Abstract
Introduction Despite Iran’s success in reducing neonatal mortality
rate, it is still far behind some developing countries and some Asian countries.
The aim of this study was to summarize the measures taken and proposed solutions
to design a model to control neonatal mortality.
Methods This applied cross-sectional analytical study was performed using
a factor analysis method derived from 4 models of neonatal mortality reduction.
After reviewing different texts and patterns, the common and non-common
dimensions of these patterns were set in a comparative table. The results of the
comparative studies were designed in the form of a questionnaire and sent to 30
experts for reliability and validity. CVI and CVR validity and
Cronbach’s α reliability were confirmed and in order to validate
the model, the final questionnaire was completed and summarized by interviewing
311 people from 7 provinces in a multi-stage interview method using multi-stage
random sampling. Data analysis was performed using SPSS25 and AMOS-18
software.
Results 6 factors were found to be effective in controlling neonatal
mortality, including access to health care, health policy, health services,
health information systems, family involvement, and evaluation. Access to health
care services had the most significant effect with 23.19% of explained
variance, and participation and evaluation with 1.19% of explained
variance had the least effect.
Conclusion The proposed model has the greatest impact on the access to
health care services and the least impact on the evaluation component.
Key words
Access - Factor analysis - Policy - health information
