Haghdoost Ali Akbar, Safari-Faramani Roya, Baneshi Mohammad Reza, Dehnavieh Reza, Dehghan Mahlegha
Ph.D. of Epidemiology, Professor, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Ph.D. Candidate of Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Electron Physician. 2017 Oct 25;9(10):5568-5577. doi: 10.19082/5568. eCollection 2017 Oct.
Total fertility rate in Iran has declined unprecedentedly over the past thirty years. However, debating on proper strategies to increase fertility is still a matter of discussion among experts.
To explain the main strategies to increase fertility from the viewpoints of the policy makers.
This is a qualitative study using content analysis. Purposeful sampling approach was used to gather data. The data were collected via semi-structured interviews. Eight experts participated in the study and the main criteria were executive experience related to public health, scientific publication in these areas and availability as well as their own interest. Content analysis was used to extract the codes.
The main theme extracted was improving the infrastructures. Almost all participants agreed on interventions around removing marriage obstacles, improving working conditions for women, improving the quality of the educational system, training and consultation, research, and improving services to increase fertility rate.
The government should formulate long-term instead of short-term policies, and note that improving the economic conditions along with the promotion of social welfare, and enabling women in balancing work and family, are highly influential in childbearing decision-making, as they ensure a better future for the next generation. In addition, people should touch on the potential risk of future fertility reduction, so it is suggested to inform the public through free discussions.
在过去三十年里，伊朗的总和生育率前所未有的下降。然而，关于提高生育率的适当策略的讨论仍是专家们探讨的话题。
从政策制定者的角度解释提高生育率的主要策略。
这是一项采用内容分析法的定性研究。采用目的抽样法收集数据。通过半结构化访谈收集数据。八名专家参与了该研究，主要标准是与公共卫生相关的执行经验、在这些领域的科学出版物以及可用性和他们自身的兴趣。使用内容分析法提取代码。
提取的主要主题是改善基础设施。几乎所有参与者都同意围绕消除婚姻障碍、改善女性工作条件、提高教育系统质量、培训与咨询、研究以及改善服务等干预措施来提高生育率。
政府应制定长期而非短期政策，并注意改善经济状况、促进社会福利以及使女性能够平衡工作与家庭，这些在生育决策中具有高度影响力，因为它们确保了下一代有更美好的未来。此外，人们应该关注未来生育率下降的潜在风险，因此建议通过自由讨论向公众宣传。
