Contributing factors to the total fertility rate declining trend in the Middle East and North Africa: a systemic review

Journal of Health, Population and Nutrition

Aboulghasem Pourreza¹  Ahmad Sadeghi²  Hasan Jafari³  Mostafa Amini-Rarani⁴  Rahim Khodayari-Zarnaq⁵ 

[1] Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;Department of Public Health, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran;Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran;Tabriz Health Services Management Research Centre, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran;

关键词: Total fertility rate;    Systematic review;    Middle East and North Africa;    Determinant factors;   

DOI  :  10.1186/s41043-021-00239-w

来源: Springer

【 摘 要 】

BackgroundThe total fertility rate (TFR) in the Middle East and North Africa has experienced a declining trend in recent years. Accordingly, the present study was conducted to provide a clear picture of the most critical factors affecting the TFR decline in this region.MethodsThis study was a systematic review between the years 2000 and 2016. The different databases like Cochrane, PubMed, Scopus, and Science Direct and the Google Scholar search engine were used. At first, 270 articles and then 18 articles were selected and meticulously read for the final analysis.ResultsThe results indicated a declining trend in the TFR in the Middle East and North Africa, as in other parts of the world. Regarding the causes of this declining trend, several factors were identified and categorized into five main factors of health care-related, cultural, economic, social, and political.ConclusionsWhile taking advantage of the experiences, it is necessary to identify the five main factors and their related issues and hence consider them in the population policy-making.

【 授权许可】

CC BY