Reproductive health ignorance in disasters: A qualitative study

Area of Science:

• Public Health
• Disaster Management
• Reproductive Health

Background:

• Reproductive health (RH) is a fundamental human right, yet RH services are frequently overlooked during disaster situations.
• A significant gap exists in scientific literature regarding the neglect of RH in post-disaster contexts, particularly in Iran.

Purpose of the Study:

• To investigate the factors contributing to the neglect of reproductive health (RH) services in post-disaster settings in Iran.
• To understand the underlying reasons for the underprioritization of RH during crises.

Main Methods:

• A qualitative content analysis approach was employed, utilizing in-depth semi-structured interviews.
• Purposive sampling included diverse stakeholders: RH service recipients and providers, health and risk management officials, academics, relief workers, and NGO members.
• Data were collected from the health system, disaster risk management organization, and earthquake-affected areas in Kermanshah, with reliability assessed using Lincoln and Goba criteria.

Main Results:

• Data saturation was reached after 23 interviews.
• Key factors identified include RH being a neglected priority, its decline amidst competing needs, and insufficient attention to the distinct needs of women.
• The study highlights a systemic failure to adequately address RH in emergency response.

Conclusions:

• The health system must prioritize reproductive health (RH) in both routine and disaster scenarios.
• Comprehensive education programs and advocacy for RH rights are crucial for raising awareness among the public and experts.
• Future planning and resource allocation for post-disaster response must explicitly address RH needs and access, with a focus on gender-specific vulnerabilities.