Document Type : Original Article


1 Department of Medical Education, Medical Education Research Center

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


Background: Appropriate family planning counseling for informed choice, the right and
responsible use of contraceptive methods is very important. Various barriers such as social
barriers can have the effect on family planning counseling. In addition, investigation of those
barriers from the perspective of managers, staff and clients, who are major members in
health care system, has great importance. The present study was conducted with the goal
of comparing managers’, employees’, and clients’ viewpoints about social barriers in family
planning counseling in health care centers in Isfahan in 2012. Materials and Methods: This is a
cross-sectional one-step three-group comparative descriptive study conducted on 295 subjects
including 59 managers, 110 employees, and 126 clients in medical health care centers
in Isfahan in 2012. Managers and employees were selected by census sampling and the
clients were recruited through convenient random sampling. The data collection tool was a
researcher made questionnaire, which was designed in two sections of fertility and personal
characteristics and viewpoint measurement. Descriptive and inferential statistical test were
used to analyze the data. Results: The obtained results showed significant difference between
mean scores of viewpoints in three groups of managers, employees, and clients concerning
social barriers in family planning counseling (P = 0.001). In addition, most of the managers
and employees reported social barriers as the barriers in process of family planning in a large
level and clients reported it in moderate level. Conclusion: The results express the necessity
of health services managers’ planning to modify or delete social barriers, especially the agreed
barriers from the viewpoint of managers and employees that effect on family planning counseling
and quality of service provided by them.


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