Document Type : Original Article
Authors
1 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 MSc of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, Department of Epidemiology and Biostatistics, School of Health, Mashhad University Medical of Medical Sciences, Mashhad, Iran
Abstract
BACKGROUND: The development of any society depends on proper planning in various fields such
as population and birth control. Fertility control is designed to create a level of population growth
appropriate to the resources available and to ensure a good life. Receiving information and education
is one of the basic strategies to change the attitude toward fertility and awareness in most people in
society. Therefore, this study was conducted to determine the effect of education on knowledge of
fertility counseling and attitudes toward fertility control in health workers.
MATERIALS AND METHODS: The present study was a randomized clinical trial with a control
group that was conducted in the presence of 107 health workers of health centers and community
health centers working in Mashhad in 2017. The research units were randomly divided into three
groups (webinar training, group discussion training, and control). Research tools were researcher‑made
questionnaires on attitudes toward fertility and measuring healthy reproductive awareness that all
study participants completed at the beginning of the study and 2 weeks after the intervention. Data
analysis was performed by the Chi‑square, one‑way analysis of variance, and independent t‑test
using the SPSS software version 16.
RESULTS: The results of this study showed that at the beginning of the study, all three groups
were homogeneous in terms of quantitative and qualitative demographic variables including age,
education, work experience, type of employment, and number of family members. The results of
Kruskal–Wallis test showed that before the intervention, the three groups did not have a statistically
significant difference in terms of mean scores of awareness about fertility counseling (P = 0.77) and
attitude toward fertility control (P = 0.523), but this relationship was significant after the interventions.
Furthermore, the results of Mann–Whitney intragroup test showed that the scores before and after
the intervention were significant in both educational groups (P = 0.001).
CONCLUSION: Considering the importance of healthy fertility counseling and the important place
of education in promoting awareness and attitude toward healthy fertility, it is recommended to use
active educational methods to promote the awareness and attitude of health workers to provide
healthy fertility services to couples.
Keywords
- Rahbari M, Hajnaghizadeh F, Damari B. A qualitative study
of the status of children’s play from the viewpoints of experts
and suggestions for promotion interventions. Iran J Pediatr
2015;25:e2178.
2. Golmakani N, Rahmati R, Shaghaghi F, Safinejad H, Kamali Z,
Mohebbi‑Dehnavi Z. Investigating the relationship between
social support and self‑compassion by improving the adequacy
of prenatal care. J Educ Health Promot 2020;9:340.
3. Sadeghi‑Bazargani H, Ayubi E, Azami‑Aghdash S, Abedi L,
Zemestani A, Amanati L, et al. Epidemiological patterns of road
traffic crashes during the last two decades in Iran: A review of
the literature from 1996 to 2014. Arch Trauma Res 2016;5:e32985.
4. Eager PW. Global Population Policy: From Population Control
to Reproductive Rights. Routledge: Taylor & Francis; 2017.
5. Gaddy H. Has fertility increased at very high levels of
development? SocArXiv cufpa, Center for Open Science2020.
6. Baruti E, Farhadi Z. Assessment of knowledge of health services
providers about contraceptives. Med J Islam Repub Iran 2003;1:43‑8.
7. Khadivzadeh T, Arghavani E, Shakeri MT. Attitude toward
governmental incentives on childbearing and its relationship with
fertility preferences in couples attending premarital counseling
clinic in health centers in Mashhad. J Mazandaran Univ Med Sci
2015;24:1‑13.
8. Afkhami A, Madrakian T, Shirzadmehr A, Tabatabaee M,
Bagheri H. New Schiff base‑carbon nanotube–nanosilica–ionic
liquid as a high performance sensing material of a potentiometric
sensor for nanomolar determination of cerium (III) ions. Sens
Actuators B Chem 2012;174:237‑44.
9. Koser K. Fertility counseling with couples: A theoretical approach.
Fam J 2020;28:25‑32.
10. Allameh Z. Foundamental and process of family planning
counseling. Tehran: MOH & ME; 1997.
11. Choi W, Park J, Lee S, Yim J, Jeong H, Lim Y, et al. The effects of
convergent reproductive health promotion program for Korean
University students on sexual knowledge, sexual attitude, and
reproductive health promoting behavior. J Korea Converg Soc
2018;9:145‑52. - 12. Zangiabadi Zade M. The study effect of teaching contraceptive
and preventive methods of sexual diseases on female students’
knowledge and attitudes toward reproductive and sexual health.
J Jiroft Univ Med Sci 2015;2:152‑61.
13. Mirheydari M, Qazvinian L, Rezaei AM, KarimiRZ, Qazvinian M,
Saghafipour A. The Effects of Pre‑Marriage Education on Their
Reproductive Health among Couples Participating in Marriage
Classes of Qom‑2016; 2016.
14. Mahdizadeh H, Kazemi S, Azizi M. The Challenges in Application
of Information Technologies (ICT) in Medical Science Universities;
2011.
15. Sadeghi A, Balali F, Razazade S. Attitude and performance of
health staff regarding health information resources Kerman
University of Medical Sciences. J Educ Community Health
2014;1:27‑35.
