Investigating the Post-Disaster Reproductive Health Challenges of Iranian Women: A Systematic Review.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2025-01-21 DOI:10.1017/dmp.2024.92

Elham Rajabi, Mehrdad Farrokhi, Fahimeh Ramezani Tehrani, Mehdi Noroozi, Hamidreza Khankeh

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Abstract

Objectives: 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.

Methods: 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.

Results: 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).

Conclusions: 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.

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调查灾后伊朗妇女的生殖健康挑战：系统回顾。

目标：灾害对人们的健康，包括生殖健康构成严重威胁；因此，我们进行了这项研究，以调查伊朗妇女灾后RH挑战。方法：本研究采用系统评价的方式，检索Web of Science、PubMed、Scopus、谷歌Scholar、SID、Magiran等国内外科学数据库，选取截至2022年5月底发表的所有论文。使用Strobe检查表对研究进行质量评估。本研究依据PRISMA指南进行，采用定性含量分析法对内容进行分析。结果：纳入相关文献12篇（高质量8篇，中质量4篇）。根据这些文章，影响灾后伊朗妇女生殖健康的因素分为两类：个人因素（身体伤害、心理障碍、文化和宗教问题）和管理因素（灾害中没有优先考虑生殖健康服务、缺乏供应、合适的设施和专业人力资源、获得生殖健康护理和服务的限制）。结论：我们必须在灾害风险管理中采取适当的政策和决策来提高灾后RH地位。我们应该在灾害应对阶段优先考虑生殖健康服务，提供设施、设备以及专业和训练有素的人力资源。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.