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Identifying contextual effective factors on total fertility rate decline in Iran: a qualitative framework-based study
Authors:Jafari  Hasan  Pourreza  Abolghasem  Sadeghi  Ahmad  Alizadeh  Gisoo  Khodayari-Zarnaq  Rahim
Institution:1.Department of Health Care Management, School of Public Health, Health Policy and Management Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
;2.Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
;3.Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
;4.School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
;5.Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
;6.Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University, Tabriz, Iran
;
Abstract:

This study was conducted to explain the contextual factors associated with total fertility rate (TFR) decline to help policymakers. A qualitative approach and Leichter contextual analysis framework were applied to conduct this study. The participants were selected using purposive sampling method, and also the interviews continued until data saturation was reached. Individuals with knowledge and perspectives on population policies were included in the study to improve the research credibility. The data validity was achieved by applying the maximum variety in selecting the sample. The results were classified into four groups, including situational, structural, cultural, and environmental factors. Situational factors included political sanctions, drought, and road accidents. Structural factors involved government policies, the absence of monitoring, paying no attention to the required conditions, housing status, employment status, economic status, and other issues. Cultural factors were classified into the seven categories, including divorce, socio-economic development, women's employment, marriage age, urbanization, and other issues and factors included international treaties, and the western influence. Policymakers and administrators in the field of demographic policies can make more accurate strategies to increase TFR by recognizing the causes that reduce fertility with the help of providing the possibility to understand better the factors affecting the TFR decline.

Keywords:
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