masoumeh mohajer rahbari

Although the validity of content of program is mostly conducted with qualitative methods, this study used both qualitative and quantitative methods for the validation of content of post marriage training program provided for newly married couples. Content validity is a preliminary step of obtaining authorization required to install the program in country''s health care system. This mixed methodological content validation study carried out in four steps with forming three expert panels. Altogether 24 expert panelists were involved in 3 qualitative and quantitative panels; 6 in the first item development one; 12 in the reduction kind, 4 of them were common with the first panel, and 10 executive experts in the last one organized to evaluate psychometric properties of CVR and CVI and Face validity of 57 educational objectives. The raw data of post marriage program had been written by professional experts of Ministry of Health, using qualitative expert panel, the content was more developed by generating 3 topics and refining one topic and its respective content. In the second panel, totally six other objectives were deleted, three for being out of agreement cut of point and three on experts'' consensus. The validity of all items was above 0.8 and their content validity indices (0.8-1) were completely appropriate in quantitative assessment. This study provided a good evidence for validation and accreditation of national post marriage program planned for newly married couples in health centers of the country in the near future.

The importance of neonatal jaundice is not only for its social, economic, and psychological complications resulted from hospitalization of neonates in the hospital, but also for the permanent neurological handicaps and its consequent high morbidity. Since Iranian mothers have no, in spite of the importance of matter, appropriate approach in coping with their newborn jaundice, this study aimed to explore mother’s experiences of neonatal jaundice.Methods & Materials: This qualitative study was carried out through in-depth semi-structured interviews with 14 mothers whose infants were hospitalized in one of the hospitals affiliated to Shahrood University of Medical Sciences with a diagnosis of neonatal jaundice. The participants were selected purposefully and the data were analyzed using qualitative content analysis. Two main themes and several subthemes emerged from the data. The main themes were as follows: mothers’ experiences of jaundice crises and its management, and mothers’ present ex- periences after crisis of jaundice. First theme arranged into four subthemes and second theme was grouped into three subthemes. Mothers’ and grandmothers’ cultural and dietary beliefs have an important impact on mothers’ health-seeking behavior. Educational programs about neonatal jaundice and its manage- ment through prenatal care consulting and mass media is recommended as an important priority for health system of country.

The health of women, as half of the world’s population and the foundation of families and societies, has played a significant role in securing and stabilizing of the health of fami- lies and societies. The increasing rate of divorce in Iran caused us to perform this study aimed to explore the challenges of divorced women.Methods & Materials: This was a qualitative study which was carried out through in-depth semi- structured interviews with 12 divorced women whose divorce decree was issued in the Family Court of Shahrood, Iran, at least one year ago. Participants were selected purposefully and the data was analyzed using qualitative content analysis. The results of the study revealed the 4 following themes of health meaning from divorced women''s experiences, causes of divorce, divorced women''s problems, and divorced women''s expec- tations from the society and authorities. Adverse consequences of divorce on women''s health including physical, mental and venereal diseases, and other serious social problems should be considered as the main and most important priority of the country by the authorities. Paying attention to the major and underlying grounds of divorce, also the most important problems of youth of the country, including addiction, superficiality, negligence of basic criteria in marriage, and infidelity, can be helpful in solving the problem of divorce.

In order to achieve acceptable health indices and the general welfare، family planning is necessary in any society. The aim of this study was to identify the perspectives of health care providers about the unmet needs of family planning in health centers of Tehran and Shahroud in 2011. The present study was a qualitative research including 27 of the staff and administrators of health centers recruited with purposive sampling. Data gathering was conducted by holding several individual discussions with staff from different centers of Shahroud and Tehran with different social، cultural، and economic status. Then all of the recorded speeches were written on paper and the main themes and sub-themes were extracted. Themes extracted from the statements of the participants were organizational factors (such as integration of family health services with midwifery services، and lack of privacy)، occupational pressure، and the excessive paperwork of the midwifery unit، which had reduced the quality of family planning services. Moreover، other obstacles cited included the participation of men، time limitations، misconceptions، and health center supervisors acting according to personal preferences. Overlooking social، cultural، and organizational issues may reduce the quality of family planning services.