The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature
Abstract Objective Cesarean section (CS) is one of the most common surgical procedures in the world. In developed and developing countries, CS has grown significantly over the past decades. The Iranian Ministry of Health and Medical Education has developed a health transformation plan (HTP) in order...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | BMC Research Notes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13104-019-4081-y |
| _version_ | 1811271843459366912 |
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| author | Meysam Behzadifar Masoud Behzadifar Ahad Bakhtiari Samad Azari Mandana Saki Farnaz Golbabayi Nicola Luigi Bragazzi |
| author_facet | Meysam Behzadifar Masoud Behzadifar Ahad Bakhtiari Samad Azari Mandana Saki Farnaz Golbabayi Nicola Luigi Bragazzi |
| author_sort | Meysam Behzadifar |
| collection | DOAJ |
| description | Abstract Objective Cesarean section (CS) is one of the most common surgical procedures in the world. In developed and developing countries, CS has grown significantly over the past decades. The Iranian Ministry of Health and Medical Education has developed a health transformation plan (HTP) in order to reduce CS rate and promote vaginal delivery. This study was conducted with the aim of reviewing the results of published studies on the impact of the HTP on CS in Iran. Results We searched Embase, PubMed/MEDLINE, ISI/Web of Sciences, Scopus, as well as Iranian databases (MagIran, SID and Barakatkns), from May 2014 to October 2018. To assess the quality of studies, the checklist “A Cochrane Risk of Bias Assessment Tool: for Non-Randomized Studies of Interventions” was utilized. Twelve studies were selected. Seven studies reported statistically significant results, showing a positive impact of the implementation of the HTP on CS reduction. Despite the decreased CS rate in Iran after about 4 years of the implementation of this policy, the goal of a yearly reduction by 10% has not been achieved yet. Increasing access to maternity services and community-based education through mass media could help changing the attitudes of Iranian mothers towards CS. |
| first_indexed | 2024-04-12T22:28:20Z |
| format | Article |
| id | doaj.art-71db3ddc8ddb41e8b7b517834be1a613 |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-04-12T22:28:20Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-71db3ddc8ddb41e8b7b517834be1a6132022-12-22T03:14:03ZengBMCBMC Research Notes1756-05002019-01-011211710.1186/s13104-019-4081-yThe effect of the health transformation plan on cesarean section in Iran: a systematic review of the literatureMeysam Behzadifar0Masoud Behzadifar1Ahad Bakhtiari2Samad Azari3Mandana Saki4Farnaz Golbabayi5Nicola Luigi Bragazzi6Social Determinants of Health Research Center, Lorestan University of Medical SciencesHealth Management and Economics Research Center, Iran University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical ScienceHealth Management and Economics Research Center, Iran University of Medical SciencesSocial Determinants of Health Research Center, Lorestan University of Medical SciencesNursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical SciencesSchool of Public Health, Department of Health Sciences (DISSAL), University of GenoaAbstract Objective Cesarean section (CS) is one of the most common surgical procedures in the world. In developed and developing countries, CS has grown significantly over the past decades. The Iranian Ministry of Health and Medical Education has developed a health transformation plan (HTP) in order to reduce CS rate and promote vaginal delivery. This study was conducted with the aim of reviewing the results of published studies on the impact of the HTP on CS in Iran. Results We searched Embase, PubMed/MEDLINE, ISI/Web of Sciences, Scopus, as well as Iranian databases (MagIran, SID and Barakatkns), from May 2014 to October 2018. To assess the quality of studies, the checklist “A Cochrane Risk of Bias Assessment Tool: for Non-Randomized Studies of Interventions” was utilized. Twelve studies were selected. Seven studies reported statistically significant results, showing a positive impact of the implementation of the HTP on CS reduction. Despite the decreased CS rate in Iran after about 4 years of the implementation of this policy, the goal of a yearly reduction by 10% has not been achieved yet. Increasing access to maternity services and community-based education through mass media could help changing the attitudes of Iranian mothers towards CS.http://link.springer.com/article/10.1186/s13104-019-4081-yCesarean sectionHealth transformation planHealth policyIran |
| spellingShingle | Meysam Behzadifar Masoud Behzadifar Ahad Bakhtiari Samad Azari Mandana Saki Farnaz Golbabayi Nicola Luigi Bragazzi The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature BMC Research Notes Cesarean section Health transformation plan Health policy Iran |
| title | The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature |
| title_full | The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature |
| title_fullStr | The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature |
| title_full_unstemmed | The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature |
| title_short | The effect of the health transformation plan on cesarean section in Iran: a systematic review of the literature |
| title_sort | effect of the health transformation plan on cesarean section in iran a systematic review of the literature |
| topic | Cesarean section Health transformation plan Health policy Iran |
| url | http://link.springer.com/article/10.1186/s13104-019-4081-y |
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