Hananeh Sadat Sadeghi[1], Fatemeh Torabi[2], Hassan Eini-Zinab[3], Mahmoud Ghazi-Tabatabaie[4], Mohammad Heidarzadeh[5]

Abstract

Although Iran has achieved stillbirth target of Every Newborn Action Plan (≤12 stillbirths per 1000 total births by 2030) at national level, there are still notable contextual inequalities (spatial and socioeconomic) in stillbirth. The purpose of this study is to explain the inequality in stillbirth, using the intersectionality approach that McGibbon proposes in the field of the right to access health care. We used the Iranian Maternal and Neonatal Network (IMAN) for the period of 2013-2020. The indicators extracted from this study showed that mothers who experience several disadvantages at the same time (like non-Iranian mothers who gave birth in the fifth geographic region of Iran (the east), or uninsured mothers over 45 years), experience stillbirth more frequentlycompared to their counterparts. We came to this conclusion that the intersection of three areas of social determinants of health (maternal education level, type of hospital, type of insurance), the isms (nationality and maternal age) and geographic or spatial contexts (urban-rural residency, the geographical area of birthplace) can create synergy with each other and cause some groups of mothers who belong to the most vulnerable strata of the society to be oppressed more. The main policy suggestion of this research is to reduce stillbirth by considering the intersection of inequalities instead of individual axes of inequality.

Keywords:Inequality, intersectionality, stillbirth, Iran

[1] Ph.D. Student, Department of Demography, Tehran University, Tehran, Iran.

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[2] Associate Professor, Department of Demography, Tehran University, Tehran, Iran. (corresponding author) This email address is being protected from spambots. You need JavaScript enabled to view it.

[3] Associate Professor, Department of Community Nutrition, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. This email address is being protected from spambots. You need JavaScript enabled to view it.

[4] Professor, , Department of Demography, Tehran University, Tehran, Iran. This email address is being protected from spambots. You need JavaScript enabled to view it.

[5] Zahedan University of Medical Sciences, Zahedan, This email address is being protected from spambots. You need JavaScript enabled to view it.

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