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Kh Rahmani, M Zokaei, F Bidarpoor, Sh Babahajiani, P Nessaei, Gh Moradi ,
Volume 10, Issue 1 (6-2014)
Abstract

Background & Objectives: The aim of this study was to investigate the trend of mortality of children under five years old in Kurdistan Province during 2007 to 2011.

Methods: The data of this descriptive-analytical study on deaths and births was collected from provincial deaths registry system and Civil Registration System during 2007 to 2011. The main indicators including under-five mortality, infant mortality, and neonatal mortality rate during the given period were studied. The relationship between variables was calculated using chi-square test.

Results: The neonatal mortality rate changed from 13.5 per thousand live births in 2007 to 12.2 per thousand live births in 2011. During the same period of time, the infant mortality rate and under-five mortality rate declined from 17.1 and 20.2 to 14.9 and 17.4 per thousand live births, respectively. A significant relationship was found between gender and infant mortality. Among the major causes of mortality, prenatal diseases, especially infant diseases, were the most common cause of death in the neonatal period.

Conclusion: According to the results of this study, although there was a reduction in the under-five mortality rate during these years, the observed decline, especially the decline in infant mortality rate, was very slow. There are still some preventable causes of death in children which require more attention by the health system and researchers


J Mohammadi Bolbanabad , A Mohammadi Bolbanabad , S Valiee, N Esmailnasab, F Bidarpour, G Moradi,
Volume 15, Issue 1 (5-2019)
Abstract

Background and Objectives: The Family Physician (FP) plan was implemented in rural areas and cities with a population of less than 20000 in 2005. The purpose of this study was to explain the challenges and obstacles of¬ the Rural Family Physician Program in Kurdistan Province from the perspective of stakeholders.
 
Methods: This qualitative study was conducted using 30 semi-structured interviews and 5 focused group discussions (FGD) with stakeholders of the FP plan from June 2017 to Jan 2018. The participants were selected through a purposive sampling method with maximum variation. The contents of the interviews and FGD were categorized by the content analysis method using MAXQDA10 software (V. 10).
 
Results: The challenges and obstacles of the FP plan were categorized into 16 subcategories and 5 main categories. The main categories were stewardship challenges, service delivery challenges, cultural and educational challenges, human resource challenges, and infrastructure challenges. The most important subcategories of these challenges included weaknesses in policy-making, formation of laws and regulations, weaknesses in insurance performance, weaknesses in intra-sector coordination, weaknesses in the referral system, weaknesses in communicating the plan to the community, low survival of physicians, inadequate motivational mechanisms, and weaknesses in the information system.
 
Conclusion: The rural FP plan faces many challenges that require multi-dimensional interventions. Identifying the challenges of the FP plan from the perspective of its stakeholders can help to gradually improve the plan.
F Norouzinezhad, H Erfani, A Norouzinejad, F Kaveh, F Ghaffari,
Volume 15, Issue 4 (1-2020)
Abstract

Background and Objectives: Kurdistan Province has always been one of the areas of interest in national disease control programs due to a high number of human brucellosis cases. This study was conducted to explore some of the epidemiological indexes and the trend of the incidence of human brucellosis in this area from 2009 to 2016.
 
Methods: The target population of this cross-sectional study included the human brucellosis patients living in Kurdistan Province whose disease was diagnosed between 2009 and 2016. The data of 6918 patients were analyzed. The incidence was calculated in 100,000 at-risk population.
 
Results: The highest incidence was 103.54 in 100,000 in 2014 and the lowest was 23.86 in 100000 in 2010. According to 8-year analysis, the highest incidence rate was seen in Bijar. Male gender, rural dwellers, farmers, ranchers, housewives, and those aged 24-25 years were at a higher risk of the disease based on the results. Most of the patients reported contact with livestock.
 
Conclusion: Comprehensive measures should be taken to control the infection transmission from domestic animals and their products to humans; moreover, preventing measures should be devised by health policy-makers, especially for villagers, housewives, and men.

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