Changes in Socio-Economic Inequality in Neonatal Mortality in Iran Between 1995-2000 and 2005-2010: An Oaxaca Decomposition Analysis

(2017) Changes in Socio-Economic Inequality in Neonatal Mortality in Iran Between 1995-2000 and 2005-2010: An Oaxaca Decomposition Analysis. International Journal of Health Policy and Management. pp. 219-228. ISSN 2322-5939

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Abstract

Background: Exploring changes in health inequality and its determinants over time is of policy interest. Accordingly, this study aimed to decompose inequality in neonatal mortality into its contributing factors and then explore changes from 1995-2000 to 2005-2010 in Iran. Methods: Required data were drawn from two Iran's demographic and health survey (DHS) conducted in 2000 and 2010. Normalized concentration index (CI) was used to measure the magnitude of inequality in neonatal mortality. The contribution of various determinants to inequality was estimated by decomposing concentration indices in 19952000 and 2005-2010. Finally, changes in inequality were investigated using Oaxaca-type decomposition technique. Results: Pro-rich inequality in neonatal mortality was declined by 16, ie, the normalized CI dropped from -0.1490 in 1995-2000 to -0.1254 in 2005-2010. The largest contribution to inequality was attributable to mother's education (32) and household's economic status (49) in 1995-2000 and 2005-2010, respectively. Changes in mother's educational level (121), use of skilled birth attendants (79), mother's age at the delivery time (25-34 years old) (54) and using modern contraceptive (29) were mainly accountable for the decrease in inequality in neonatal mortality. Conclusion: Policy actions on improving households' economic status and maternal education, especially in rural areas, may have led to the reduction in neonatal mortality inequality in Iran.

Item Type: Article
Keywords: neonatal mortality socio-economic inequality oaxaca decomposition iran concentration index child-mortality health inequalities infant-mortality survival determinants inequities countries variables vietnam
Divisions: Health Management and Economics Research Center
Page Range: pp. 219-228
Journal or Publication Title: International Journal of Health Policy and Management
Journal Index: ISI
Volume: 6
Number: 4
Identification Number: https://doi.org/10.15171/ijhpm.2016.127
ISSN: 2322-5939
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mui.ac.ir/id/eprint/634

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