Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran

Background: Women are at higher risk of death during disasters due to physical, biological, psychological, and cultural differences. After a disaster, they experience more miscarriages, premature births, inadequate fetal growth, low birth weight, sexual violence, and unwanted pregnancies. This study...

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Main Authors: Elham Rajabi, Hamidreza Khankeh, Maryam Ranjbar, Mirtaher Mousavi, Mehdi Norouzi, Mehrdad Farokhi
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2022-07-01
Series:Health in Emergencies & Disasters Quarterly
Subjects:
Online Access:http://hdq.uswr.ac.ir/article-1-365-en.html
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author Elham Rajabi
Hamidreza Khankeh
Maryam Ranjbar
Mirtaher Mousavi
Mehdi Norouzi
Mehrdad Farokhi
author_facet Elham Rajabi
Hamidreza Khankeh
Maryam Ranjbar
Mirtaher Mousavi
Mehdi Norouzi
Mehrdad Farokhi
author_sort Elham Rajabi
collection DOAJ
description Background: Women are at higher risk of death during disasters due to physical, biological, psychological, and cultural differences. After a disaster, they experience more miscarriages, premature births, inadequate fetal growth, low birth weight, sexual violence, and unwanted pregnancies. This study aims to investigate the reproductive health status of women affected by the 2017 earthquake in Kermanshah, Iran. Materials and Methods: This descriptive cross-sectional study was conducted in 2018. The study population consists of women aged 15-49 years (Mean age=31.7 years) living in Sarpol-e Zahab, Javanrood, and Thalas Babajani towns in Kermanshah city affected by the earthquake in 2017. The questionnaire used for assessing the status of reproductive health in women was the Reproductive Health Assessment Questionnaire for Women of Reproductive Age, which has already been localized in Iran and its reliability and validity have been confirmed. Native Kurdish language experts completed the questionnaires on behalf of 396 participants. Descriptive statistics were used to describe the variables. Results: It was found that 42.4% of women complained of abnormal menstruation and 34.09% of limited menstrual hygiene materials. Sixty women were pregnant at the time of the earthquake, all of whom gave birth in hospital; two had miscarriages, two had premature births, and one had stillbirth. Urinary tract infection was the most common problem (21%) in pregnant women. Moreover, 48% of women used contraceptive methods after the earthquake, the most commonly used method was the use of contraceptive pills (23%). Access to contraception methods was difficult for 14.4% of them after the earthquake. Furthermore, 25% had experienced violence after the earthquake; of these, 30 reported physical violence, 86 verbal violence, and 13 sexual violence. Conclusion: The control of pregnancy and safe delivery in earthquake-affected areas of Kermanshah is relatively acceptable; however, the provision of reproductive health services seems to be challenging. It is recommended to pay attention to the menstrual hygiene of women and regular distribution of contraceptives (despite the current population growth plan), address sexual acts of violence, and develop a protocol to support the victims.
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spelling doaj.art-e3294e31a4ab4ac08427e730040d1b3b2022-12-22T02:26:22ZengNegah Institute for Scientific CommunicationHealth in Emergencies & Disasters Quarterly2345-42102022-07-0174183192Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, IranElham Rajabi0Hamidreza Khankeh1Maryam Ranjbar2Mirtaher Mousavi3Mehdi Norouzi4Mehrdad Farokhi5 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Clinical Sciences and Education, Karolinska University, Stockholm, Sweden. Background: Women are at higher risk of death during disasters due to physical, biological, psychological, and cultural differences. After a disaster, they experience more miscarriages, premature births, inadequate fetal growth, low birth weight, sexual violence, and unwanted pregnancies. This study aims to investigate the reproductive health status of women affected by the 2017 earthquake in Kermanshah, Iran. Materials and Methods: This descriptive cross-sectional study was conducted in 2018. The study population consists of women aged 15-49 years (Mean age=31.7 years) living in Sarpol-e Zahab, Javanrood, and Thalas Babajani towns in Kermanshah city affected by the earthquake in 2017. The questionnaire used for assessing the status of reproductive health in women was the Reproductive Health Assessment Questionnaire for Women of Reproductive Age, which has already been localized in Iran and its reliability and validity have been confirmed. Native Kurdish language experts completed the questionnaires on behalf of 396 participants. Descriptive statistics were used to describe the variables. Results: It was found that 42.4% of women complained of abnormal menstruation and 34.09% of limited menstrual hygiene materials. Sixty women were pregnant at the time of the earthquake, all of whom gave birth in hospital; two had miscarriages, two had premature births, and one had stillbirth. Urinary tract infection was the most common problem (21%) in pregnant women. Moreover, 48% of women used contraceptive methods after the earthquake, the most commonly used method was the use of contraceptive pills (23%). Access to contraception methods was difficult for 14.4% of them after the earthquake. Furthermore, 25% had experienced violence after the earthquake; of these, 30 reported physical violence, 86 verbal violence, and 13 sexual violence. Conclusion: The control of pregnancy and safe delivery in earthquake-affected areas of Kermanshah is relatively acceptable; however, the provision of reproductive health services seems to be challenging. It is recommended to pay attention to the menstrual hygiene of women and regular distribution of contraceptives (despite the current population growth plan), address sexual acts of violence, and develop a protocol to support the victims.http://hdq.uswr.ac.ir/article-1-365-en.htmlwomendisastersreproductive healthearthquakereproductive age
spellingShingle Elham Rajabi
Hamidreza Khankeh
Maryam Ranjbar
Mirtaher Mousavi
Mehdi Norouzi
Mehrdad Farokhi
Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
Health in Emergencies & Disasters Quarterly
women
disasters
reproductive health
earthquake
reproductive age
title Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
title_full Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
title_fullStr Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
title_full_unstemmed Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
title_short Evaluation of Women’s Reproductive Health Status After the 2017 earthquake in Kermanshah, Iran
title_sort evaluation of women s reproductive health status after the 2017 earthquake in kermanshah iran
topic women
disasters
reproductive health
earthquake
reproductive age
url http://hdq.uswr.ac.ir/article-1-365-en.html
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