Iranian Community Research Articles

SHIITE COMMUNITIES IN EUROPE: MODERATES VS. RADICALS. PART 2

In the second part of the article, under the above title, the author examines the role and place of the Shiite communities in Iran’s policy towards the European direction. Unlike the Middle East region, in relation to which Tehran’s policy is dominated by religious and military-strategic attitudes, the approach to the EU countries is dominated primarily by trade and economic interest, combined with the vision of the EU as a partner in interaction with Western countries in the face of ongoing confrontation with the United States. This perception of the EU by Tehran is especially noticeable in the context of the preparation and negotiation of a renewed «nuclear deal», where the Europeans clearly act as an intermediary between Iran and the United States. Under these conditions, without the loyalty and activity of the Shiite communities in the countries of the Old World, the Tehran authorities can hardly count on the success of their policy in the European direction. This can only be achieved by promoting an attractive image of Iran in these communities, the majority of which are from this country. Many of them continue to have a negative attitude towards the ayatollah regime, from which either they themselves or their parents fled to Europe in recent decades. Therefore, in relation to the Shiite communities, the authorities of the Islamic Republic are trying to use all the tools of «soft power», but with an emphasis on the factor of their radicalization, which is designed to «alienate» the Shiites there from the cultural space of Europe and «bring» them as close as possible to that of Iran.

Prevalence and Determinants of Severe Mental Disorders in Iran: Evidence from the National Survey of STEPs- 2016.

The determinants and correlates of severe mental disorders are less understood compared to the common mental disorders, both in the world and in Iran. In this study, we aimed to identify a wide range of determinants of severe stress, severe anger, and severe sadness among Iranian population. This study is part of a large nationwide cross-sectional survey entitled STEPs conducted using a comprehensive questionnaire to determine the prevalence of main preventable risk factors of non-communicable diseases (NCDs) in Iran by age and sex groups in 2016. In total, 30541 people aged 18+participated in this study. Univariate and multivariate logistic regression analyses were used to examine the associations between the dependent variable, which is severe mental disorders, and independent variables including socio-economic factors, lifestyle and selected NCDs. The prevalence of severe stress, severe anger and sever sadness in the Iranian society was 33%, 35%, and 25%, respectively. Of the investigated socio-economic factors, being men, older, never married and living in rural areas were associated with significantly lower experience of severe mental disorders compared to other groups. For education, income and wealth index, there was no linear and clear pattern. Among lifestyle factors, being nonsmoker, having low physical activities, and higher intake of fruits and vegetables were found to be preventive of severe mental disorders. Additionally, having NCDs including hypertension, high cholesterol, diabetes and heart attacks were also significantly correlated with severe mental disorders. determining factors associated with severe mental disorders in this study would help in raising people's awareness on avoiding harmful factors, and taking healthier lifestyle such as quitting smoke, and consuming enough vegetables and fruits. Screening high risk people in terms of mental health could contribute to the reduction of mental disorders in the Iranian community.

The prevalence and risk factors of death anxiety and fear of COVID-19 in an Iranian community: A cross-sectional study.

Background and AimsCOVID‐19 has adversely impacted the public's mental health. One of the causes of psychopathology during the present pandemic is death anxiety and fear of COVID‐19. The present study aimed to determine the prevalence and risk factors of death anxiety and fear of COVID‐19 in Shiraz city, south of Iran.MethodsThis cross‐sectional study was conducted among 982 participants in Shiraz from October to November 2021. Data were collected using Templer's Death Anxiety Scale and the Fear of COVID‐19 Scale. Trained interviewers collected data throughout different city districts. A data‐driven approach (latent class analysis) was applied to categorize the participants and determine the risk factors.ResultsAmong the participants, 507 (51.6%) were female, and 475 (48.4%) were male. The participants’ mean age was 38.26 ± 15.16 years. Based on the analysis, 259 (26.4%), 512 (52.1%), and 211 (21.5%) participants had low, moderate, and severe levels of death anxiety. Also, 393 (40.06%) and 588 (59.94%) of the participants had low and high levels of fear, respectively. Higher death anxiety was significantly associated with being female, having an associate degree, being retired, share of medical expenditure from total expenditure of more than 10%, having a history of hospital admission due to COVID‐19, history of COVID‐19 in relatives, and having fear of COVID‐19. Also, being female, expenses equal to income, history of hospital admission due to COVID‐19, death in relatives, and higher death anxiety were linked to higher levels of fear of COVID‐19.ConclusionsDeath anxiety and fear of COVID‐19 are closely associated with each other and affected by various sociodemographic and economic factors. Given this pandemic's unpredictable nature and chronicity, interventions at the community level to support high‐risk groups are crucial.

