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Analysis and exploration of infertility policies in Iran: a study protocol

BACKGROUND: Infertility is a complex and neglected reproductive health issue of global proportions, with varying effects on couples and their relationships. Therefore, international organisations and several countries have been compelled to consider infertility policies. In recent years, a shift in...

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Autores principales: Morshed-Behbahani, Bahar, Lamyian, Minoor, Joulaei, Hassan, Montazeri, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961321/
https://www.ncbi.nlm.nih.gov/pubmed/31941503
http://dx.doi.org/10.1186/s12961-019-0505-3
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author Morshed-Behbahani, Bahar
Lamyian, Minoor
Joulaei, Hassan
Montazeri, Ali
author_facet Morshed-Behbahani, Bahar
Lamyian, Minoor
Joulaei, Hassan
Montazeri, Ali
author_sort Morshed-Behbahani, Bahar
collection PubMed
description BACKGROUND: Infertility is a complex and neglected reproductive health issue of global proportions, with varying effects on couples and their relationships. Therefore, international organisations and several countries have been compelled to consider infertility policies. In recent years, a shift in population policy trends toward increasing birth rates in Iran have set infertility policies in the health sector’s agenda. Since infertility and its associated problems are multifactorial, all health systems, including that of Iran, need to have a comprehensive policy package that covers all of its dimensions. Policy analysis is necessary to formulate such policies. This project will therefore analyse the infertility policies in Iran’s health sector and clarify the multilateral effects of their different components. METHODS: This multidisciplinary study outlines the conceptual framework of infertility policies and consists of three stages. Stage I will involve the review of infertility policies in selected countries and Iran for the operational model of infertility programmes, rules and policies. Stage II will consist of a documentary infertility policy analysis of Iran. At this stage, Iran’s infertility policies will be analysed using the Walt and Gilson framework in four areas, namely content, context, process and actors. Stage III will involve the analysis of infertility policies in Iran. At this stage, a qualitative study will be conducted to understand and provide in-depth explanations of the existing policies. Finally, the concepts and outcomes obtained from the first stage will be combined with the content of the qualitative analysis of the second and third stages for exploration of Iran’s infertility policies, and a package including a framework for infertility policies will be proposed. DISCUSSION: The findings of this study can be used by the Ministry of Health and public health policy-makers to determine which policies, in view of socio-cultural and economic contexts and actors’ roles in each country, can be used to reach the goals defined by international organisations, on the prevention of infertility and reproductive health.
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spelling pubmed-69613212020-01-17 Analysis and exploration of infertility policies in Iran: a study protocol Morshed-Behbahani, Bahar Lamyian, Minoor Joulaei, Hassan Montazeri, Ali Health Res Policy Syst Study Protocol BACKGROUND: Infertility is a complex and neglected reproductive health issue of global proportions, with varying effects on couples and their relationships. Therefore, international organisations and several countries have been compelled to consider infertility policies. In recent years, a shift in population policy trends toward increasing birth rates in Iran have set infertility policies in the health sector’s agenda. Since infertility and its associated problems are multifactorial, all health systems, including that of Iran, need to have a comprehensive policy package that covers all of its dimensions. Policy analysis is necessary to formulate such policies. This project will therefore analyse the infertility policies in Iran’s health sector and clarify the multilateral effects of their different components. METHODS: This multidisciplinary study outlines the conceptual framework of infertility policies and consists of three stages. Stage I will involve the review of infertility policies in selected countries and Iran for the operational model of infertility programmes, rules and policies. Stage II will consist of a documentary infertility policy analysis of Iran. At this stage, Iran’s infertility policies will be analysed using the Walt and Gilson framework in four areas, namely content, context, process and actors. Stage III will involve the analysis of infertility policies in Iran. At this stage, a qualitative study will be conducted to understand and provide in-depth explanations of the existing policies. Finally, the concepts and outcomes obtained from the first stage will be combined with the content of the qualitative analysis of the second and third stages for exploration of Iran’s infertility policies, and a package including a framework for infertility policies will be proposed. DISCUSSION: The findings of this study can be used by the Ministry of Health and public health policy-makers to determine which policies, in view of socio-cultural and economic contexts and actors’ roles in each country, can be used to reach the goals defined by international organisations, on the prevention of infertility and reproductive health. BioMed Central 2020-01-15 /pmc/articles/PMC6961321/ /pubmed/31941503 http://dx.doi.org/10.1186/s12961-019-0505-3 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Morshed-Behbahani, Bahar
Lamyian, Minoor
Joulaei, Hassan
Montazeri, Ali
Analysis and exploration of infertility policies in Iran: a study protocol
title Analysis and exploration of infertility policies in Iran: a study protocol
title_full Analysis and exploration of infertility policies in Iran: a study protocol
title_fullStr Analysis and exploration of infertility policies in Iran: a study protocol
title_full_unstemmed Analysis and exploration of infertility policies in Iran: a study protocol
title_short Analysis and exploration of infertility policies in Iran: a study protocol
title_sort analysis and exploration of infertility policies in iran: a study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961321/
https://www.ncbi.nlm.nih.gov/pubmed/31941503
http://dx.doi.org/10.1186/s12961-019-0505-3
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