A Alipour, N Habibian, Shr Tabatabaee,
Volume 5, Issue 1 (6-2009)
Abstract
Background and objectives: Iranian family physician care program as a new program has begun since 2005 to deliver a better service particularly in primary health care. The objective this survey was to evaluate the impact of this program on family planning in Sari city between 2003-2007.
Methods: This survey was conducted among all women 15-49 years who married. Required data were collected from health files. The pattern of time trend evaluated and relevant indices compared before and after the family physician program.
Results: The application of condom, hormone injection, vasectomy and total modern contraceptives increased but employing the methods of tubectomy, IUD, OCP, Norplant and traditional method were descending. This variability for condom, tubectomy and traditional methods were statistically significant (p<0.05). However for other methods were not statistically significant (p>0.05). Difference of contraceptive using rates in pre and post of the application of program for condom, hormone injection, tubectomy and OCP were statistically significant (p<0.05) and for others were not statistically significant (p>0.05).
Conclusions: It seems relatively success of family physician program on family planning in Mazandaran province however more human resource should be allocated to family planning.
Ezzatolla Gharebagheri, Hojjat Zeraati, Saharnaz Nedjat, Habibeh Moradi, Akbar Fotouhi,
Volume 21, Issue 2 (9-2025)
Abstract
Background and Objectives: The removal of the free family planning program was implemented in Iran following the decrease in the fertility rate. This study evaluated the impact of this decision on couples' willingness to have children, the use of contraceptives, the increase in unwanted pregnancies and illegal abortions, especially in rural areas.
Methods: This was a cross-sectional study with a descriptive-analytical approach, conducted in 2021 on 592 married women aged 10–54 in Miyaneh. Data were collected using a researcher-designed questionnaire through a multi-stage random sampling method and analyzed using logistic and Poisson regression models.
Results: The mean (± standard deviation) of number of children of couples was 2.15 ± 1.01. The level of education and age at marriage of women were identified as the variables affecting the number of live children born. The desire for children was significantly related to the number of live-born female children (OR = 0.23, CI 95%: 0.12, 0.44) and current male children (OR = 0.12, CI 95%: 0.05, 0.25). Unwanted pregnancies in the first half of 2021 were 2.3 times higher than in the same period in 2020.
Conclusion: The results showed that education and age at marriage significantly affect fertility patterns. Most couples consider two children ideal and do not wish to have any more. The removal of the family planning program led to increased unwanted pregnancies and unsafe abortions. Thus, revisiting population policies and improving access to family planning services is essential.
