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

Akbari, Nahid; Ramezankhani, Ali; Pazargadi, M

doi:10.1186/1472-6963-13-241

Cited by 8 publications

(5 citation statements)

References 56 publications

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“…A small sample was used and the views of important stakeholders (e.g., clergies and religious leaders) were absent from this study. Nonetheless, our findings support those of Akbari et al ( 32 ), who included Iranian religious leaders in their study and recruited a larger number of participants, indicating that there is a consensus across stake holders about needed SHRE and service improvement. Thus, our study presents useful recommendations for improved SHRE and sexual health services for young Iranian adults, adding a new voice to previous studies focusing on the views of young people.…”

Section: Discussionsupporting

confidence: 90%

Health-Care Professionals' Assessments of, and Recommendations for, Sexual-Health Education and Service Provision for Young People in Tehran

Sheikhansari

Abraham

Denford

2021

Front. Public Health

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Background: Only limited Sexual Health and Relationships Education (SHRE) is provided in Iranian schools and universities while research has highlighted demand and need for improved SHRE among young adults. We explored health-care professionals' (HCPs) assessments of, and recommendations for, SHRE and service provision for young people in Tehran.Design and Methods: Semi-structured interviews were conducted with a sample of 17 HCPs based in Tehran and verbatim transcripts were analyzed using thematic analysis.Results: Participants confirmed the need for improved SHRE and service provision for young adults. HCPs described how a lack of reliable educational resources for young adults, taboo and cultural barriers, and a lack of trust and confidentiality prevented young people from accessing information and services. They unanimously supported education and services to be augmented, and provided recommendations on how this could be achieved.Conclusions: A number of positive suggestions for the improvement of SHRE and Iranian sexual health services in Iran were identified.

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Section: Discussionsupporting

confidence: 90%

Health-Care Professionals' Assessments of, and Recommendations for, Sexual-Health Education and Service Provision for Young People in Tehran

Sheikhansari

Abraham

Denford

2021

Front. Public Health

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“…At the 1994 International Conference on Population and Development (ICPD), held in Cairo, the global community reached in a consensus of assuring universal access to sexual and reproductive health for both men and women (Akbari et al, 2013). Prior to ICPD, healthcare services, especially, reprodutive health were largely female-oriented, excluding men's needs (Shahjahan et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Attitude Towards Family Planning: Knowledge and Perception of Transport Workers in Khulna City Corporation (Kcc) of Southwest Bangladesh

et al. 2022

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This study deciphers the relationship among socio-demographic and economic conditions with the attitude towards restricting family size as well as knowledge and perception of the low income people in this regard. By administering a interview schedule, data used in this article were collected purposively from four hundred and forty low-income men from Khulna City Corporation (KCC) areas of Bangladesh following survey research design. It was found that men’s personal and household socio-demographic and economic conditions were the key determinants to their access to and use of family planning methods. Low-income men in their thirties with more years of schooling and disposal income played pivotal role in making decisions regarding use of contraceptives. The knowledge and perception on family planning were influenced by their social, economic as well as demographic characteristics. Such attributes eventually influenced the frequency and willingness to use family planning methods to minimize the family size of low income people in urban Bangladesh.

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“…Similarly, Akbari et al [ 34 ], in justifying the need for structural changes for the effective management of health services in Iran and its barriers, described the importance of providing such opportunities for participation by all stakeholders and the establishment of intergovernmental committees for decentralized management of health sectors. Khorasani et al [ 35 ] likewise described how a lack of such interactions between the professionals and interdisciplinary staff may inhibit AR.…”

Section: Discussionmentioning

confidence: 99%

Development, implementation and evaluation of the ‘BELIEVE’ program for improving physical activity among women: a mixed method action research study

Amiri‐Farahani

Parvizy

Mohammadi

et al. 2021

BMC Sports Sci Med Rehabil

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Background There is insufficient physical activity among women. Yet the implementation of effective, multilevel, and evidence-based interventions may address this. Since the lifestyle of individuals is formed in many different social, physical and cultural contexts, it will be necessary in designing such interventions to involve many stakeholders. Consequently, the present study took a mixed method action research approach in developing, implementing and evaluating a bespoke program to improve physical activity among women. Methods This study was conducted within the Khoramroudi neighborhood of Tehran between 2013 and 2015 utilizing the four main phases of action research. The Mobilizing for Action through Planning and Partnerships (MAPP) process was used to design the study. During the initial phase, participants were organized into three groups; a core support committee, a steering committee, and a study population. Qualitative and quantitative data were also collected during this first phase. During the second phase, interventions were developed and implemented. In the third phase, an evaluation was carried out using both quantitative (Designing a quasi-experimental study) and qualitative methods. During the fourth phase, an exploration of the structure and process of action research was completed with the aim of providing a conceptual model and descriptions of the context. Results Three strategic interventions were effective in improving physical activity among women: (1) utilization of sports assistants; (2) Local health promotion and the dissemination of an informational, motivational and culturally competent booklet entitled “Educational content for sport assistants" (3) Group-based cognitive behavioral therapy. Quantitative results [Significant difference between the total score of PA before the intervention, and 1 and 3 months after the intervention (P < 0.001)] and the results of qualitative evaluations were shown to improve physical activity among participants. The newly co-created “adjusted MAPP model” was offered within three action cycles. The structure of this was described to capture the impacts of interactions among a variety of stakeholders. Conclusion The comprehensive identification of problems led to the development of collaborative strategies. Strategies of action research can positively affect physical activity among women. To improve physical activity outcomes more generally, the use of MAPP principles and strategies is suggested to meet the specific needs and strengths of all community members.

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

Cited by 8 publications

References 56 publications

Health-Care Professionals' Assessments of, and Recommendations for, Sexual-Health Education and Service Provision for Young People in Tehran

Health-Care Professionals' Assessments of, and Recommendations for, Sexual-Health Education and Service Provision for Young People in Tehran

Attitude Towards Family Planning: Knowledge and Perception of Transport Workers in Khulna City Corporation (Kcc) of Southwest Bangladesh

Development, implementation and evaluation of the ‘BELIEVE’ program for improving physical activity among women: a mixed method action research study

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