This paper describes the process of developing a national pre-disaster plan for physical health and psychological rehabilitation of disaster-stricken communities. Data gathered from a literature review and expert panel discussions informed the process of drawing up unified definitions of physical and psychological health rehabilitation, carrying out stakeholder and STEEP-V analyses, and assigning the responsible organization and the collaborative organizations for each task. The Ministry of Health and the Welfare Organization were selected as the two responsible organizations. Integrated management at all levels, and sharing information, education and funding, were identified as ways to improve stakeholders' participation and collaboration. A system is needed for evaluating the implementation of the disaster rehabilitation plan, using valid and reliable indicators.
Background: Households are the most fundamental unit of society and they need to be prepared for disasters. Aims: This study assessed the 2015 national estimation of disaster preparedness among Iranian households. Methods: Using a multi-stage cluster sampling, this study was performed on 2986 households in the catchment area of 54 public health departments in all 30 provinces of the Islamic Republic of Iran. The data collection tool was Household Disaster Preparedness Index (HDPI), which included 15 disaster preparedness measures. SPSS 22.0 was used for statistical analysis. Results: The mean score of Household Disaster Preparedness (HDP) was estimated at 9.3 out of 100 (95% CI: 8.3-10.3). The multivariate analysis revealed slightly higher preparedness 1 / 9 WHO EMRO | Household disaster preparedness in the Islamic Republic of Iran: 2015 estimation among rural households than urban households (P < 0.001). Higher level of education was positively associated with a higher preparedness score (P < 0.001). Conclusion: In line with first priority for action of the Sendai Framework for Disaster Risk Reduction, the current study provided an overall picture of HDP in the Islamic Republic of Iran. This estimation can be used as a baseline value for policy-making, planning, and evaluation of disaster public awareness in the country.
Background Male child preference is a phenomenon in decline in Asian women. However, it continues to exert hidden pressure on childbearing women in developing countries to dispose them to depression during pregnancy. Aims This study assessed the prevalence of antenatal depression and hypothesised that maternal perception of a family's male child preference was an independent risk factor for depression. Methods This was a cross-sectional study of 780 pregnant women who attended routine antenatal appointments and were assessed using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS). The questionnaire investigated sociodemographic characteristics and some possible risk factors, including maternal perception of male child preference in the family. Analysis was done using c2 tests to assess the relationship between variables. Findings The prevalence of antenatal depression was 20.1%. Maternal perception of male child preference was common and was associated with antenatal depression. Husbands and their families were found to prefer to have a male child. Conclusions Consideration of the male child preference as an independent risk factor is important for health care providers to prevent depression.
Background Depression and fatigue have been recognised as common postpartum morbidities. One of the proposed well established aetiologies is vitamin D deficiency, which is prevalent among Iranian women. Aim To determine the efficiency of vitamin D supplement on postnatal depression and fatigue. Method In this double blind, randomised controlled trial, 80 primiparous women, who scored ≥13 and ≥20 on the Edinburgh Postnatal Depression Scale and the Fatigue Identification Form, respectively, were randomly distributed into the control and intervention groups over 4-10 months following birth. Groups received vitamin D3 1000IU and placebo pills daily for 6 months. Logistic regression tests assessed the relation between variables. Findings Vitamin D decreased depression scores and fatigue scores in the intervention group (P>0.001). Conclusion Considering vitamin D supplements as routine postpartum care among high-risk women would be useful. However, more studies are needed to support this conclusion.
Health problems arising in pregnancy, delivery or the postpartum period are often resolved within 6 weeks after delivery. However, many health problems persist and can have an effect on activities of daily living. Some mothers may not initiate consultation, making it difficult for health providers to treat subsequent problems. The aim of this study was to assess mothers' experiences of postpartum maternal morbidity, the prevalence of depression and fatigue 6 weeks after delivery and postpartum help-seeking behaviours. Method: In this study 1330 mothers who visited public health centres in Tabriz, Iran, were interviewed about their health problems experienced within 6 weeks after delivery and their help-seeking behaviours. The Edinburgh Postnatal Depression Scale and Fatigue Identification Form were also used to assess depression and fatigue respectively. The Chi square test was used to assess associations between some variables. Results: The majority of the women (89%) reported experience of one or more health problems in their postnatal period. The problems included backache (53%), headache (50%), fatigue (44%) and constipation (27%) among other problems. Conclusion: With a majority of women not seeking help, the timing and content of antenatal care visits, and postpartum care should be reexamined and include more information about postpartum problems.
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