The Role of Iran's Health System on Sexual and Reproductive Health and Rights: A Narrative Review

Document Type : Review Article

Authors

1 PhD Student of Reproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 a) Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/jmrh.2023.71201.2088

Abstract

Background & aim: Sexual and reproductive health and rights (SRHRs) are essential for ensuring women's health. To achieve these rights, health system support and the governmental legislations are needed. So, this study aimed to review the role of Iran's health system to support SRHRs.
Methods: This narrative review was conducted based on the Scale for the Assessment of Narrative Review Articles (SANRA). Studies that assessed the role of Iran's health system to support SRHRs were retrieved by searching Medline, Scopus, Science Direct, Web of Science and Iranian databases of SID, IranMedex, and Magiran with MeSH terms and their Persian equivalent keywords up to April 2024. Legal documents were also searched on the websites of the Ministry of Health and the Parliament of Islamic Republic of Iran.  
Results: Out of 559 retrieved studies, 12 studies, one report, four booklets, six legal articles and three acts were included in this review. The results showed that the approaches implemented by health system as well as the bills compiled by the Islamic Consultative Assembly (parliament), which require the Ministry of Health to achieve SRHRs, have caused Iran's Ministry of Health to support nearly all SRHRs, especially the right to life and survival. However, some shortcomings remain.
Conclusion: Iran's Ministry of Health has played a substantial role in supporting SRHRs. However, some SRHRs are not completely implemented by executive organizations. So, it is recommended to draw policy-makers’ attention to SRHRs as well as ensure more robust executive guarantees for some legislations related to SRHRs.