16. Tan WM, Klein MC, Saxell L, Shirkoohy SE, Asrat G. How do
physicians and midwives manage the third stage of labor? Birth
2008;35:220‑9.
17. Kyrpides NC, Hugenholtz P, Eisen JA, Woyke T, Göker M,
Parker CT, et al. Genomic encyclopedia of bacteria and archaea:
Sequencing a myriad of type strains. PLoS Biol 2014;12:e1001920.
18. Kendall C, Afable‑Munsuz A, Speizer I, Avery A, Schmidt N,
Santelli J. Understanding pregnancy in a population of inner‑city
women in New Orleans – Results of qualitative research. Soc Sci
Med 2005;60:297‑311.
19. Yeh CT, Lin YK. Component allocation cost minimization for a
multistate computer network subject to a reliability threshold
using tabu search. J Indus Manage Optimiz 2016;12:141.
20. Golmakani N, Gholami M, Shaghaghi F, Safinejad H, Kamali Z,
Mohebbi‑Dehnavi Z. Relationship between fear of childbirth and
the sense of cohesion with the attachment of pregnant mothers
to the fetus. J Educ Health Promot 2020;9:261.
21. Gholami M, Moallem SA Afshar M, Etemad L, Karimi G. Maternal
exposure to silymarin leads to phatological changes in mouse
foetuses. Pharmacologyonline 2015;2:38‑43.
22. Gholami M, Moallem SA, Afshar M, Etemad L, Karimi G.
Gestational exposure to silymarin increases susceptibility of
BALB/c mice fetuses to apoptosis. Avicenna J Med Biotechnol
2017;9:66‑70.
23. Parsa P, Shobeiri F, Mohammadi Y. The effect of group counseling
on improving the awareness of reproductive health in adolescent
girls living in welfare boarding centers. J Urmia Nurs Midwifery
Fac 2017;15:534‑43.
24. Wani RT, Rashid I, Nabi SS, Dar H. Knowledge, attitude, and
practice of family planning services among healthcare workers
in Kashmir - A cross-sectional study. J Family Med Prim Care.
2019;8(4):1319-1325.
25. OstadRahimi A, Safaeean A, Modaresi J, PourAbdollahi P. The
effect of nutrition education on knowledge, attitude and practice
of women working in the nutritional University of Medical
Sciences. J Tabriz Univ Med Sci 2010;31:12‑7.
26. Saatsaz S, Rezaei R, Nazari R, HajiHosaini F, SaiediAndi S. The
impact of education on the knowledge and practice of teachers in
methods of breast cancer screening. Breast Dis Iran J 2009;2:28‑35.
27. Modabber M, Pouresmaeil M, Soltani M. Effects of group
discussion on knowledge, attitude and practice of women using
natural family planning methods in Alborz City, Qazvin. J Health
2017;8:211‑21.
28. Shokri A. The Effect of Web‑Based Education on Students’
Knowledge and Attitudes about Youth Reproductive Masters
thesis, Qazvin University of Medical Sciences: Qazvin University
of Medical Sciences and Health Services; 2017.
29. He Y, Zhang N, Wang J, He N, Du Y, Ding JX, et al. Evaluation of
two intervention models on contraceptive attitudes and behaviors
among nulliparous women in Shanghai, China: A clustered
randomized controlled trial. Reprod Health 2017;14:73.
30. Morgan E. Knowledge Gaps Regarding Birth Control and
Emergency Contraceptives among College Educated Woman:
An Educational Intervention; Honors Thesis 2020.
31. Ramazani A, Faraji A, Fatemi M, Solooki M. The effects of
pre‑marriage education and consultation on knowledge
and attitude of couples regarding to reproductive health.
Tolooebehdasht 2013;11:56‑65.
32. Alami A, Esmailzade M, Esmaeili R, Matlabi M, Ekrami
Noghabi A, Saberi M. Effectiveness of an educational intervention
based on the theory of planned behavior on fertility intention
of single‑child women: A field trial study. Q Horizon Med Sci
2020;26:212‑27.
33. Rahmati R, Khadivzadeh T, Esmaily H. Comparison of the effect
of two training methods (webinar and group discussion) on
improving the attitude and performance of health workers in
providing counseling with fertility promotion approach. J Educ
Health Promot 2020;9:280.
34. Rahmati R, Khadivzadeh T, Esmaily H. Improving the level of
awareness and attitude toward fertility and fertility counseling
skills of health staff with both face‑to‑face and virtual training
methods. J Educ Health Promot 2020;9:335.
35. Moshki M, Shafaghi K, Seyedesani SK. Comparative Effectiveness
of Group Discussion and Multimedia Nutrition Education among
Pregnant Women in Learning Domains; Journal Of Sabzevar
University Of Medical Sciences, 2014;21(3):441-452.
36. Lanken PN, Novack DH, Daetwyler C, Gallop R, Landis JR,
Lapin J, et al. Efficacy of an internet‑based learning module and
small‑group debriefing on trainees’ attitudes and communication
skills toward patients with substance use disorders: results of a
cluster randomized controlled trial. Acad Med 2015;90:345‑54.