Abstract
Introduction
Despite the fact that sexual and reproductive health has been considered key aspects of the individual’s wellbeing and social welfare, there are no adequate policies and programs to deal with sexual health, particularly among young people.
Methods
A qualitative study was conducted from February to December 2015. Twenty-five semi-structured in-depth interviews were conducted with health policymakers in Iran using a purposive sampling method. The qualitative data were analyzed using conventional content analysis with an inductive interpretive approach.
Results
The perceived barriers for sexual health programs generated by health-policymakers reside in three main domains: individual, structural, and socio-cultural. Under the domain of individual, the category of policymakers’ personal barriers comprises: “lack of knowledge,” “misperceptions,” and “stigma,” i.e., threat to their managerial positions. Under the domain of structural barriers, the category of “challenges in policy making processes” comprises: “the abstinence challenge/paradox of sexual health as a strategic goal,” “financial challenges,” “uncoordinated and unstable management of the program,” “challenges for data collection and planning,” and “lack of priority for sexual health.” Finally, under the domain of socio-cultural, the category of “conservative socio-cultural context, sexuality as a social taboo in Iranian society” emerged as a barrier for sexual health programs in Iran.
Conclusions
To introduce sexual health programs in a conservative society, health-policymakers must begin by advocating for sexual health, in order to create positive attitudes toward sexual heath as a component of human wellbeing, and then address social and cultural sensitivities by promoting greater dialogue.
Social and Public Policy Implications
Sexual health and sexual health needs are important aspects of life and warrant further research in Iran. Policy makers of the health system need to correct information of sexual health needs of people to health planning, and this clears barriers of sexual health planning in the health system of Iran.
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Availability of Data and Material
Data are available on request only, owing to privacy concerns and other restrictions.
Change history
09 April 2021
A Correction to this paper has been published: https://doi.org/10.1007/s13178-021-00583-w
Abbreviations
- SRH:
-
Sexual and reproductive health
- HIV/AIDS:
-
Human immunodeficiency virus infection and acquired immune deficiency syndrome
- PWIDs:
-
People who inject drugs
- DIC:
-
Drop in centers
- MOHME:
-
Ministry of Health and Medical Education
- MAXQDA:
-
MAX Qualitative Data Analysis (MAX is a name)
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Acknowledgements
The authors are indebted to the members of the Ethics Committee of Isfahan University of Medical Sciences (reference: 393460). Our special thanks to Dr. Massoud Kamrava and J.M. Dormon for reviewing and editing the manuscript. We would like to express our gratitude to the study participants who shared their very personal information with us.
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MM designed and directed the study in all steps. MS, SS, and FK aided in analyzing work of the manuscript. MS, EM, and AH analyzed the data. KK and other authors discussed the results and commented on the manuscript.
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This study was approved by the ethical committee of the Isfahan University of Medical Sciences (reference: 393460). All participants were informed about the aim of the study and also were ensured about the confidentiality of their responses as well as voluntary participation, along with a verbal consent before the interviews were carried out.
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All participants consented to the publication of this report before the interviews were carried out.
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The original version of this article unfortunately a mistake. The corresponding author should be Farideh Khalajabadi Farahani.
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Motamedi, M., Shahbazi, M., Merghati-Khoei, E. et al. Perceived Barriers to Implementing Sexual Health Programs from the Viewpoint of Health Policymakers in Iran: A Qualitative Study. Sex Res Soc Policy 19, 273–285 (2022). https://doi.org/10.1007/s13178-021-00540-7
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DOI: https://doi.org/10.1007/s13178-021-00540-7