A pronatalist turn in population policies in Iran and its likely adverse impacts on reproductive rights, health and inequality: a critical narrative review.

IF 3.3 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Khadijeh Asadisarvestani, Tomáš Sobotka
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引用次数: 0

Abstract

Iran has witnessed three major reversals of population policies since their inception in the 1960s. In response to a rapid decline in fertility to very low levels, the latest policy shift has led to the development of legislation that aims to encourage marriage and fertility, particularly the "Youthful Population and Protection of the Family" law approved in 2021. This study reviews the changes in population policy and their interrelations with fertility trends, focusing mainly on the shift towards pronatalist policies since 2005, and accompanying restriction of reproductive health and family planning services. Combining international and national sources, we position the new pronatalist drive in the country within the broader trend of government attempts to reverse fertility decline and promote conservative family values. Our study has three main aims. (1) We provide an overview of fertility trends, policy discourses and policy shifts in the context of the changes in the societal and political structures of Iran during the last half a century. (2) We highlight and discuss the most problematic features of the new Family Law, especially the legislation pertaining to maternal and reproductive health, access to abortion and contraception, and incentives supporting earlier marriage and higher fertility. (3) We discuss the likely consequences of the new legislation for maternal and child health and sexual and reproductive rights, for women in general, and the country's socio-economic disparities. As well as violating reproductive rights, the new policy is unlikely to achieve its aim of initiating a sustained rise in fertility in Iran.

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伊朗人口政策的产前转变及其对生殖权利、健康和不平等可能产生的不利影响:一项批判性叙述综述。
自20世纪60年代开始实施人口政策以来,伊朗经历了三次重大逆转。为了应对生育率迅速下降到极低水平,最新的政策转变导致制定了旨在鼓励婚姻和生育的立法,特别是2021年批准的“年轻人口和家庭保护”法。这项研究审查了人口政策的变化及其与生育趋势的相互关系,主要侧重于自2005年以来向产前政策的转变,以及随之而来的对生殖健康和计划生育服务的限制。结合国际和国家来源,我们将该国新的产前宣传活动定位在政府试图扭转生育率下降和促进保守家庭价值观的更广泛趋势中。我们的研究有三个主要目的。(1) 我们概述了过去半个世纪伊朗社会和政治结构变化背景下的生育趋势、政策论述和政策转变。(2) 我们强调并讨论了新《家庭法》最有问题的特点,特别是与孕产妇和生殖健康、堕胎和避孕机会以及支持早婚和提高生育率的激励措施有关的立法。(3) 我们讨论了新立法对孕产妇和儿童健康、性权利和生殖权利、对广大妇女以及该国社会经济差距可能产生的后果。除了侵犯生育权外,新政策不太可能实现在伊朗持续提高生育率的目标。
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来源期刊
Sexual and Reproductive Health Matters
Sexual and Reproductive Health Matters Medicine-Obstetrics and Gynecology
CiteScore
4.00
自引率
8.30%
发文量
63
审稿时长
16 weeks
期刊介绍: SRHM is a multidisciplinary journal, welcoming submissions from a wide range of disciplines, including the social sciences and humanities, behavioural science, public health, human rights and law. The journal welcomes a range of methodological approaches, including qualitative and quantitative analyses such as policy analysis; mixed methods approaches to public health and health systems research; economic, political and historical analysis; and epidemiological work with a focus on SRHR. Key topics addressed in SRHM include (but are not limited to) abortion, family planning, contraception, female genital mutilation, HIV and other STIs, human papillomavirus (HPV), maternal health, SRHR in humanitarian settings, gender-based and other forms of interpersonal violence, young people, gender, sexuality, sexual rights and sexual pleasure.
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