Objectives: To determine the IMR in Al-Ramadi province,
the center of Al-Anbar Governorate, Western Iraq, from 2000-2010 with rate comparison of the three different stages of that period. Methods: Data collected
from the birth and death certificate center in Al-Ramadi province, Western
Iraq, included; name, age, sex, residence, date of birth and death, in three
different stages (the first stage 2000-2002, the second stage 2003-2007, and
the third stage 2008-2010) in a study period from July to December, 2010. The
IMRs were analyzed and compared with other studies. Results: The IMR of the
last 3 years of sanction was 54.3/1000, 55.7/1000 and 50.6/1000 respectively,
this rate had been increased in the war and violence period to reach its
maximum rate 58.6/1000 in 2006, then decreased to reach its minimum rate
44.5/1000 in 2008. Approximately two-third of deaths occurred during the
neonatal period and one third in the post neonatal period. Males had higher IMR
than females, and rural residence higher than urban. Conclusion: Infant
mortality rate is still high in Al-Ramadi province, since the American invasion
(2003-2007), when compared with other developing countries. This study found
increase of IMR in Al-Ramadi province during that period more than other
 Stanton, B. and Behrman, R.E. (2008) The field of pediatrics, history of infant and child health. In: Behrman, R.E., Kliegman, R.M. and Jenson, H.B., Eds., Nelson Textbook of Pediatrics, 18th Edition, Saunders Company, Philadelphia.
 Logan, S. (2003) Epidemiology of child health. In: Logan S., McIntosh, N., Helms, P. and Smyth, R., Eds., Forfar and Arneill’s Textbook of Pediatrics. 6th Edition, Churchil Livingstone, Oxford.
 Abuqamar, M., Coomans, D. and Louckx, F. (2011) Correlation between socioeconomic differences and Infant mortality in the Arab World (1990-2009). International Journal of Sociology and Anthropology, 3, 15-21.
 World Health Organization (2000) The World Health Report, Health systems: Improving performance. World Health Organization, Geneva.
 Bernadine Healy, M.D. (2012) Behind the baby count. World Reports, US News.
 MacDorman, M.F. and Mathews, T.J. (2009) Behind international ranking of infant mortality: How the United State compares with Europe. Centers for Disease Control and Prevention, No. 23.
 World Health Organization (2011) Humanitarian assistance capacity in Iraq; Part 1. GARE International in Iraq, John Hopkins University Center for International Emergency, Disaster and Refugee Studies.
 Ministry of Health (1990) National child survey 1989. Government of Iraq, Baghdad.
 Global Demographic Ltd. (2011) Mortality rate; infant (per 1000 live births) in Iraq.
 Federation of American Scientist (2011) Child mortality. Iraq morality estimate.
 United Nations Economics and Social Commissions for Western Asia (ESCWA) (1997) Poverty in Iraq before and after Gulf War. Poverty reduction series-4.
 The World Bank (2011) World development report 2001.
 Shawky, S. (2001) Infant mortality in Arab countries; so ciodemographice, perinatal and economic factors. Eastern Mediterranean Health Journal, 7, 956-965.
 Al-Nouri, L. and Al-Rahim, Q. (2003) The effect of sanction of Iraq. Archives of Disease in Children, 88, 92.
 Abudal Latif, B.L., Al-Diwan, J.K., Al-Hadithi, T.S. and Al-Hadi, A.H. (2006) Low birth weight and prematurity in the neonatal unit of a maternity and pediatric hospital in Iraq. Journal of Tropical Pediatrics, 52, 147-150.
 Said, N.I. (2003) Trend of perinatal mortality (rate and leading causes). Iraqi Journal of Community Medicine, 12, 28-30.
 Nasheit, N.A. (2003) Perinatal and neonatal mortality and morbidity in Iraq. Journal of Maternal-Fetal and Neonatal Medicine, 13, 64-67. doi:10.1080/jmf.22.214.171.124
 Ascherio, A., Chase, R., Coté, T. and Dehaes, G. (1992) Effect of the gulf war on infant and child mortality in Iraq. The New England Journal of Medicine, 327, 931-936.
 Awqati, N.A., Ali, M.M., Al-Ward, N.J., Mageed, F.A., Salman, K. and Al-Alak, M. (2009) Causes and differentials of childhood mortality in Iraq. BMC Pediatrics, 9, 40. doi:10.1186/1471-2431-9-40
 UN Security Council, Global Policy Forum (2003) Council on Foreign Relations, Resolution 986, UN Sanctions, Iraq.
 Events Leading Up to the 2003 Invasion of Iraq (2011) Media coverage of thread posed by Iraq.
 Department of Professional Employees, AFL-CIO (2011) Health consequences of the war in Iraq.
 Al-Ani, Z.R., Al-Hiali, S.J. and Al-Mehimedi, S.M. (2010) Neural tube defect among neonates deliveries in Al Ramadi maternity and children hospital, western Iraq. Saudi Medical Journal, 31, 163-169.
 Al-Ani, Z.R., Al-Hiali, S.J. and Al-Mashhadani, W.S. (2009) Perinatal mortality rate in Al-Ramadi maternity and children hospital, western Iraq. Saudi Medical Journal, 30, 1296-1300.
 Al-Hiali, S.J., Al-Ani, Z.R, Al-Kaseer, E. and Al-Ani, E.R. (2010) Low birth weight in western Iraq. The Iraqi Postgraduate Medical Journal, 9, 312-315.
 Roberts, L., Lafta, R., Garfield, R., Khudhairi, J. and Burnham, G. (2004) Mortality before and after the 2003 invasion of Iraq sample surveys Roberts. Lancet, 364, 1857 1864. doi:10.1016/S0140-6736(04)17441-2
 List of countries by Infant mortality rate (2011).
 WHO, Health Statistics (2012) Global health indicators.
 Al-Ani, Z.R., Al-Hiali, S.J. and Al-Faraji, H.H. (2011) Secular trend of infant mortality rate during wars and sanctions in western of Iraq. Saudi Medical Journal, 32, 1267 1273.
 Goldani, M.Z., Barbieri, M.A., Bettiol, H., Barbieri, M.R. and Tomkins, A. (2001) Infant mortality rates according to socioeconomic status in a Brazilian city. Revista de Saude Publica, 35, 256-261.
 Garfeild, R. (1997) The Impaction of economic embargoes on the health of women and children. American Journal of Public Health, 87, 15-20.
 Al-Ani, Z.R., Al-Hagi, S.A., Al-Ani, M.M., Al-Dulaimy, K.M., Al-Maraie, A.K. and Al-Ubaidi, B.K. (2012) Incidence, types, geographical distribution, and risk factors of congenital anomalies in Al-Ramadi maternity and children’s teaching hospital, western Iraq. Saudi Medical Journal, 33, 979-989.
 Red Orbit (2012).
 Global Issue (2011) Poverty around the world.