Keywords

Main Subjects

References

  1. Ahmadi B, Babashahy S. Women Health Management: Policies, Research, and Services. Yektaweb Journals. 2013; 12(47): 29-59.
  2. MDG Gap Task Force. Millennium Development Goal 8: Taking Stock of the Global Partnership for Development. New York: United Nations; 2015.
  3. Temmerman M, Khosla R, Say L. Sexual and reproductive health and rights: a global development, health, and human rights priority. The Lancet. 2014; 384(9941): e30-e1.
  4. United Nations. Progress on the sustainable development goals: Department of Economic and Social Affairs; 2022. Available from: https://www.unwomen.org/sites/default/files/2022-09/Progress-on-the-sustainable-develo pment-goals-the-gender-snapshot-2022-en _0. pdf.
  5. UNFPA, UNFPA. Reproductive Rights are Human Rights; A Handbook for National Human Rights Institutions. United Nations: The Danish Institute for Human Rights Copenhagen. 2014.
  6. Janghorban R, Latifnejad Roudsari R, Taghipour A, Abbasi M. A Review of the Concept and Structure of Sexual and Reproductive Rights in International Human Rights Documents. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2014; 17(100): 16-26.
  7. Sinding SW. IPPF charter guidelines on sexual and reproductive rights 2003. Available from: https://www.ippf.org/sites/default/files/ippf_charter_on_sexual_and_reproductive_rights_guidlines.pdf.
  8. Ezeh A, Bankole A, Cleland J, García-Moreno C, Temmerman M, Kasiira Ziraba A. Chapter 2. Burden of Reproductive Ill Health. Reproductive, maternal, newborn, and child health: disease control priorities, 2016.
  9. Solo J, Festin M. Provider bias in family planning services: a review of its meaning and manifestations. Global Health: Science and Practice. 2019; 7(3): 371-385.
  10. Hay K, McDougal L, Percival V, Henry S, Klugman J, Wurie H, et al. Disrupting gender norms in health systems: making the case for change. The Lancet. 2019; 393(10190): 2535-2549.
  11. Baethge C, Goldbeck-Wood S, Mertens S. SANRA—a scale for the quality assessment of narrative review articles. Research Integrity and Peer Review. 2019; 4(1): 5.
  12. Panter AT, Sterba SK. Handbook of Ethics in Quantitative Methodology: Taylor & Francis; 2011.
  13. Ghazizadeh Hashemi AH, Ajilian Abbasi M, Hoseini BL, Khodaei GH, Saeidi M. Youth Suicide in the World and Views of Holy Quran about Suicide. International Journal of Pediatrics. 2014; 2(4.2): 101-108.
  14. Ministry of Health and Medical Education, Maternal Health Office. National program of safe motherhood: integrated maternal health care. 8th ed2022.
  15. The Ministry of Health and Medical Education. National Maternal Mortality Surveillance System: Health Department- Maternal Health Office; 2016 [Third ed. Available from: https://sums.ac.ir/Dorsapax/userfiles/Sub132/Form/Mamaei/24-form-nezam-keshvari-mora ghebat-marge-madari.pdf.
  16. Health Department- Maternal Health Office. Maternal Health Plan: The Ministry of Health and Medical Education Available from: https://familyhealth .behdasht.gov.ir/mother-health-program.
  17. The Law for Therapeutic Abortion: Parliament of Islamic Republic of Iran; 2005. Available from: https://rc.majlis.ir/fa/law/show/97756.
  18. Abbasi M, Ahmad A, Fakour H. Therapeutic abortion basis and its study from point of medical criminal law. Medical Law. 2012; 6(20): 115-140.
  19. Amirian Farsani A, Goudarzi M. A comparative study of the crime of abortion in Iran and England. Journal Law Research of Ghanonyar. 2020; 2(7): 7-65.
  20. Bassami M, Pashaei T, Ghareh Tappeh S, Ghareh Tappeh A. Women’s circumcision from the sight of religious, law and medicine. Medical Figh Quarterly Journal. 2011; 2-3(5-6): 171-193.
  21. Hoseini BL, Shomoossi N, Rakhshani MH, Beheshti Norouzi Z. Moral Sensitivity among Nursing and Midwifery Students and Practitioners: a Comparative Report from Iran. Journal of Biostatistics and Epidemiology. 2020; 6(1).
  22. Donaldson MS, Lohr KN. Confidentiality and Privacy of Personal Data. Health Data in the Information Age: Use, Disclosure, and Privacy: National Academies Press (US); 1994.
  23. Ghobadi Far MA, Mosalanejad L. Evaluation of staff adherence to professionalism in Jahrom University of Medical Sciences. Education & Ethic In Nursing. 2013; 2(2): 1-10.
  24. Farajkhoda T, Latifnejhad Roudsari R, Abbasi M. The necessity of developing professional codes of ethics in Reproductive Health in Iran. Journal of Medical Ethics. 2013; 6(22): 35-53.
  25. Niazi Z, Shayan A, Bakht R, Roshanaii G, Zahra Masoomi S. Effect of Education of Pregnant Women's Bill of Rights on Midwives Function and Satisfaction of Pregnant Women Referred to Imam Reza hospital, Kaboudarahang, 2015. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2017; 20(2): 50-59.
