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Analysis and exploration of infertility policies in Iran: a study protocol.
Health Research Policy and Systems ( IF 3.6 ) Pub Date : 2020-01-15 , DOI: 10.1186/s12961-019-0505-3
Bahar Morshed-Behbahani 1 , Minoor Lamyian 1 , Hassan Joulaei 2 , Ali Montazeri 3, 4
Affiliation  

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.

中文翻译:


伊朗不孕不育政策的分析和探索:研究方案。



背景技术不孕不育是一个全球性的复杂且被忽视的生殖健康问题,对夫妇及其关系产生不同的影响。因此,国际组织和一些国家被迫考虑不孕不育政策。近年来,伊朗人口政策趋势转向提高出生率,已将不孕不育政策纳入卫生部门的议程。由于不孕症及其相关问题是多因素造成的,所有卫生系统,包括伊朗的卫生系统,都需要制定涵盖其所有方面的综合政策方案。制定此类政策需要进行政策分析。因此,该项目将分析伊朗卫生部门的不孕不育政策,并阐明其不同组成部分的多边影响。方法 这项多学科研究概述了不孕不育政策的概念框架,分为三个阶段。第一阶段将涉及审查选定国家和伊朗的不孕不育政策,以确定不孕不育计划、规则和政策的运作模式。第二阶段将包括对伊朗不孕不育政策的记录性分析。现阶段,将利用沃尔特和吉尔森框架从内容、背景、过程和行动者四个方面对伊朗的不孕不育政策进行分析。第三阶段将涉及对伊朗不孕不育政策的分析。在此阶段,将进行定性研究,以了解并深入解释现有政策。 最后,第一阶段获得的概念和成果将结合第二和第三阶段定性分析的内容来探索伊朗的不孕不育政策,并提出包括不孕不育政策框架在内的一揽子计划。讨论 卫生部和公共卫生政策制定者可以利用本研究的结果,根据每个国家的社会文化和经济背景以及参与者的角色,确定哪些政策可用于实现既定目标国际组织关于预防不孕不育和生殖健康的建议。
更新日期:2020-04-22
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