title: A comparative study of the attitudes of managers, employees and clients in the field of social barriers of family planning counseling in health care centers of Isfahan in 2012.
abstract: BACKGROUND
  Appropriate family planning counseling for informed choice, the right and responsible use of contraceptive methods is very important. Various barriers such as social barriers can have the effect on family planning counseling. In addition, investigation of those barriers from the perspective of managers, staff and clients, who are major members in health care system, has great importance. The present study was conducted with the goal of comparing managers', employees', and clients' viewpoints about social barriers in family planning counseling in health care centers in Isfahan in 2012.
  
  
  METHODS
  This is a cross-sectional one-step three-group comparative descriptive study conducted on 295 subjects including 59 managers, 110 employees, and 126 clients in medical health care centers in Isfahan in 2012. Managers and employees were selected by census sampling and the clients were recruited through convenient random sampling. The data collection tool was a researcher made questionnaire, which was designed in two sections of fertility and personal characteristics and viewpoint measurement. Descriptive and inferential statistical test were used to analyze the data.
  
  
  RESULTS
  The obtained results showed significant difference between mean scores of viewpoints in three groups of managers, employees, and clients concerning social barriers in family planning counseling (P = 0.001). In addition, most of the managers and employees reported social barriers as the barriers in process of family planning in a large level and clients reported it in moderate level.
  
  
  CONCLUSIONS
  The results express the necessity of health services managers' planning to modify or delete social barriers, especially the agreed barriers from the viewpoint of managers and employees that effect on family planning counseling and quality of service provided by them.
authors: Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
authors: Safoura
authors: S
authors: Taheri
authors: Department of Medical Education, Medical Education Research Center, Isfahan, Iran.
authors: Soheila
authors: S
authors: Ehsanpour
authors: Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Shahnaz
authors: S
authors: Kohan
keywords: Counseling; Iran; family planning; social barriers