Journal of School of Public Health and

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This cross-sectional study was conducted from May to September 2003, with the aim of determining quality of service in 25 State-run family planning clinics in Hamadan city. A total of 400 consultations were observed and assessed using UNICEF quality checklists. Results showed that less than 50% of the clients are receiving service of a satisfactory quality areas of care where quality was worst included history taking, physical examination and counseling. It became apparent that care providers with higher education had lower performance levels compared to their less educated colleagues. Service for new clients was of poorer quality than for those who had requested a change of contraceptive method. Furthermore, earlier hours of a work shift (before 10 o’clock) were associated with better service quality than later hours. Altogether, the study reveals serious flaws in areas such as training of family health workers and human resource management within the current system. To address these shortcomings, we recommend a more client-oriented approach in health care, use of supplementary material to promote client knowledge, and training of health workers with due emphasis on effective communication and performance.

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The goal of this study is to evaluate women&aposs behaviors while their family planning programs fail or facing unwanted pregnancy. This is a cross-sectional study. The population is all 15-49 years pregnant women (788 people) in the villages (62 villages) of Najaf Abad City having active health center. Data were gathered through interview and their profiles. They were recorded in questionnaires.T test and X2 were used to analyze data.
The results showed that high-risk behaviors happen %44/3 more when family planning program fails. 105 (%31/72) of women having unwanted pregnancy did unsuccessful activities in order to end their pregnancy. The activities are different. %35 was physical such as: hitting, lifting heavy objects or using unhealthy vulva objects, %28/6 used injection, %9/5 eat chemical and plant medicine. And the other used two or three ones together. Women showed good behaviors in %91 of wanted pregnancy and %45 of unwanted pregnancy. There is significant relationship (p=0/001) between dealing with pregnancy and it&aposs being wanted and unwanted. There is also significant relationship (p=0/Q01) between women&aposs education and their behaviors toward pregnancy. According to the research findings more than one third of women did high-risk activities when a family planning program fails or facing unwanted pregnancy. These certainly influence their own and their family mental and physical health. So role of the prevention, counseling techniques and women&aposs support must be considered more than before. Society should be become aware of the unwanted pregnancy symptoms.

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Background and Aim: Rapid growth of Iran's population attracted attention of the authorities after the 1986 national census. This led to population control and family planning programs to be considered as a priority. Appropriate strategies of the family planning program led to a very fast decrease in population growth and fertility indices: and use of contraceptive techniquies rate increased from 49% in 1989 to 73.8% in 2007. This study aimed at reviewing family planning program in Iran (FPPI) during the last four decades and discussing the reasons for its success, as it can be a guide for future efforts aimed at improving other aspects of reproductive health.

Materials and Methods: The method used was systematic reviewing of articles indexed in Medline and University Jihad Scientific Database, reports of the Demographic and Health Project, the Iranian Statistical Center National Censuses, and the Ministry of Health and Medical Education reports on knowledge, attitude and practice.

Results: FPPI initiated officially in 1966 faced with limited success. Following the 1986 national census, population control was announced as a public policy, supported by the leaders. A supportive environment was created by mass media. Establishment of the Departments of Population and FP in the Ministry of Health made possible reorganizing family planning services: expanding coverage of PHC services, including FP services training skilled personnel providing free contraceptives and vasectomy and tubectomy services. Involvement of volunteers and NGOs helped in strengthening community actions. In order to develop personal skills, in addition to face-to-face FP counseling in the health centers, FP education in schools, colleges, workplaces, army and pre-marriage classes was also imparted. Promotion of men's participation in FPPI, by providing male methods of contraception, such as vasectomy or condom use, was also considered. There was also cooperation and support on the part of nongovernmental and international organizations.

Conclusion: Based on the findings, it may be concluded that the principles of health promotion can explain the FPP achievements in Iran. This model can be used in expanding other reproductive health programs in Iran.