Reproductive health ignorance in disasters: A qualitative study

BACKGROUND: Reproductive health (RH) is a critical human right that requires safeguarding in all contexts, including during disaster situations. Nevertheless, RH services frequently face neglect in disasters. In view of the issue’s importance and the notable gap in scientific documentation, this res...

Full description

Saved in:
Bibliographic Details
Main Authors: Elham Rajabi, Fahimeh Ramezani Tehrani, Mehrdad Farrokhi, Mehdi Norouzi, Hamid Reza Khankeh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:https://journals.lww.com/10.4103/jehp.jehp_1419_23
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849314986864672768
author Elham Rajabi
Fahimeh Ramezani Tehrani
Mehrdad Farrokhi
Mehdi Norouzi
Hamid Reza Khankeh
author_facet Elham Rajabi
Fahimeh Ramezani Tehrani
Mehrdad Farrokhi
Mehdi Norouzi
Hamid Reza Khankeh
author_sort Elham Rajabi
collection DOAJ
description BACKGROUND: Reproductive health (RH) is a critical human right that requires safeguarding in all contexts, including during disaster situations. Nevertheless, RH services frequently face neglect in disasters. In view of the issue’s importance and the notable gap in scientific documentation, this research was conducted to examine the underlying factors that lead to the neglect of RH in post-disaster settings in Iran. MATERIALS AND METHODS: A qualitative study was conducted using the method of content analysis, by performing in-depth semi-structured interviews in 2021–2022. Interviews were continued until the point of data saturation. The selection of participants involved a purposive sampling approach, drawing from various stakeholders, including recipients and providers of RH services, key health system and risk management officials, faculty members, relief personnel, and non-governmental organization members. The study’s setting encompassed the health system, disaster risk management organization, and the Kermanshah earthquake-affected areas. To ensure the reliability and robustness of the data, Lincoln and Goba criteria were used, and Granheim and Lundman methods were further utilized for their analysis. RESULTS: Data saturation was achieved after conducting 23 interviews. The findings of this study identified several key factors contributing to the neglect of RH in post-disaster scenarios: 1) RH: A neglected priority, irrespective of critical conditions; 2) the decline of RH in the shadow of multiple needs; and 3) lack of attention to the differences in women’s needs. CONCLUSION: The health system should prioritize RH in both normal and disaster situations. This requires promoting awareness among the general population and experts. It is recommended to develop comprehensive education programs, covering topics related to RH. Advocacy for RSH rights is recommended. Post-disaster needs and access to RH services should be prioritized in planning and resource allocation. Education on gender differences and vulnerabilities is important for officials and responders involved in risk management and post-disaster efforts.
format Article
id doaj-art-44633b9cfdce478ea55d98ceb3465a71
institution Kabale University
issn 2277-9531
2319-6440
language English
publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Education and Health Promotion
spelling doaj-art-44633b9cfdce478ea55d98ceb3465a712025-08-20T03:52:16ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402025-04-0114115215210.4103/jehp.jehp_1419_23Reproductive health ignorance in disasters: A qualitative studyElham RajabiFahimeh Ramezani TehraniMehrdad FarrokhiMehdi NorouziHamid Reza KhankehBACKGROUND: Reproductive health (RH) is a critical human right that requires safeguarding in all contexts, including during disaster situations. Nevertheless, RH services frequently face neglect in disasters. In view of the issue’s importance and the notable gap in scientific documentation, this research was conducted to examine the underlying factors that lead to the neglect of RH in post-disaster settings in Iran. MATERIALS AND METHODS: A qualitative study was conducted using the method of content analysis, by performing in-depth semi-structured interviews in 2021–2022. Interviews were continued until the point of data saturation. The selection of participants involved a purposive sampling approach, drawing from various stakeholders, including recipients and providers of RH services, key health system and risk management officials, faculty members, relief personnel, and non-governmental organization members. The study’s setting encompassed the health system, disaster risk management organization, and the Kermanshah earthquake-affected areas. To ensure the reliability and robustness of the data, Lincoln and Goba criteria were used, and Granheim and Lundman methods were further utilized for their analysis. RESULTS: Data saturation was achieved after conducting 23 interviews. The findings of this study identified several key factors contributing to the neglect of RH in post-disaster scenarios: 1) RH: A neglected priority, irrespective of critical conditions; 2) the decline of RH in the shadow of multiple needs; and 3) lack of attention to the differences in women’s needs. CONCLUSION: The health system should prioritize RH in both normal and disaster situations. This requires promoting awareness among the general population and experts. It is recommended to develop comprehensive education programs, covering topics related to RH. Advocacy for RSH rights is recommended. Post-disaster needs and access to RH services should be prioritized in planning and resource allocation. Education on gender differences and vulnerabilities is important for officials and responders involved in risk management and post-disaster efforts.https://journals.lww.com/10.4103/jehp.jehp_1419_23disastersearthquakehealth servicesreproductive healthwomen
spellingShingle Elham Rajabi
Fahimeh Ramezani Tehrani
Mehrdad Farrokhi
Mehdi Norouzi
Hamid Reza Khankeh
Reproductive health ignorance in disasters: A qualitative study
Journal of Education and Health Promotion
disasters
earthquake
health services
reproductive health
women
title Reproductive health ignorance in disasters: A qualitative study
title_full Reproductive health ignorance in disasters: A qualitative study
title_fullStr Reproductive health ignorance in disasters: A qualitative study
title_full_unstemmed Reproductive health ignorance in disasters: A qualitative study
title_short Reproductive health ignorance in disasters: A qualitative study
title_sort reproductive health ignorance in disasters a qualitative study
topic disasters
earthquake
health services
reproductive health
women
url https://journals.lww.com/10.4103/jehp.jehp_1419_23
work_keys_str_mv AT elhamrajabi reproductivehealthignoranceindisastersaqualitativestudy
AT fahimehramezanitehrani reproductivehealthignoranceindisastersaqualitativestudy
AT mehrdadfarrokhi reproductivehealthignoranceindisastersaqualitativestudy
AT mehdinorouzi reproductivehealthignoranceindisastersaqualitativestudy
AT hamidrezakhankeh reproductivehealthignoranceindisastersaqualitativestudy