Evaluation of Women’s Satisfaction with the Ministry of Health’s Performance in Relation to Fertility Management and Relationship with Individual Factors

Background: The possible consequences of a sharp decline in fertility, has forced the community leaders and policy makers to revise policies in regard to encouraging the population to give birth to children. The aim of this study was to determine the satisfaction of the people from childbearing government policies in recent years. Methods: This descriptive cross-sectional study was performed on 300 women in the reproductive age (18-45 years) referring to Karaj health centers in 2012 using cluster random sampling method. Data were collected using a questionnaire and data analysis using Chi-square test (P = 0.05) and SPSS software (version 20). Results: Of the 300 women with a mean age 35 years, 62% of women (186) did not agree to limit their access to contraceptives. 48% of women (144) reported inadequate information in regard to contraception. Intelligence sources in 37% of patients were families (111) and only 9% (27) were medical staff. Economic problems in 83% of patients are considered to be the greatest cause of unwillingness to have a children. Satisfaction with education, age, marriage age, family income and level of unwanted pregnancy correlated (p<0/05) and had no significant relationship with contraception method (p>0/05). Conclusion: Dissatisfaction with family planning policies has been seen in almost half of the women and the lack of awareness and gaining information from invalid sources still exist among Iranian women. In order to encourage the birth growth rate, it is necessary to create the welfare infrastructure first and then, with proper education, allow families to increase their awareness in raising their children.