  26. The Vice Presidency for Women and Family Affairs. National Report on Women’s Status in the Islamic Republic of Iran (Beijing + 25). Tehran. Available from: https://www. unwomen.org/sites/default/files/Headquarters/Attachments/Sections/CSW/64/National-reviews/Iran.pdf.
  27. Law to support Family and Youth Population: Parliament of Islamic Republic of Iran; 2022. Available from: https:// rc.majlis.ir/ fa/law/show/1678266.
  28. Hoseini BL, Vakili R, Kiani MA, Khakshour A, Saeidi M. Maternal Knowledge and Attitude toward Exclusive Breast Milk Feeding (BMF) in the First 6 Months of Infant Life in Mashhad. International Journal of Pediatrics. 2014; 2(1): 63-69.
  29. Vakili R, Kiani MA, Saeidi M, Hoseini BL, Alipour Anbarani M. Junk Food Consumption and Effects on Growth Status among Children Aged 6-24 Months in Mashhad, Northeastern Iran. International Journal of Pediatrics. 2015; 3(4.2): 817-822.
  30. Saeidi M, Vakili R, Hoseini BL, Khakshour A, Zarif B, Nateghi S. Assessment the Relationship Between Parents' Literacy Level with Children Growth in Mashhad: An Analytic Descriptive Study. International Journal of Pediatrics. 2013; 1(2): 39-43.
  31. Hoseini BL, Ajilian Abbasi M, Taghizadeh Moghaddam H, Khademi G, Saeidi M. Attention Deficit Hyperactivity Disorder (ADHD) in Children:A Short Review and Literature. International Journal of Pediatrics. 2014; 2(4.3): 445-452.
  32. The goals and principles of family formation and policies for its consolidation and excellence: Supreme Council for Cultural Revolution; 2005. Available from: https://healthcode. Behdasht .gov.ir/approvals/.
  33. Simbar M. Achievements of family planning in Iran. Journal of School of Public Health and Institute of Public Health Research. 2010; 8(1): 81-92.
  34. Kokabisaghi F. Right to sexual and reproductive health in new population policies of Iran. Journal of Public Health Policy. 2017; 38(2): 240-256.
  35. Kokabisaghi F. Women's right to health in Iran: Domestic implementation of international human rights law. The International Journal of Health Planning and Management. 2019; 34(2): 501-509.
  36. The Parliament of Islamic Republic of Iran. Amendment of population and family planning laws 2014. Available from: https://healthcode.behdasht.gov.ir/approvals/.
  37. Ayatollah Khamenei promulgates Iran's ‘Family’ policies 2013. Available from: https://healthcode.behdasht.gov.ir/approvals/.
  38. Family Policies promulgated on the strength of Article 110 of the Constitution 2016 [Available from:file:///C:/Users/ hoseinil4001/ Downloads/content_16177_[Leader.ir].pdf.
  39. Askew I, Berer M. The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/AIDS: A Review. Reproductive Health Matters. 2003; 11(22): 51-73.
  40. National AIDS Committee Secretariat. Abstract of the Fourth National Strategic Plan for Control of HIV Infection of Islamic Republic of Iran. Ministry of Health and Medical Education. 2015- 2019.
  41. Farhoudi B, Kamali K, Gouya M. Islamic Republic of Iran AIDS progress report on monitoring of the United Nations general assembly special session on HIV and AIDS. National AIDS Committee Secretariat, Ministry of Health and Medical Education. 2015.
  42. Gipson JD, Bornstein MJ, Hindin MJ. Infertility: a continually neglected component of sexual and reproductive health and rights. Bulletin of the World Health Organization. 2020; 98(7): 505-506.
  43. Salehian M, Karimi FZ, Nakhaei S, Khalili Sherehjini A. A Review of Embryo Donation to the Infertile Couples in Iran. Journal of Research in Health and Medical Sciences. 2022; 1(2): 58-64.
  44. The Parliament of Islamic Republic of Iran. Executive regulations of the law on how to donate embryos to infertile couples 2014. Available from:https://rc.majlis.ir/ fa/law/ show/125235.
  45. The Parliament of Islamic Republic of Iran. The bill to protect women against violence needs a supporting document 2020. Available from: https://rc.majlis.ir/fa/news/show/1646908.
  46. Soleiman Ekhtiari Y, Ahmadi B. A review of studies about efficacy of public health interventions for prevention of domestic violence against women. Social Welfare Journal. 2011; 11(40): 237-257.
  47. Saboury Yazdy N, Talaei A, Ebrahimi M, Ghofrani Ivari A, Pouriran MA, Faridhosseini F, et al. "Be my Voice" to break social stigma against domestic violence: The underestimated role of smartphone applications in protecting victims in developing countries. Frontiers in Psychiatry. 2022; 13: 954602.
  48. Hoseini BL, Sadati ZM, Rakhshani MH. Assessment of neonatal mortality in the Neonatal Intensive Care Unit in Sabzevar City for the period of 2006-2013. Electronic Physician. 2015; 7(7): 1494-1499.
