Qualitative Exploration of Neonatal Transport:A Review of Logistical Challenges

Authors

  • Qeytasi Mahsa Faculty of Industrial and systems engineering, Tarbiat Modares University, Tehran, Iran.
  • Amirhossein Nodeh Faculty of Industrial and systems engineering, Tarbiat Modares University, Tehran, Iran.
  • Mohammad Mehdi Sepehri * Faculty of Industrial and systems engineering, Tarbiat Modares University, Tehran, Iran. https://orcid.org/0000-0002-9920-7452
  • Abbas Habibelahi MD MPH Pediatrician, Tehran University of Medical Scienses, Tehran, Iran. https://orcid.org/0000-0002-5131-5198

https://doi.org/10.22105/ahse.vi.43

Abstract

Neonatal mortality is a vital indicator of healthcare system effectiveness. In 2019, provincial neonatal mortality rates in Iran ranged from 3.1 (2.6–3.7) to 10.0 (9.2–10.8) per 1,000 live births, illustrating significant regional disparities. Despite these concerning figures, the transfer of critically ill neonates to obtain necessary medical interventions has received insufficient attention, revealing a critical gap in healthcare services. This study aimed to gather stakeholder perspectives on neonatal transfer in Tehran, elucidate the obstacles encountered in neonatal transport logistics, and outline the operational framework underlying these transfers. A qualitative descriptive design was employed, involving semi-structured interviews across five prominent hospitals in Tehran Province (N = 5; n = 5). Participants (N = 6; n = 37) included key stakeholders—such as neonatologists, NICU staff, emergency personnel, and parents—who shared first-hand experiences in the transfer of critically ill infants. A pilot-tested questionnaire guided discussions on various aspects of the transport process, including coordination, infrastructure, team readiness, and equipment availability. As the first study in Iran to comprehensively map the logistical and operational challenges associated with neonatal transport, the findings reveal multiple transfer modes—private vehicles, ambulances, and air transport—and the unique barriers each presents. These challenges fall into five main categories: Infrastructure, Systemic Issues, Communication, Team awareness, and Equipment. Taken together, they underscore systemic inefficiencies that compromise timely and safe transfers for neonates in critical condition.

Keywords:

Neonatal transfer process, Neonatal transfer challenges, Inter-hospital transfer of critically ill neonates, Thematic qualitative study

References

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Published

2025-12-23

Issue

Articles in Press

Section

Articles

How to Cite

Mahsa , Q., Nodeh, A., Sepehri, M. M., & Habibelahi, A. (2025). Qualitative Exploration of Neonatal Transport:A Review of Logistical Challenges. Annals of Healthcare Systems Engineering. https://doi.org/10.22105/ahse.vi.43

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