Koochakzai Maryam, Moghadam Zahra Behboodi, Siahkal Shahla Faal, Amirshahi Mehrbanoo, Ebrahimi Elham
Department of Midwifery, Nursing and Midwifery School, Zabol University of Medical Sciences, Zabol, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Reprod Health. 2024 Dec 18;21(1):190. doi: 10.1186/s12978-024-01934-7.
Suburban populations in developing countries are affected by poor environmental conditions affecting their ongoing health. Given the low reproductive health indicators of women residing in the suburbs of eastern Iran, planning to improve their health by assessing the needs of the target group through qualitative research is essential. The present study seeks to elucidate the views of women living in the suburbs of Zabol, Iran, regarding sexual and reproductive health needs.
This qualitative study was conducted in healthcare centers in the suburbs of Zabol in 2023. The sample comprised 22 women, including 16 women of reproductive age (age 15-49 years) living in the suburbs and six key informants (service providers and people who were in close contact with these women). The sample was selected purposively with maximum variation. Data were collected through semi-structured, in-depth, individual interviews, which continued until data saturation was reached. The data were then analyzed using conventional content analysis.
The data analysis yielded seven categories (gender-based violence, psychological problems, women's lack of empowerment, barriers to equity in sexual and reproductive health, support seeking, sexual issues, and pregnancy, childbirth, and postpartum care needs) and 24 subcategories. The results revealed that suburban women did not have adequate information or knowledge about their sexual and reproductive health or the available services, and most of them suggested that they required training.
Women living in the suburbs of Zabol were faced with challenges in their sexual and reproductive health and well-being. It is crucial to provide these women with sexual and reproductive health education and services that are accessible and suitable to their conditions by targeted interventions aiming to improve their health and well-being. The findings of the current study can serve as a basis for future health policymaking, planning, and research by providing evidence and strengthening the body of knowledge about this domain of health.
发展中国家的郊区人口受到恶劣环境条件的影响，这对他们当前的健康状况产生了不利影响。鉴于伊朗东部郊区妇女的生殖健康指标较低，通过定性研究评估目标群体的需求来规划改善她们的健康状况至关重要。本研究旨在阐明伊朗扎博尔郊区妇女对性健康和生殖健康需求的看法。
这项定性研究于2023年在扎博尔郊区的医疗中心进行。样本包括22名女性，其中有16名居住在郊区的育龄妇女（年龄在15至49岁之间）以及6名关键信息提供者（服务提供者和与这些妇女密切接触的人员）。样本是通过最大程度的差异有目的地选取的。通过半结构化、深入的个人访谈收集数据，访谈持续进行直至达到数据饱和。然后使用常规内容分析法对数据进行分析。
数据分析得出了七个类别（基于性别的暴力、心理问题、妇女缺乏赋权、性健康和生殖健康公平的障碍、寻求支持、性问题以及怀孕、分娩和产后护理需求）和24个子类别。结果显示，郊区妇女对自己的性健康和生殖健康以及可用服务没有足够的信息或知识，并且她们中的大多数人表示需要培训。
居住在扎博尔郊区的妇女在性健康和生殖健康及福祉方面面临挑战。通过旨在改善她们健康和福祉的有针对性干预措施，为这些妇女提供可获得且适合其状况的性健康和生殖健康教育及服务至关重要。本研究结果可为未来的健康政策制定、规划和研究提供依据，通过提供证据并加强关于这一健康领域的知识体系。
