More than 200 million children in low-and middle-income countries suffer from developmental delays and / or debilities worldwide (1). Some risk factors associated with practical damage and mental developmental delay in infants and children in developing countries are as follows: Micronutrient deficiency, malnutrition, poor health and hygiene, and scarce care. Early detection of developmental problems is of importance to the wellbeing of young children and their parents. Therefore, it is essential to decrease the negative outcomes (2). The Ages and stages questionnaire (ASQ), which has largely been used in contemporary studies, is a developmental screening questionnaire designed to be completed by parents or primary caregivers of children. This questionnaire can detect those children who should be further evaluated to decide whether they are qualified for early intervention, or early childhood specific training. Sensitivity, specificity and reliability of this questionnaire (ASQ) have been reported to be 75.8%, 87.5%, and 94%, respectively (3). The ASQ is used for children aged 4-60 months, covering five various domains of communication, fine motor, problem solving, gross motor, and personal-social skills (1). In 2015, in a cross-sectional study in Hormozgan province (located in the extreme point of southern Iran) 23,494 twelve-month-old children were screened for development delay, using the ASQ. Among the participants, the ASQ was abnormal in 88 children. Moreover, 25% had a delay in communication domain, 29% in fine motor, 31% in problem solving, 35% in gross motor, and 26% in personal-social skills. The results revealed that 'delay in gross motor' and 'problem solving' were higher among all the domains. Gross motor development includes control and movement of large muscle groups such as the head, torso, arms, and legs. Gross motor skills are abilities that have been developed during early childhood, and they develop from top to bottom (4). The 'problem solving domain' includes child's knowledge and the ability to play with toys. However, these results should not be interpreted in isolation, and decisions should be made based on other factors and the overall function of children. A systematic review summarized the results of studies and provided the best evidence for judging (5). Therefore these studies can help to identify the effective factors on delay in gross motor and problem solving domains.

Introduction: Given that the evolution of various mental aspects, includes. Therefore, screening for the developmental status of children can prevent significant complications and disorders. Therefore, we decided to examine the developmental status of children in Hormozgan province based on the Ages and Stages Questionnaire (ASQ). Methods: This descriptive-analytical study was performed by cross-sectional method in December 1997 in health units of Hormozgan province. Based on cluster random sampling, the names of 2260 children aged 60 months (3 to 5 years) were extracted through the integrated health system. Data collection tool was ASQ questionnaire which was used to assess the development of children in the five areas of communication, large movements, fine movements, problem solving and social personality. The collected data were analyzed using SPSS software version 22 and statistical tests, analysis of variance, chi-square, mean indices, standard deviation and frequency percentage.(p<0.05) Results: The mean age of the children in the study was 3.14 ± 2.3 Out of 2260 children, 1036 (45.8%) were girls and 1224 (54.2%) were boys. In terms of communication 1.5%, fine movements 2%, 4.5% large movements, 3% problem solving and social personality 4% were abnormal. Conclusion: The results showed that despite the normal development in most children, a number of children had developmental disorders in at least one area. Therefore, the need for programs to deal with related risk factors and continuous follow-up in terms of the development of these areas is essential to prevent future complications.

Background: Stillbirth is one of the unfavorable consequences of pregnancy. Generally, the true causes of fetal death are complicated and difficult to accurately identify. Objectives: The present study was aimed to identify risk factors for stillbirth among mothers referring to health centers of Hormozgan province, Iran. Methods: This case-control study was conducted in 12 cities of Hormozgan province in 2015. The samples were randomly selected among those referring to the health centers of Hormozgan province by cluster sampling. Required data were collected by using a researcher-made questionnaire comprised of demographic characteristics of the mother pregnancy and delivery. The univariate and multivariate logistic regression analyses were used to measure the correlation between variables within a significance level of 5%. Data analysis was performed using SPSS, version 21. Results: A total of 825 mothers were recruited and assigned into two groups, experimental and control groups. There were 403 mothers with a history of stillbirth in the experimental group, and the control group was comprised of 422 mothers with a healthy live birth. The average age of the participants in the experimental and control groups were 27.68 ± 6.4 and 26.96 ± 5.4 years, respectively. Most of the mothers (> 90%) in both groups were housewives and most mothers in the case group (37%) were illiterate, whereas the majority of controls (43%) had a university education. The odds of stillbirth among mothers older than 35 years was 2.33 times higher than other mothers [OR: 2.33, 95% CI (1.287 -4.246)]. The odds of stillbirth among mothers with a history of stillbirth was 10 times higher than those with no stillbirth history [OR: 10.1, 95% CI (2.846 -35.973)]. Conclusions: The findings of this paper show that the fetal death is associated with maternal age, maternal education, maternal area of living, history of stillbirth in previous pregnancies and history of abortion in previous pregnancies. The results of this study may help to conduct future research effectively, and help supervisors and policymakers make evidence-based operational decisions.

Background: Prevention of injury and incident should be recognized as an important means in the life of children. All communities are responsible for preventing child injuries. Safe and sustainable environment is a prerequisite for a healthy community. Children should be provided with highest levels of health. They should live in a safe environment. They are close to water as soon as they begin to live. But, despite the great benefits of water for the health and survival of children, it can be dangerous. Considering that drowning in Hormozgan province is one of the major causes of death due to unintentional injuries, we decided to study the five-year mortality rate of 1-to 59-month children due to drowning in order to resolve this matter with a proper planning. Methods: This was a retrospective descriptive-analytic study performed to investigate the death of children aged 1-59 months due to drowning in Hormozgan province during 2013-2017. The data were collected by interviewing to answer to questionnaires' items. The questionnaires were completed by a team after death in hospital (intrahospital death) or at home (extrahospital death), questioning the family of the dead child. The data were analyzed by SPSS software and t-test. Results: Over the past five years, drowning after traffic incidents has been the most common cause of death due to unintentional accidents. Of 63 deaths due to drowning, 19 cases happened in pools (30.1%), 14 in natural water resources (22.2%), 10 in the water buckets (15.9%), 7 in the agricultural water ponds (11.1%), 6 in tub (9.5%), 3 in wastewater wells (4.8%), 3 in yard's water storage (4.8%), and 1 in gasoline reservoirs at home (1.6%). Conclusion: Sensitizing families, NGOs and policymakers seems to be very effective in preventing drowning in children. Therefore, it should be considered as a health priority in the country.