伊朗近期灾难中的生殖健康：管理视角。
Reproductive health in the recent disasters of Iran: a management perspective.
机构信息
Department of Health in Disasters and Emergencies, School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
BMC Public Health. 2018 Mar 21;18(1):389. doi: 10.1186/s12889-018-5311-2.
BACKGROUND
Natural disasters represent critical threats to the health, safety, and well-being of a community-including reproductive health, which has been neglected in disaster-stricken regions. The current study was undertaken to explore administrative issues related to post-disaster reproductive health systems in Iran.
METHODS
A qualitative approach using in-depth unstructured interviews was applied to explore the administrative issues of reproductive health systems in the affected regions. A total of 22 participants were interviewed using the purposeful sampling method. Data were collected in three provinces: East Azerbaijan, Bushehr, and Mazandaran. Transcribed interviews were analyzed using the conventional content analysis.
RESULTS
Six categories of management issues of reproductive health in disasters were extracted from data. These categories were: ignoring cultural factors, lack of planning, lack of training, insufficient data collection, ignoring male reproductive health, and lack of monitoring systems.
CONCLUSION
Different challenges to reproductive health management that emerged from the research should be considered and included in reproductive health plans and policies in disaster-affected regions in Iran. Involving community in all processes of providing reproductive health services, from planning to monitoring, is highly suggested.
背景
自然灾害对社区的健康、安全和福祉构成了重大威胁，包括生殖健康，而这在受灾地区一直被忽视。本研究旨在探讨与伊朗灾后生殖健康系统相关的行政问题。
方法
采用定性方法，使用深度非结构化访谈，探讨受灾地区生殖健康系统的行政问题。采用目的性抽样方法，共采访了 22 名参与者。数据收集在三个省份进行：东阿塞拜疆、布什尔和马赞达兰。使用常规内容分析对转录访谈进行分析。
结果
从数据中提取出灾害中生殖健康管理的六个类别：忽视文化因素、缺乏规划、缺乏培训、数据收集不足、忽视男性生殖健康以及缺乏监测系统。
结论
伊朗受灾地区的生殖健康计划和政策应考虑并纳入研究中出现的生殖健康管理的不同挑战。建议让社区参与生殖健康服务提供的所有过程，从规划到监测。
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