Reproductive Health in Iran: International Conference on Population and Development Goals

Vakilian, Katayon; Mirzaii, Khadijeh

doi:10.5001/omj.2011.36

Cited by 22 publications

(23 citation statements)

References 11 publications

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“…According to the Population Action International (2002), Iran had implemented national governmental programs on adolescents sexual and reproductive health including compulsory premarital counseling programs for all couples contemplating marriage [81]. Although Iran agreed to teach adolescents health and even sexual health as a result of negotiation between academics and religious leaders in New York during ICPD events in 1999 (provided that its content is appropriate for a student’s age and is pursued under parental supervision) [26], there continues to be no formal reproductive and sexual health education in schools, health units, and even amongst families, because such programs for young students remain taboo.…”

Section: Discussionmentioning

confidence: 99%

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Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

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BackgroundAt the 1994 International Conference on Population and Development (ICPD), held in Cairo, the global community agreed to the goal of achieving universal access to sexual and reproductive health (SRH) and rights by 2015. This research explores the accelerators and decelerators of achieving universal access to the sexual and reproductive health targets and accordingly makes some suggestions.MethodWe have critically reviewed the latest national reports and extracted the background data on each SRH indicator. The key stakeholders, both national and international, were visited and interviewed at two sites. A total of 55 in-depth interviews were conducted with religious leaders, policy-makers, senior managers, senior academics, and health care managers. Six focus-group discussions were also held among health care providers. The study was qualitative in nature.ResultsObstacles on the road to achieving universal access to SRH can be viewed from two perspectives. One gap exists between current achievements and the targets. The other gap arises due to age, marital status, and residency status. The most recently observed trends in the indicators of the universal access to SRH shows that the achievements in the “unmet need for family planning” have been poor. Unmet need for family planning could directly be translated to unwanted pregnancies and unwanted childbirths; the former calls for sexual education to underserved people, including adolescents; and the latter calls for access to safe abortion. Local religious leaders have not actively attended international goal-setting programs. Therefore, they usually do not presume a positive attitude towards these goals. Such negative attitudes seem to be the most important factors hindering the progress towards universal access to SRH. Lack of international donors to fund for SRH programs is also another barrier. In national levels both state and the society are interactively playing their roles. We have used a cascade model for presenting the barriers at the state levels from the strategic planning to implementation. Social factors are to be considered as a background for other factors at all stages.ConclusionAccelerating universal access to SRH requires adequate funding, firm political commitment, creative programming, and the involvement of diverse actors, including faith-based, civil society, and private sector partners.

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Section: Discussionmentioning

confidence: 99%

“…But evidence base is uncertain. In the absence of strong and high-coverage programs, adolescents are at risk of STDs, HIV/AIDS, and unwanted pregnancies [81-83]. …”

Section: Discussionmentioning

confidence: 99%

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

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“…3) The third stage started in 1989 which launched a nationwide free of charge FP program. Consequently, Total Fertility Rate (TFR) decreased sharply from 5.5 in 1988 to less than 1.47 in 2011 [2]. 4) Since 2012, the policy reversed once again from an anti-to a pro-natalist population policy.…”

Section: Introductionmentioning

confidence: 96%

Novel restricted access to vasectomy in Iran: addressing changing trends in vasectomy clients' characteristics over 16years in northwestern Iran

2015

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“…In order to provide users with useful information, health care providers need to be trained to transmit accurate and complete knowledge about contraception methods, and should be able to communicate adequately with users. According to an Iranian Ministry of Health report, the fertility rate in the Islamic Republic of Iran has decreased from 5.6 births/ woman in 1985 [4] to 1.8 births/women in 2009 [5]. This can be attributed to the Iranian family planning programme that was proposed in December 1989 and which provides free contraceptives to families via the primary health care delivery system [6].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practice of pharmacists and health-care workers regarding oral contraceptives correct usage, side-effects and contraindications

Sattari¹,

Mokhtari²,

Jabari³

et al. 2013

East Mediterr Health J

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Despite the success of the Iranian family planning programme, the number of unwanted pregnancies remains high. To investigate whether health workers in Tabriz are providing correct information and counselling about OCP use, the current study was planned to examine the level of knowledge, attitude and practice of OCP providers. A sample of 150 health-care workers in health houses and 150 community/hospital pharmacists answered a questionnaire about knowledge of correct use of OCP, side-effects, contraindications, danger signs/symptoms and non-contraceptive benefits, and whether they counselled patients about these subjects. Knowledge of pharmacists and health workers was not as high as expected and in many topics they were counselling patients even when they had incorrect knowledge and in other areas they were not providing information to patients despite having the correct knowledge. Better continuing education for OCP providers and especially for pharmacists seems necessary. Connaissances, attitudes et pratiques des pharmaciens et des agents de soins de santé concernant l'utilisation correcte des contraceptifs oraux, les effets secondaires et les contre-indicationsRÉSUMÉ Malgré le succès du programme de planification familiale iranien, le nombre de grossesses non désirées reste élevé. Pour savoir si les agents de soins de santé à Tabriz fournissaient des informations et des conseils adaptés sur l'utilisation des pilules contraceptives, la présente étude a été planifiée pour examiner le niveau de connaissances, les attitudes et les pratiques des personnes qui dispensent des pilules contraceptives. Un échantillon de 150 agents de soins de santé dans des maisons de santé et de 150 pharmaciens en milieu hospitalier ou communautaire ont répondu au questionnaire évaluant leurs connaissances sur l'utilisation correcte des pilules contraceptives, les effets secondaires, les contre-indications, les signes de danger/symptômes et les avantages non-contraceptifs, mais aussi sur l'offre ou non de conseils aux patientes en la matière. Les connaissances des pharmaciens et des agents de soins de santé n'étaient pas aussi bonnes qu'escomptées. De plus, sur de nombreux sujets, ils conseillaient les patientes même lorsqu'ils avaient des connaissances erronées et dans d'autres domaines, ils s'abstenaient de proposer des conseils malgré la justesse de leurs connaissances. Améliorer la formation continue des des personnes qui dispensent des pilules contraceptives, et particulièrement des pharmaciens, semble nécessaire.

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Reproductive Health in Iran: International Conference on Population and Development Goals

Cited by 22 publications

References 11 publications

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Novel restricted access to vasectomy in Iran: addressing changing trends in vasectomy clients' characteristics over 16years in northwestern Iran

Knowledge, attitude and practice of pharmacists and health-care workers regarding oral contraceptives correct usage, side-effects and contraindications

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