Document Type : Original Article


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


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.


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