International Journal of Pediatrics

Barriers of Adolescents' Access to Reproductive and Sexual Health Services in Iran: A Systematic Review

Mojdeh Banaei; Masoumeh Simbar; Vida Ghasemi; Haniyeh Nazem

Volume 7, Issue 12 , December 2019, , Pages 10505-10522

https://doi.org/10.22038/ijp.2019.42108.3543

Abstract

Background: Adolescence is an important period in human life and the low-level access of adolescents to reproductive and sexual health services is a concern because preventive, diagnostic ... Read More Background: Adolescence is an important period in human life and the low-level access of adolescents to reproductive and sexual health services is a concern because preventive, diagnostic and therapeutic services are needed for healthy sexual and reproductive behaviors. This study was conducted with the aim of considering the barriers against adolescent access to reproductive and sexual health services in Iran. Materials and Methods: All Iranian qualitative and quantitative studies which were published without time limit were entered in this systematic review article. The investigation was performed in the international databases such as Scopus, Medline, ProQuest, and Cochrane Library and national databases such as Magiran, SID, IranDoc, and Barakat Knowledge Network System. Keywords were selected based on the Mesh and include: "Youth", "Teenager", "Adolescent health service", and "Iran", combined with the Boolean OR and AND operators. Ultimately, two researchers reviewed articles for the quality appraisal (Newcastle-Ottawa tool for observational studies and JBI-QARI tool for qualitative studies), and extracted their main findings, independently. Results: Finally, 10 articles (with 1,933 population) that comprised including criteria were selected. Articles were quantitative (n=8), and qualitative (n=2) types and their year of publication varied from 2009 to 2018. Barriers against adolescent access to reproductive and sexual health services were classified into four main categories (individual barriers, structural barriers, social barriers, and policy barriers). Conclusion: Based on the results, the barriers of adolescent access to reproductive and sexual health services include individual, structural, social, and policy barriers. Because the development of adolescents’ demands is crucial for all societies, through identification and removal of these barriers, we can promote the access of the youth to adolescent health services.

The Effect of Interventions on Breastfeeding Self-efficacy by Using Bandura's Theory in Iranian Mothers: A Systematic Review

Vida Ghasemi; Masoumeh Simbar; Mojdeh Banaei; Marzieh Saei Ghare Naz; Zahra Jahani; Haniyeh Nazem

Volume 7, Issue 8 , August 2019, , Pages 9939-9954

https://doi.org/10.22038/ijp.2019.40842.3446

Abstract

Background: Breastfeeding self-efficacy is a psychological effective factor on initiation and duration of breastfeeding, which according to Bandura's theory, is affected by four sources ... Read More Background: Breastfeeding self-efficacy is a psychological effective factor on initiation and duration of breastfeeding, which according to Bandura's theory, is affected by four sources including performance accomplishments, vicarious experiences, verbal persuasion, and the emotional/physiological responses. We aimed to systematically review the effect of interventions using Bandura's self-efficacy theory on breastfeeding self-efficacy in Iranian mothers. Materials and Methods: In this systematic review, all interventional studies from 1990 to May 2019, were searched in Web of Science, Scopus, EMBASE, Cochrane library and Medline databases as International databases and SID, Magiran and Irondoc as National databases by using English and Persian related keywords. Two reviewers studied the full text of the articles and their main findings were extracted and categorized. Quality assessment of studies was checked and verified by two authors independently based on the Effective Public Health Practice Project (EPHPP) tool. Results: Finally, 21 articles (2,661 samples) which met inclusion criteria were investigated and reviewed in 5-domain that include performance accomplishments, vicarious experiences, verbal persuasion, and the emotional/physiological responses as well as interventions by using a combination of the 4 sources. The results of our review showed that mothers in intervention groups had significantly higher breastfeeding self-efficacy score compared to the control group. In addition, interventions by using verbal persuasion (52%, n=1660) are the most common and effective. Conclusion:The results showed that intervention with the use of Bandura's self-efficacy theory improves the breastfeeding self-efficacy. Due to the impact of these interventions on the initiation and duration of breastfeeding, simple and cost-effective, the implementation of theory-based interventions to improve breastfeeding self-efficacy in hospitals and health centers seems to be necessary.

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Author = Haniyeh Nazem

Barriers of Adolescents' Access to Reproductive and Sexual Health Services in Iran: A Systematic Review

Abstract

The Effect of Interventions on Breastfeeding Self-efficacy by Using Bandura's Theory in Iranian Mothers: A Systematic Review

Abstract