Indeed these are important issues for the understanding of attitudes and experiences of women in Iran.
The findings from this study might be essential for making evidence-based policy decisions, and for planning, monitoring and evaluating reproductive health programs in Iran and elsewhere.
Burundi’s high maternal and child mortality is caused in part by the high fertility rate, prompted by low rate of contraceptive use.
Available sources report a contraceptive use of 18% among married women, but this excludes unmarried sexually active women.
Withdrawal and other traditional methods of contraception are still a method of choice for family planning in a number of developing countries such as Iran, although modern methods for family planning are easily available.
Withdrawal is known to be associated with high rates of unintended pregnancy, and in turn it is associated with adverse effects including delayed prenatal care, pre-maturity and low birth weight [1, 2].This study employed mixed methods to understand rates of contraceptive use in rural Burundi.We first assessed availability and uptake of contraceptives in 39 health clinics in the rural districts of Rumonge and Bururi.In all 300 women who were using withdrawal took part in the study.Of these, 210 women (70%) indicated that they were used modern contraceptive methods previously.In Iran family planning services and primary health care units provide information on contraceptive methods to individuals or couples, and these units offer contraceptives free of charge.Family planning midwives carry out counseling, intrauterine contraceptive device (IUCD) insertion and distribution of oral contraceptives.Thus, the aim of this study was to investigate the reasons for using withdrawal by Iranian women and to gain a better understanding of their experiences of and attitudes to contraceptive methods.In addition, we thought the findings from this study might provide baseline information in order to help to design an educational program for use by the Iranian health care system and perhaps in other developing countries.However, despite the importance of these studies, they have been unable to detect the effects of other variables on choice of withdrawal as a birth control method.It is argued that it is crucial for the health care providers to assess women's attitude about family planning prior to educating them and providing them with contraceptive services .