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Meredith Cavin - March 2015
Iran’s Family Planning Program
Summary:
Iran has experienced “the largest and fastest decline in fertility ever,”4 from 6 children per
woman in the mid-1980s to 2.1 children per woman in 20004. This drop in fertility coincided with the
government’s antinatalist policies that encouraged lower birth rates. Before this time period, the
government had instituted pronatalist policies that encouraged higher birth rates. The government
has recently reinstituted pronatalist policies, but the fertility rate remains low, now at 1.85 children
per woman8.
Programming Timeline
• 1967:
o First family planning policy
implemented by U.S.-backed monarch
Mohammed Reza Shah Reza Pahlavi1
o Changed divorce law, promoted
female employment, family planning
as a human right6
• Early 1970s:
o Launch of “health houses,” small
primary care centers4
• 1979:
o Average of 7 children per woman1
o Islamic Revolution led by Shiite
Muslim spiritual leader Ayatollah
Khomeini
o U.S.-backed Shah overthrown
o Health officials ordered not to
advocate contraception, considered
undue Western influence6
o Legal minimum age at marriage
lowered to 9 for girls and 12 for boys2
• 1980-88:
o Iran at war with Iraq
o Supreme leader Ayatollah Khomeini
incentivized fertility in order to
“produce an army of 20 million”6
• Mid-1980s:
o Average of 6 children per woman1
Late 1980s:
o Economy faltered due to job
shortages, cities became crowded and
polluted6
o Supreme leader Ayatollah Khomeini
issued a fatwa making contraceptives
widely available and acceptable to
conservative Muslims9
• December 1989:
o Family planning program officially
launched
o Compulsory family planning
counseling for couples getting
married5
o Government incorporated
population, family planning, and
maternal and child health into
curriculum materials5
o Islamic Republic of Iran
Broadcasting tasked with spreading
information6
o Discouraged childbearing among
women younger than 18 or older
than 356
o Encouraged women to wait 3-4
years between pregnancies6
o Encouraged couples to limit family
size to 3 children6, restricted
maternity leave benefits after 3rd
child6
o Married couples provided with free
access to condoms, birth control
pills, and vasectomies5
o Health houses integrated family
planning with primary care, which
helped to reduce stigma6
• 1993:
o Parliament removed all economic
incentives for large families, such as
tax deductions4
• 2000:
o Almost all villages covered by
health houses4
o Average of 2.1 children per woman1
Did Iran’s Family Planning Program Cause Its Fertility Decline?
Possible Confounding Factors:7
o Increase in women’s formal education
o Increase in women’s presence in the labor force
o Passage of time
o Reduction in infant mortality
o Higher expectation of children’s future education and employment
o Urbanization and modernization
o Increased access to modern communication, e.g. television
A Closer Look at Education:
The graph below demonstrates that women from all educational levels had fewer births after
the government implemented its family planning program. In fact, there were particularly large
drops in fertility among less educated women during this period. This suggests that more educated
women may have begun having fewer children before less educated women did and that the
government’s program may have served as an equalizer.
Age-Specific Fertility Rates by Level of Education
From 1986-1990, 1991-1995, 1996-20003
	
  
Recent	
  Policy	
  Changes	
  
• 2005:
o President Mahmoud Ahmadinejad elected, urged Iranians to have more children
• 2010:
o Government began putting $950 into the bank account of every child born, adding $95
per year until age 185
o Parents expected to contribute matching amounts5
o Children can withdraw the money at age 20 for use in health, education, marriage, or
housing5
Conclusion:
Former Iranian President MahmoudAhmadinejad has warned that family planning is “a
prescription for extinction”9 and reinstituted pronatalist policies. However, after years of spreading
awareness about and access to family planning, it remains to be seen whether these pronatalist
policies can successfully increase the nation’s birth rate and population size.
