Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Res Policy Syst. 2020 Jan 15;18(1):5. doi: 10.1186/s12961-019-0505-3.
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.
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.
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.
不孕症是一个复杂且被忽视的全球性生殖健康问题，对夫妇及其关系有不同的影响。因此，国际组织和一些国家不得不考虑不孕症政策。近年来，伊朗人口政策趋势向提高出生率转变，将不孕症政策纳入了卫生部门的议程。由于不孕症及其相关问题是多因素的，包括伊朗在内的所有卫生系统都需要制定一个涵盖所有方面的综合政策方案。需要进行政策分析来制定此类政策。因此，本项目将分析伊朗卫生部门的不孕症政策，并阐明其不同组成部分的多边影响。
本多学科研究概述了不孕症政策的概念框架，包括三个阶段。第一阶段将审查选定国家和伊朗的不孕症政策，以确定不孕症方案、规则和政策的运作模式。第二阶段将包括对伊朗的不孕症政策进行文献综述分析。在此阶段，将根据 Walt 和 Gilson 框架，从内容、背景、过程和参与者四个方面分析伊朗的不孕症政策。第三阶段将涉及伊朗不孕症政策的分析。在此阶段，将进行定性研究，以了解和深入解释现有政策。最后，将结合第一阶段获得的概念和结果，以及第二和第三阶段的定性分析内容，对伊朗的不孕症政策进行探讨，并提出一个包括不孕症政策框架的方案。
本研究的结果可被卫生部和公共卫生政策制定者用于确定在每个国家的社会文化和经济背景以及参与者角色的情况下，哪些政策可以用于实现国际组织规定的预防不孕症和生殖健康的目标。
