Rajabi Elham, Farrokhi Mehrdad, Ramezani Tehrani Fahimeh, Noroozi Mehdi, Khankeh Hamidreza
Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Disaster Med Public Health Prep. 2025 Jan 21;19:e17. doi: 10.1017/dmp.2024.92.
Disasters pose serious threats to people's health, including reproductive health (RH); therefore, we conducted this study to investigate Iranian women's post-disaster RH challenges.
This study was conducted as a systematic review, and all published articles until the end of May 2022 were selected by searching in international and domestic scientific databases, including Web of Science, PubMed, Scopus, and Google Scholar, SID, and Magiran. The quality assessment of the studies was done using the Strobe checklist. We conducted this research based on PRISMA guidelines and analyzed the content by qualitative content analysis method.
Twelve related articles were included (8 high quality and 4 medium quality). Based on these articles, factors affecting post-disaster Iranian women's RH were divided into 2 categories: individual factors (physical injuries, psychological disorders, cultural and religious issues) and management factors (not prioritizing RH services in disasters, lack of supplies, suitable facilities and professional human resources, access limitation to RH care and services).
We must enhance post disaster RH status by adopting suitable policies and decision-making in disaster risk management. We should prioritize RH services during the disaster response phase, providing facilities, equipment, and specialized and trained human resources.
灾害对人们的健康构成严重威胁，包括生殖健康（RH）；因此，我们开展了本研究，以调查伊朗女性在灾后面临的生殖健康挑战。
本研究作为一项系统评价开展，通过检索国际和国内科学数据库，包括科学网、PubMed、Scopus、谷歌学术、SID和Magiran，选取截至2022年5月底发表的所有文章。使用Strobe清单对研究进行质量评估。我们依据PRISMA指南开展本研究，并采用定性内容分析法对内容进行分析。
纳入了12篇相关文章（8篇高质量和4篇中等质量）。基于这些文章，影响灾后伊朗女性生殖健康的因素分为两类：个体因素（身体损伤、心理障碍、文化和宗教问题）和管理因素（在灾害中未将生殖健康服务列为优先事项、物资短缺、缺乏合适的设施和专业人力资源、获得生殖健康护理和服务的机会受限）。
我们必须通过在灾害风险管理中采取适当政策和决策来提高灾后生殖健康状况。我们应在灾害应对阶段将生殖健康服务列为优先事项，提供设施、设备以及专业且经过培训的人力资源。
