بررسی روند و علل اصلی مرگ و میر کودکان زیر 5 سال در استان گیلان در سال‌های 1397 تا 1401: یک گزارش کوتاه

زمینه و هدف: تامین، حفظ و ارتقاء سطح سلامت کودکان زیر پنج سال، اهمیت دارد. ﺑﻨﺎﺑﺮایﻦ، ﻫﺪف از ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ تعیین روند و علل اصلی مرگ و میر کودکان زیر 5 سال در استان گیلان بود.مواد و روش ها: در این مطالعه توصیفی، 343 مورد مرگ و میر زیر 5 سال در دانشگاه علوم پزشکی گیلان طی سال‌های 1397 تا 1401 بررسی شد. اطلاعات دموگرافیک کودک و والدین و علت فوت جمع‌آوری شد. داده ها به صورت آمار توصیفی (درصد و فراوانی) گزارش شدند.یافته ها: بیشترین فراوانی مرگ و میر کودکان زیر 5 سال در 191 کودک پسر (55.6 درصد) بود. بیشترین فراوانی سنی مرگ و میر در کودکان زیر یک سال 177 کودک (51.6 درصد) بود. تعداد 218 کودک (63.5 درصد) ساکن شهر، 124 کودک (35 درصد) ساکن روستا و 1 کودک (1.5 درصد) عشایر بودند. بیشترین علل مرگ، نقص مادرزادی 62 مورد (18 درصد) بود.نتیجه گیری: تعداد قابل توجهی از موارد مرگ و میر کودکان به علت نقص مادرزادی بود. شاید بتوان گفت عدم آگاهی مادران از تست های غربالگری جهت پیش گیری از نواقص مادرزادی باعث این اتفاق باشد.

investigating the trend and main causes of death of children under 5 years old in guilan province in 2018 to 2022: a short report

background and objectives: providing, maintaining, and improving the health level of children under 5 years old is important. therefore, the aim of this study was to investigate the trend and main causes of death of children under the age of five years in guilan province.materials and methods: in this descriptive study, 343 of children under 5 years old in guilan university of medical sciences have been investigated in 2018 to 2022. the demographic information of the child and parents and the cause of death were collected. the data was reported descriptively (percentage and frequency).results: the highest frequency of deaths of children under 5 years old was in 191 male children (55.6%). the highest age frequency of death was children under one year, 177 children (51.6%). two hundred and eighteen children (63.5%) lived in the city, 124 children (35%) lived in the village, and 1 child (1.5%) was nomad. the most common causes of death were congenital disorders, 62 cases (18%).conclusion: a significant number of children’s deaths were due to congenital disorders. perhaps it can be said that it is caused by mothers’ lack of knowledge about screening tests to prevent congenital disorders. it is also recommended to increase hospital equipment and facilities.keywords: mortality, children under 5 years old, health status, guilan provincefunding: this study did not have any funds.conflict of interest: none declared.ethical considerations: the ethics committee of guilan university of medical sciences approved the study (ir.gums.rec.1402.205).authors’ contributions- conceptualization: kourosh delpsand- methodology: kourosh delpsand - data collection: armin abaspour, hamed mohammad arazi- formal analysis: zahra ahmadnia- supervision: kourosh delpsand- project administration: kourosh delpsand- writing – original draft: kourosh delpsand, armin abaspour, hamed mohammad arazi, zahra ahmadnia- writing – review & editing: kourosh delpsand, zahra ahmadnia. citation: abaspour a, mohammad arazi h, ahmadnia z, delpsand k. investigating the trend and main causes of death of children under 5 years old in guilan province in 2018 to 2022: a short report. j rafsanjan univ med sci 2024; 23 (5): 371-77. [farsi]