (n = 471, 75%) were from a low socioeconomic status. The most frequent cause of admissions for deceased patients in the PED was respiratory distress (n = 296, 47%) followed by neurological disorders (n = 70, 11%). Neonatal mortality (≤ 1 month of age) was predominant (n = 472, 75.1%), followed by postnatal mortality (1 month to 1 year old) (n = 73, 11.6%). The most frequent causes of pediatric mortality, whatever the age range, were dominated by neonatal pathologies (n = 391, 62.3%), followed by infecious causes bronchopulmonary infections included (n = 49, 7.7%), birth deformities (n = 46, 7.3%) while traumas were merely at 0.9% (n = 6). The most frequent causes of neonatal mortality were neonatal infections (n = 152, 32.2%) and prematurity (n = 115, 24.4%). Conclusion: Our data once again underline the crucial importance of prevention. This requires correct follow-up of the pregnancies, an adequate assistance of births, and perfecting healthcare provision to newborns in order to attain proper assistance.

show abstract

Changes and Determinants in Under-five Mortality Rate in Turkey since 1988

Cited by 9 publications

References 2 publications

Recent Declines in Infant and Neonatal Mortality in Turkey from 2007 to 2012: Impact of Improvements in Health Policies

Recent Declines in Infant and Neonatal Mortality in Turkey from 2007 to 2012: Impact of Improvements in Health Policies

Zero-dose children in Turkey: regional comparison of pooled data for the period 1990 to 2018

Mortality at the pediatric emergency unit of the Mohammed VI teaching hospital of Marrakech

Contact Info

Product

Resources

About