Salehi, Fatemeh

Simorgh Research Repository

&),Qt,/^| , ytidur(-)htet*,Ft,r;.n}t-r cflc),tbl .S;gL,i a;.i; 'u3;l o-rLi.i;[s- C,h* n"6 .ltfb,:ofgoOl"-f *i;c "rtc:! sl;sln * g 6 f ,f .l.;f,l;, ui{t^i LSIJ, GIS Gf sV *.tlti Jl-r.1cGzJl,a  a.bLi :J"-fg!u,o*t )t+J ifs ro,l- .;tf;- :ln:sl1 ch-rlu+-.l.,lte ;".nf ,,,fc 5GT./tr" :Jrt.i.o cti.rl1f tl-'llto:ol.a* Jt-r\ Y1l.{?:r9;t'r/wln-u,8" II ntxL,LKerman University of Medical SciencesA Thesis Presented to the Degree of MSc in Health Information TechnologyTitle:Implementation of Geographic Information System to show distribution ofmaternal mortalify in Kerman in 2015By: Fatemeh SalehiSupervisor: Dr. Leila Ahmadian2016!trr*$';6l5+S5-",jL(,t ,;T jl .r-.r oL--lj rqr;l:;l Ig1-2;,:1,: a--[i5q rtL;r: "#U+.gLr c^Jlr. t iV) o-ps:.-.0-r-r 3 +-.1-)tb *.jL-): .r:-:1-9 c,L-G 4-ilrl lLb *-* lt) o-r:a: erLi *( .f-1 ..)jL s, f.1, lt :l)3, I ):G,4 rn t1\3, )1 S-t-.s- i ,;1y, d-jlrl -rL:.jL; d g_b ,JL<- G-L-Li J_l_rl ', .-,-.;t1, j! uT t juj 4t d-t g(: uLj /:r \sitL: jl), -:Ld;l y;-L; *)ll.Lil-i,.r- GJ-!6.1--,,JLa S-t:tit]F- *-U.re(J.r;t-tgc,L-l'*L, e)s*.-t;li.,,.r:-.r- !.-Ju- .;,-l .-r-!.r.t-Flr+;to)t1,1 ;--=-.tJ tll o:Li;l :rr. r.r-1-rg st" e 5 f t.5rl-iel-,c->-.-t- lq-:l \l"Cf JL I oUf ,4) 9 1\:;L.pl;:L r+ ,3, 551y. .*-L;ctlr, GIS s5:S *.,s-;,-.6>)j. \)r--^ L (Systematic revierv) d:iL- lLtL- .91 +JG. 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":l3JL; c-)L- .-r-L--xlK Ji Y J jt ),ltl --J,--L, r,U--1)S I Y ,t<-: -.gLA oUJL- jl L-a ep-Li j--l J--{- j! ,-,1:" ;tp)ltl 3 1G-\ .::f a\;;-1t!* f 3-W .lj: t: x-rf Expert cltoice -, :3 alr--.s (-i;L. tet-):t : i):-1 ,oLr.f 3 j:14-,(;L;: ; .-;1-r-6, .gLr ;;3L") iLf J*J.l:b "K:;t, ,-13 +r,-.:tt- 1 t--:f Arc GIS 1 0.2 .t;tt 7t :tll o-l-: ir-!r.tj-l .gLn oe;3 oi--,^ 1o-L,T s-.t, ;te)i-tl .t "i-S G)a,+:L.-rf {r;-r-t ,\ jtt 1i )\ )V ':s.t^ ,, a .;)f )lJ, J:1,-' j --_-\'r) ;Utt -51 .tJ ,r;t iKL;*-t L-i e.(;l-=- +Jl!.;: ", .tL-j! 4JG. aaq2 jt 4Jt!- f . .rJt!, ,,_l ;: :Ls.::-.,;9. CIS -tl;\ 1t r: l, ";1,r.:.flr+ f\f yr- jLj" J "r1rr! ,tl;>L;-ilr* o-Lr: dlri _f\r"V dzG" .glrri^ (.i,! rs-r,r oa;V iS\:7rS _b;l af c-l gT o-uo: ol;i.i1;,,1,J- J-l-- J-r-".y-S.-,j: e-U.-!i:_o o.:l: 21ri u<:--;*J il L.-als?\/' Y :y-r.- .i! -/ -t\tt:-J;1:-lL;rl;:L :-;lr" 4:l)l-rl:.-,1-1 .bU j4;: .-,crl J-;)q j1 ;t-;-r) ir.)L.l';.gl;1,:,:Lf :+-Sf ;".gl,l.p.,.,r,-Ll-tl'.Jo:.-ui!.f h-**;:6!;:L!.,iruLrt jLf .4,f:y..:XL.,j" .,--L"U sf ) uL-:.; 6\11: uj; : .;f tcta r:;q 1: ,* .;W j &J- 1"9Ln ,;! .rit .r" =-U e-J.r,L;-: f\)" )lPl .-r ci-.:l:L* lUrl <f.:--l jT o-[s: dL:.-i G\-: j{\e )\,;:-"1 t-1l:;L gll:L * g: {:L-!::.5+-.:;l::3-..;l:;L gl;:L t./) r'r+oU-i gl-r o.u +ll;l ;t -t, r. .,;l-rr-.,:.;lr# flf .g-G $jl r,tl;.:L 3, * +f :1: st.':4JU. j,-1 6-t;:6J ^a-.r. rlrr! ;l;:L j1 :-J'l)" j;r)L ljr ;r GIS --iI; .9G J+U jl o:LL-l .:-,l: :3> , 6 js ,_s* b.l_t .zt' ^ f -,: ;1:- -jl o:Li:-,1 ;r:,--.-,t .-r.;L;l:1L ol;:L Cr)L- I !rI; s,-Lilr-i-- ) ,b GGr,*. j!;UUr1 .)S ,g1r, 6;)1 )l;1 L\;d;Ls;-r: 1{-J, ! .rf et-;p l) J\"f .,4.: ; ,92].:1L.gL" c*ilr" 4i1J1 c-.6--;l: -l-eJ;,1 J-tti. s,-Lii;K"t ,t;rl E; -,;G>ttl Ily, -+ G-FIF jG>Ul .9G f:1* jl o:LL-l ,1;S 1, S-ts .\.:lt:;-r7l j1 :-b ; slr-.I ;: e;7^.7 -.r.,--lr{1 .rl;lj( c-l= : ,}:*-1L:il -1: ,.tUT -,=, 3 6 y at;=";r5 ;.-+^r I -,lr-,! .:1:;L g)L )}.*i --t.7 -.rs .9*.-f,a:;lj;5;l:;L ,il;:L i:;lJ, tdLf i;l:;L sl;:L t : 3 y i.r,-!17,= .lG)Ul --.