Iran’s fertility decline coincided with advancements in women’s education, women’s
employment, and child health, all of which are considered drivers of low fertility, regardless of
external government programs. As one might therefore expect, the nation’s fertility rate has fallen
even lower; the average Iranian woman has 1.85 children8 (compared to 2.01 in the United States8). In
the words of Iranian women’s rights activist Sussan Tahmasebi, “Iranian women are not going
back.”9
References and Sources for Further Reading:
(1) Abbasi-Shavazi, M. (2001). The Fertility Revolution in Iran. Population Et Sociétés, 373, 1-4.
(2) Abbasi-Shavazi, M. (2002). Recent Changes and the Future of Fertility in Iran. Retrieved from
http://www.un.org/esa/population/publications/completingfertility/2RevisedABBASIpaper.PDF
(3) Abbasi-Shavazi, M., Lutz, W., & Hosseini-Chavoshi, M. (2008). Education and the World's Most Rapid Fertility Decline
in Iran. International Institute for Applied Systems Analysis, IIASA Interim Report IR-08-010. Retrieved April 10, 2013, from
http://www.iiasa.ac.at/publication/more_IR-08-010.php
(4) Hettige, H. (2012, July 30). Celebrate Solutions: Iran's Family Planning Success Story. Retrieved March 5, 2015.
(5) Iran is Reversing Its Population Policy. (2012). Viewpoints, 7, 1-6.
(6) Larsen, J. (2003, August 2). Iran: A Model for Family Planning? - The Globalist. Retrieved March 5, 2015.
(7) Mehryar, A., Delavar, B., Farjadi, G., Hosseini-Chavoshi, M., Naghavi, M., & Tabibian, M. (2001). Iranian Miracle: How
to Raise Contraceptive Prevalence Rate to Above 70% and Cut TFR by Two-Thirds in Less Than a Decade? Retrieved
March 4, 2015, from http://archive.iussp.org/Brazil2001/s20/S20_02_Mehryar.pdf
(8) Total Fertility Rate. (2015, March 5). Retrieved March 5, 2015, from https://www.cia.gov/library/publications/the-
world-factbook/rankorder/2127rank.html
(9) Weiss, K., & Mostaghim, R. (2012, July 22). Iran's Birth Control Policy Sent Birthrate Tumbling. Retrieved March 5,
2015.

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Iran Factsheet

  • 1. Meredith Cavin - March 2015 Iran’s Family Planning Program Summary: Iran has experienced “the largest and fastest decline in fertility ever,”4 from 6 children per woman in the mid-1980s to 2.1 children per woman in 20004. This drop in fertility coincided with the government’s antinatalist policies that encouraged lower birth rates. Before this time period, the government had instituted pronatalist policies that encouraged higher birth rates. The government has recently reinstituted pronatalist policies, but the fertility rate remains low, now at 1.85 children per woman8. Programming Timeline • 1967: o First family planning policy implemented by U.S.-backed monarch Mohammed Reza Shah Reza Pahlavi1 o Changed divorce law, promoted female employment, family planning as a human right6 • Early 1970s: o Launch of “health houses,” small primary care centers4 • 1979: o Average of 7 children per woman1 o Islamic Revolution led by Shiite Muslim spiritual leader Ayatollah Khomeini o U.S.-backed Shah overthrown o Health officials ordered not to advocate contraception, considered undue Western influence6 o Legal minimum age at marriage lowered to 9 for girls and 12 for boys2 • 1980-88: o Iran at war with Iraq o Supreme leader Ayatollah Khomeini incentivized fertility in order to “produce an army of 20 million”6 • Mid-1980s: o Average of 6 children per woman1 Late 1980s: o Economy faltered due to job shortages, cities became crowded and polluted6 o Supreme leader Ayatollah Khomeini issued a fatwa making contraceptives widely available and acceptable to conservative Muslims9 • December 1989: o Family planning program officially launched o Compulsory family planning counseling for couples getting married5 o Government incorporated population, family planning, and maternal and child health into curriculum materials5 o Islamic Republic of Iran Broadcasting tasked with spreading information6 o Discouraged childbearing among women younger than 18 or older than 356 o Encouraged women to wait 3-4 years between pregnancies6 o Encouraged couples to limit family size to 3 children6, restricted maternity leave benefits after 3rd child6 o Married couples provided with free access to condoms, birth control pills, and vasectomies5 o Health houses integrated family planning with primary care, which helped to reduce stigma6 • 1993: o Parliament removed all economic incentives for large families, such as tax deductions4 • 2000: o Almost all villages covered by health houses4 o Average of 2.1 children per woman1
