Khadijeh Asadi Sarvestani · Sexual and Reproductive Health Matters 2023 · narrative policy review · n=?

A pronatalist turn in population policies in Iran and its likely adverse impacts on reproductive rights, health and inequality: a critical narrative review

Cited 35 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and policy critique with no systematic search methodology (design analogy).

OpenAlex W4387599705 · doi:10.1080/26410397.2023.2257075 · record verified 2026-08-28

What was done

This critical narrative review examined the evolution of Iran's population policies and fertility trends over the past 50 years, focusing on the post-2005 shift toward pronatalism and the 2021 "Youthful Population and Protection of the Family" law. The authors synthesized national and international sources to evaluate policy discourse, legislative restrictions on contraception and abortion, marriage incentives, and their anticipated effects on reproductive autonomy and socioeconomic disparities.

What was found

The abstract reports no numerical data or quantitative effect sizes. The authors qualitatively report that the 2021 policy restricts access to reproductive health and family planning services, violates reproductive rights, negatively affects maternal and child health, worsens socioeconomic disparities, and is unlikely to achieve a sustained rise in fertility.

Why it matters

The paper contextualizes the human rights and public health risks of coercive demographic legislation, highlighting how state-mandated pronatalist policies can compromise reproductive healthcare infrastructure and exacerbate health disparities.

Limits

The paper is a narrative review and policy critique without a systematic review methodology, quantitative synthesis, or primary empirical data reported in the abstract.

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