Shariati Mohammed, Babazadeh Raheleh, Mousavi Seyed Abbas, Najmabadi Khadijeh Mirzaii
Assistant Professor of Community Medicine, School of Medicine, Tehran University of Medicine Sciences, Tehran, Islamic Republic of Iran.
PhD Candidate, Reproductive Health, Shahroud University of Medical Sciences, Shahroud, Islamic Republic of Iran.
J Fam Plann Reprod Health Care. 2014 Oct;40(4):270-5. doi: 10.1136/jfprhc-2013-100856. Epub 2014 Sep 2.
Adolescence is a critical period of transition from childhood to adulthood. In today's world, to pass through this period successfully it is necessary to have adequate information and knowledge about sexual and reproductive health (SRH) issues. In Iran, it is crucial that special attention be paid to reproductive health services for adolescents, especially for girls.
This study aimed to explore the views and experiences of adolescent girls and key adults around the barriers to access of Iranian adolescent girls to SRH information and services.
In this qualitative study, data were gathered through focus groups and semi-structured interviews with 247 adolescent girls and 71 key adults including mothers, teachers, health providers, governmental, nongovernmental and international managers of health programmes, health policymakers, sociologists and clergy in four Iranian cities. Data were coded and categorised using content analysis by MAXQDA10.
The main barriers identified were classified in four categories: (1) social and cultural barriers such as taboos; (2) structural and administrative barriers such as inappropriate structure of the health system; (3) political barriers such as lack of an adopted strategy by the government and (4) non-use of religious potential.
Adolescent SRH in Iran should be firmly established as a priority for government leaders and policymakers. They should try to provide those services that are consistent with the community's cultural and religious values for adolescent girls.
青春期是从童年到成年的关键过渡时期。在当今世界，要成功度过这一时期，有必要掌握有关性与生殖健康（SRH）问题的充分信息和知识。在伊朗，特别关注青少年尤其是女孩的生殖健康服务至关重要。
本研究旨在探讨伊朗少女及其关键成年人对于少女获取性与生殖健康信息及服务所面临障碍的看法和经历。
在这项定性研究中，通过焦点小组以及对伊朗四个城市的247名少女和71名关键成年人（包括母亲、教师、医疗服务提供者、健康项目的政府、非政府及国际管理人员、健康政策制定者、社会学家和神职人员）进行半结构化访谈来收集数据。使用MAXQDA10软件通过内容分析法对数据进行编码和分类。
确定的主要障碍分为四类：（1）社会文化障碍，如禁忌；（2）结构和行政障碍，如卫生系统结构不合理；（3）政治障碍，如政府缺乏既定战略；（4）未利用宗教潜力。
伊朗政府领导人和政策制定者应将青少年性与生殖健康问题坚定地确立为优先事项。他们应努力为少女提供符合社区文化和宗教价值观的服务。