  49. Hashemian Nejad N, Pejhan A, Rakhshani MH, Hoseini BL. The Incidence of Low Birth Weight (LBW) and Small- for- Gestational Age (SGA) and its Related Factors in Neonates, Sabzevar, Iran. International Journal of Pediatrics. 2014; 2(4.2): 73.
  50. Cook RJ, Dickens BM, Fathalla MF. Reproductive health and human rights: integrating medicine, ethics, and law: Clarendon Press; 2003.
  51. Iranian Studens' News Agency (ISNA). Saving aborted children, a model to prevent free fall of the population's youth. 2023. Available from: https://www.farsnews.ir/news/14010301000051.
  52. Shafaati Laleh S, Roshanaei G, Soltani F, Ghamari Mehran F. Socio-economic disparities in female genital circumcision: finding from a case-control study in Mahabad, Iran. BMC Public Health. 2022; 22(1): 1877.
  53. Bostani khalesi Z, Pirdadeh Beiranvand S, Ebtekar F. Iranian midwives' knowledge of and attitudes toward female genital mutilation/cutting (FGM/C). Electronic Physician. 2017; 9(2): 3828-3832.
  54. Williams-Breault BD. Eradicating Female Genital Mutilation/Cutting: Human Rights-Based Approaches of Legislation, Education, and Community Empowerment. Health and Human Rights. 2018; 20(2): 223-233.
  55. Farajkhoda T, IRANI FE, Javanbakht M, Abbasi M, Bokai M. Study of the ethical outcomes, legal aspects and courses of action to eradicate female genital mutilation. Journal of Medical Ethics. 2012; 5(18): 55-71
  56. Ghorbani F, Latifnejad Roudsari R. A Narrative Review of the Legal, Jurisprudential and Ethical aspects of Embryo Donation: Implications for Infertility Counselling. Journal of Midwifery and Reproductive Health. 2022;10(1):3055-65.
  57. Afshar L, Bagheri A. Embryo donation in Iran: an ethical review. Developing World Bioethics. 2013; 13(3): 119-124.
  58. Behjati-Ardakani Z, Karoubi MT, Milanifar A, Masrouri R, Akhondi MM. Embryo Donation in Iranian Legal System: A Critical Review. Journal of Reproduction & Infertility. 2015; 16(3): 130-137.
  59. Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patients' perception of dignity in Iranian healthcare settings: a qualitative content analysis. Journal of Medical Ethics. 2012; 38(12): 723.
  60. Burrowes S, Holcombe SJ, Jara D, Carter D, Smith K. Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC Pregnancy and Childbirth. 2017; 17(1): 263.
  61. Jakobsen R, Sørlie V. Dignity of older people in a nursing home: Narratives of care providers. Nursing Ethics. 2010; 17(3): 289-300.
  62. Jo K-H, Doorenbos AZ. Understanding the meaning of human dignity in Korea: a content analysis. International Journal of Palliative Nursing. 2009; 15(4): 178-185.
  63. Mahendra IGAA, Wilopo SA, Sukamdi, Putra IGNE. The role of decision-making pattern on the use of long-acting and permanent contraceptive methods among married women in Indonesia. The European Journal of Contraception & Reproductive Health Care. 2019; 24(6): 480-486.
  64. Yirgu R, Wood SN, Karp C, Tsui A, Moreau C. “You better use the safer one… leave this one”: the role of health providers in women’s pursuit of their preferred family planning methods. BMC Women's Health. 2020; 20(1): 1-9.
  65. Kohan S, Mohammadi F, Mostafavi F, Gholami A. Being Single as a Social Barrier to Access Reproductive Healthcare Services by Iranian Girls. International Journal of Health Policy and Management. 2017; 6(3): 147-153.
  66. Hoseini BL, Shomoossi N, Rakhshani MH, Beinaghi R. Assessment of women's knowledge, performance and attitude towards Pap smear test in Sabzevar, Iran (2015). Acta Facultatis Medicae Naissensis. 2020; 37(1): 72-78.
  67. Kokabisaghi F. Assessment of the Effects of Economic Sanctions on Iranians' Right to Health by Using Human Rights Impact Assessment Tool: A Systematic Review. International Journal of Health Policy and Management. 2018; 7(5): 374-393.
  68. Shahabi S, Fazlalizadeh H, Stedman J, Chuang L, Shariftabrizi A, Ram R. The impact of international economic sanctions on Iranian cancer healthcare. Health Policy. 2015; 119(10): 1309-1318.
  69. Ansaripour A, Uyl-de Groot CA, Redekop WK. Adjuvant Trastuzumab Therapy for Early HER2-Positive Breast Cancer in Iran: A Cost-Effectiveness and Scenario Analysis for an Optimal Treatment Strategy. PharmacoEconomics. 2018; 36(1): 91-103.
  70. Naser Moghadasi A. Biosimilars in Treatment of Multiple Sclerosis in Iran. Archives of Iranian Medicine. 2021; 24(10): 779-782.
  71. Seyed Ahadi M, Sahraian MA, Baghbanian SM, Azimi A, Shaygannejad V, Anjidani N, et al. Pregnancy outcome in patients with multiple sclerosis treated with Rituximab: A case-series study. Multiple Sclerosis and Related Disorders. 2021; 47: 102667.
Journal of Midwifery and Reproductive Health
Volume 14, Issue 1
January 2026
Pages 5152-5163

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