- :.g-rf -'u1iAbstrct:Background: Improving matemal health is globally introduced as an irnportant health priority.This point indicates the need to strengthen the delivery of health services to provide adequatecare at any tirne and place that u,omen need. Therefore. identif-rcation of places that require caredelivery can help to properly distribute health services. Geographic Information System(GlS) is atroderl teclmolog_v- that helps to rnake sound polic), and decisioris to plornote []atjents' health.The purpose of this study rvas to use GIS to shou,the distribution of maternal rnortalit-v inKerman in 20 I 5.\lethods: First we systematically searched all English and Persian papers that designed GlSs inthe field of maternal health care.Papers indexed in PubMed,Scopus and Science direct databasesuntil October 2015 were included. Beside variables visualized on GISs, all other investigated,'ariables were extracted frorn the included papers. To identily tlie high priorit.v" areas for matenral:are and services, first arlicles, books, forms, standards and guidelines were explored in order to;\tract indicators and sub indicators relevant to the rnatemal health. In the next step a:uestionnaire rvas designed and data elements \\'ere entered into the questioruraire. Questionuaire'.as designed based on AHP (Analytic Hierarchy Process) method. In order fbr the aim of this, Ldv to be fuIfi1led, the indicators should be rveiglrts ol'importance. One of the best and most--illr.non method for this goal is AHP method. The AHP is a multi-criteria decision nraking.:oroach that uses a multi-level hierarcliical structure of objectives. criteria, sub criteria. and: .L-nlatives. The data are derived by using a set of pair wise comparisons. These comparisons are,,:l to obtain the weights of-irnporlance o1'tlre decision criteria, and the relativc perfornrance.::sures of the alternatives in tenns of each individual decisiorr criterion. The questionnairesr - completed by l5 experts in various field of health care who rvere related to maternal health.I -=-n individuals were recruited in this study J2 of rvhorn were expefts in health infbnnationtechnology, midwife, nurse, geography, expert in health family and health informationmanagement (a total of 12 people, consisting of two experts in each field) and three of whomwere general practitioners and obstetricians. The validity and reliability of the questionnaire wereconfirmed by three medical informatics experts and test-retest method, respectively. Data wereanalyzed by Expert Choice software in order to specift the weight and importance of eachindicator. The information was then added to Geographic Information System (GIS) to analyzeand create the related maps.Results: In this study.40 out of 5458 retrieved arlicles were selected as relevant and revieu,ed bythe authors. Most studies visualized variables "distance to health facilities" and ''travel time totltetn" (n:33) on GISs. Women's access to hospitals plays an important role in identilying highpriority areas which need maternal care and seruices. More tlian half of the mothers in Kermanhave a moderate level of access to maternal care sen,ices. There is an association betrveenfircilities that are provided for pregnant wonrcn and the eristence of healthcare centers. Moreover,there is a negative corelatiorr betrveen maternal death and the number of facilities provided fbrrnedical care and services for pregnant women.Conclusions:The application of GIS provides us rvith the capabilitl'to identif,high priority areasu'hich need rnaternal care. According to cument population policies in Iran and the probableincrease in the fertility rate. it is wise to plar-r proper schedules to irnprove health care services forpregnant wornen in Kerman.Kevrvords: Maternal health services, Geographic infonnation systerl. Iran

به کارگیری GIS برای نمایش پراکندگی مرگ و میر مادران باردار در شهر کرمان در سال ۱۳۹۴

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