Author:
Pourreza Aboulghasem,Sadeghi Ahmad,Amini-Rarani Mostafa,Khodayari-Zarnaq Rahim,Jafari Hasan
Abstract
Abstract
Background
The total fertility rate (TFR) in the Middle East and North Africa has experienced a declining trend in recent years. Accordingly, the present study was conducted to provide a clear picture of the most critical factors affecting the TFR decline in this region.
Methods
This study was a systematic review between the years 2000 and 2016. The different databases like Cochrane, PubMed, Scopus, and Science Direct and the Google Scholar search engine were used. At first, 270 articles and then 18 articles were selected and meticulously read for the final analysis.
Results
The results indicated a declining trend in the TFR in the Middle East and North Africa, as in other parts of the world. Regarding the causes of this declining trend, several factors were identified and categorized into five main factors of health care-related, cultural, economic, social, and political.
Conclusions
While taking advantage of the experiences, it is necessary to identify the five main factors and their related issues and hence consider them in the population policy-making.
Publisher
Springer Science and Business Media LLC
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Food Science
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