Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran
Background: Child mortality surveillance system (CMSS) for children aged 1–59 months is a critical issue in the prevention of mortality. This surveillance system like other health programs needs to be evaluated. Therefore, this study aims to evaluate CMSS in Iran. Methods: This evaluation was perfor...
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doaj-07d3d5de4a0345389e46c39ef8ebb5dd2020-11-25T01:36:21ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132019-01-0110120520510.4103/ijpvm.IJPVM_452_18Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in IranMansour BahardoustAbdolhalim RajabiSeyyed-Hamed BarakatiMorteza NaserbakhtShila GhadamiElham TalachianSeyed Abbas MotevalianBackground: Child mortality surveillance system (CMSS) for children aged 1–59 months is a critical issue in the prevention of mortality. This surveillance system like other health programs needs to be evaluated. Therefore, this study aims to evaluate CMSS in Iran. Methods: This evaluation was performed from March 2015 to March 2016 based on selected criteria for assessing the public health surveillance system proposed by the Centers for Disease Control and Prevention. Selected criteria examined in this study included timeliness, simplicity, acceptability, and flexibility. These criteria were evaluated in two ways. First, it included the use of a researcher-made questionnaire. The questionnaires were completed by 100 experts on CMSS. Second, to perform a more exact evaluation of these criteria, 24 of these experts were selected for the focus group. Results: In this study, the response rate was 91% (42% hospital-based and 49% primary care-based). In the timeliness section, 49% of the experts believed that approvals of the child mortality committees have not been sent within the designated time frame; hardware, software, and questionnaires were reported as effective factors in this respect. The structural and administrative problems were effective in simplicity domain and the experts of mortality registration and mood of relatives were effective in acceptability domain. The flexibility of the system was high and appropriate. Conclusions: The findings of the present study reveal that CMSS has some limitations and problems in the timeliness, simplicity, and acceptability criteria, which can be resolved. But this program has an appropriate situation in terms of flexibility.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=205;epage=205;aulast=Bahardoustchild mortalityprogram evaluationpublic health surveillanceiran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mansour Bahardoust Abdolhalim Rajabi Seyyed-Hamed Barakati Morteza Naserbakht Shila Ghadami Elham Talachian Seyed Abbas Motevalian |
spellingShingle |
Mansour Bahardoust Abdolhalim Rajabi Seyyed-Hamed Barakati Morteza Naserbakht Shila Ghadami Elham Talachian Seyed Abbas Motevalian Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran International Journal of Preventive Medicine child mortality program evaluation public health surveillance iran |
author_facet |
Mansour Bahardoust Abdolhalim Rajabi Seyyed-Hamed Barakati Morteza Naserbakht Shila Ghadami Elham Talachian Seyed Abbas Motevalian |
author_sort |
Mansour Bahardoust |
title |
Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran |
title_short |
Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran |
title_full |
Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran |
title_fullStr |
Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran |
title_full_unstemmed |
Evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in Iran |
title_sort |
evaluation of timeliness, simplicity, acceptability, and flexibility in child mortality surveillance system for children aged 1–59 months in iran |
publisher |
Wolters Kluwer Medknow Publications |
series |
International Journal of Preventive Medicine |
issn |
2008-7802 2008-8213 |
publishDate |
2019-01-01 |
description |
Background: Child mortality surveillance system (CMSS) for children aged 1–59 months is a critical issue in the prevention of mortality. This surveillance system like other health programs needs to be evaluated. Therefore, this study aims to evaluate CMSS in Iran. Methods: This evaluation was performed from March 2015 to March 2016 based on selected criteria for assessing the public health surveillance system proposed by the Centers for Disease Control and Prevention. Selected criteria examined in this study included timeliness, simplicity, acceptability, and flexibility. These criteria were evaluated in two ways. First, it included the use of a researcher-made questionnaire. The questionnaires were completed by 100 experts on CMSS. Second, to perform a more exact evaluation of these criteria, 24 of these experts were selected for the focus group. Results: In this study, the response rate was 91% (42% hospital-based and 49% primary care-based). In the timeliness section, 49% of the experts believed that approvals of the child mortality committees have not been sent within the designated time frame; hardware, software, and questionnaires were reported as effective factors in this respect. The structural and administrative problems were effective in simplicity domain and the experts of mortality registration and mood of relatives were effective in acceptability domain. The flexibility of the system was high and appropriate. Conclusions: The findings of the present study reveal that CMSS has some limitations and problems in the timeliness, simplicity, and acceptability criteria, which can be resolved. But this program has an appropriate situation in terms of flexibility. |
topic |
child mortality program evaluation public health surveillance iran |
url |
http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=205;epage=205;aulast=Bahardoust |
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