  • 2. Did Iran’s Family Planning Program Cause Its Fertility Decline? Possible Confounding Factors:7 o Increase in women’s formal education o Increase in women’s presence in the labor force o Passage of time o Reduction in infant mortality o Higher expectation of children’s future education and employment o Urbanization and modernization o Increased access to modern communication, e.g. television A Closer Look at Education: The graph below demonstrates that women from all educational levels had fewer births after the government implemented its family planning program. In fact, there were particularly large drops in fertility among less educated women during this period. This suggests that more educated women may have begun having fewer children before less educated women did and that the government’s program may have served as an equalizer. Age-Specific Fertility Rates by Level of Education From 1986-1990, 1991-1995, 1996-20003  
  • 3. Recent  Policy  Changes   • 2005: o President Mahmoud Ahmadinejad elected, urged Iranians to have more children • 2010: o Government began putting $950 into the bank account of every child born, adding $95 per year until age 185 o Parents expected to contribute matching amounts5 o Children can withdraw the money at age 20 for use in health, education, marriage, or housing5 Conclusion: Former Iranian President MahmoudAhmadinejad has warned that family planning is “a prescription for extinction”9 and reinstituted pronatalist policies. However, after years of spreading awareness about and access to family planning, it remains to be seen whether these pronatalist policies can successfully increase the nation’s birth rate and population size. Iran’s fertility decline coincided with advancements in women’s education, women’s employment, and child health, all of which are considered drivers of low fertility, regardless of external government programs. As one might therefore expect, the nation’s fertility rate has fallen even lower; the average Iranian woman has 1.85 children8 (compared to 2.01 in the United States8). In the words of Iranian women’s rights activist Sussan Tahmasebi, “Iranian women are not going back.”9 References and Sources for Further Reading: (1) Abbasi-Shavazi, M. (2001). The Fertility Revolution in Iran. Population Et Sociétés, 373, 1-4. (2) Abbasi-Shavazi, M. (2002). Recent Changes and the Future of Fertility in Iran. Retrieved from http://www.un.org/esa/population/publications/completingfertility/2RevisedABBASIpaper.PDF (3) Abbasi-Shavazi, M., Lutz, W., & Hosseini-Chavoshi, M. (2008). Education and the World's Most Rapid Fertility Decline in Iran. International Institute for Applied Systems Analysis, IIASA Interim Report IR-08-010. Retrieved April 10, 2013, from http://www.iiasa.ac.at/publication/more_IR-08-010.php (4) Hettige, H. (2012, July 30). Celebrate Solutions: Iran's Family Planning Success Story. Retrieved March 5, 2015. (5) Iran is Reversing Its Population Policy. (2012). Viewpoints, 7, 1-6. (6) Larsen, J. (2003, August 2). Iran: A Model for Family Planning? - The Globalist. Retrieved March 5, 2015. (7) Mehryar, A., Delavar, B., Farjadi, G., Hosseini-Chavoshi, M., Naghavi, M., & Tabibian, M. (2001). Iranian Miracle: How to Raise Contraceptive Prevalence Rate to Above 70% and Cut TFR by Two-Thirds in Less Than a Decade? Retrieved March 4, 2015, from http://archive.iussp.org/Brazil2001/s20/S20_02_Mehryar.pdf (8) Total Fertility Rate. (2015, March 5). Retrieved March 5, 2015, from https://www.cia.gov/library/publications/the- world-factbook/rankorder/2127rank.html (9) Weiss, K., & Mostaghim, R. (2012, July 22). Iran's Birth Control Policy Sent Birthrate Tumbling. Retrieved March 5, 2015.