Explaining barriers to childbearing using the risk communication and community engagement (RCCE) strategy: Based on action research

Author:

NeJhaddadgar Nazila1ORCID,Ziapour Arash2ORCID,Jafarzadeh Mohammad3ORCID,Ezzati Farahnaz4ORCID,Rezaei Farshid5ORCID,Darabi Fatemeh6ORCID

Affiliation:

1. Social Determinants of Health Research Center Ardabil University of Medical Sciences Ardabil Iran

2. Cardiovascular Research Center, Health Institute, Imam‐Ali Hospital Kermanshah University of Medical Sciences Kermanshah Iran

3. Department of Infectious Diseases School of Medicine, Ardabil University of Medical Sciences Ardabil Iran

4. Health Care Center Province Ardabil University of Medical Sciences Ardabil Iran

5. Health Education and Promotion Department, Health Deputy Ministry of Health Tehran Iran

6. Department of Public Health Asadabad School of Medical Sciences Asadabad Iran

Abstract

AbstractBackground and AimsReluctance to childbearing and then the reduction of the total fertility rate are common experiences of developed countries and many developing countries, including Iran, therefore, the purpose of this study was explaining barriers to childbearing using the risk communication and community engagement (RCCE) strategy.MethodsThe study was conducted by action research and according to RCCE during 9 months in Ardabil city. The statistical population consisted of 41 married women aged 15–54 who were eligible for childbearing, these women were purposefully selected from among the people covered by Ardabil health centers and interviewed. Data were collected using open and in‐depth interviews by the researcher and analyzed by content analysis.ResultsThe results of data analysis led to the extraction of three main categories, personal, familial, and social barriers. The “personal barriers” category was classified into three subcategories, namely mental, belief, and awareness barriers, the “familial barriers” category was classified into two subcategories, namely social and financial barriers, and the “social barriers” category was classified into two subcategories, political and managerial barriers.ConclusionsAccording to the results, a set of personal, familial, and social factors could affect childbearing among married women. Identification of these factors can play an effective role in designing educational and managerial programs.

Publisher

Wiley

Subject

General Medicine

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