Anxiety Management among Non-Clinical Society towards COVID-19 Pandemic in the Iranian Context

Abstract The COVID-19 pandemic has had a major effect on our lives. Many of us are facing challenges that can be stressful and overwhelming and cause strong emotions in adults and children. The purpose of this study was to measure the level of anxiety of non-clinical individuals in the Iranian community towards COVID-19 in Tehran. The present study is a descriptive correlational method with 308 individuals participating in the study through an online recall. A researcher-made coronary anxiety questionnaire with 18 questions was used to collect data. The data were analyzed by using Cronbach’s alpha internal consistency and Guttman’s λ2 method. Confirmatory factor analysis (CFA) using Lisrel-8.8 software was used to evaluate the tool construct validity. To standardize the raw scores, they were converted to standard T scores and percentile rank using Jmetrik-4.1.1 software and were prepared as normative tables. The Guttman’s λ2 value for the whole questionnaire was obtained as (λ = 0.922), Cronbach’s alpha coefficient for psychological symptoms as (α = 0.879), physical symptoms as (α = 0.861), and for the whole questionnaire as (α = 0.919). The range of scores of the questionnaire factors and total score of COVID-related anxiety severity based on standard T scores was divided into three domains: mild, moderate, and severe. The increase in psychological and physical symptom scores of coronavirus anxiety was significantly associated with physical symptoms, anxiety, depression, and social dysfunction. The fact that anxiety acts as a predisposing and health-threatening variable has confirmed that other researchers should examine its psychometric properties in other populations (especially compared to the clinical population to increase the diagnostic value of this questionnaire) as well as in relation to other psychological, social and medical concepts and variables.

Scope of Iranian community health nurses 'services from the viewpoint of the managers and nurses: a content analysis study.

BackgroundConsidering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can be provided by community health nurses from the perspective of the mangers and nurses.MethodsThe present qualitative study was conducted with the approach of contract content analysis in Iran in 2020. This study was conducted through in-depth and semi-structured interviews with 22 participants, including community health nursing faculty members, health deputies and managers, community health nurses working in health centers, and the care seekers visiting comprehensive health centers. The samples were selected through purposeful sampling. The interviews continued until data saturation. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim & Lundman’s content analysis method, and data management was done using MAXQDA software. To achieve data trustworthiness, the criteria presented by Lincoln and Guba were used.ResultsThe obtained data were classified into the two main categories of service provision settings and service provision domains. The category service provision settings covered 7 subcategories including participation in the family physician plan, activities at the centers for vulnerable groups of the community, establishing private community health clinics, leading health promotion programs in the 3rd generation hospitals, activities in comprehensive health centers, follow-ups and home visits, and activities in schools’ health units. Service provision domains consisted of 6 subcategories including participation in health planning, decision-making, and policymaking, research on the health system, health promotion, monitoring and coordination, providing care for the patients with non-communicable diseases and high-risk groups, and eldercare.ConclusionsFrom the participants’ perspective, important services that can be provided by the community health nurse are health promotion, the management of chronic patients and the elderly, follow-ups, and home visits. Therefore, it is recommended that health policy makers pay attention to the service provision areas and the services providable by the community health nurse in their macro-planning, and to provide primary health care in comprehensive health centers using inter-professional care models, integrating the community health nurse into the care team.

An Epidemiological Survey on Kidney Stones and Related Risk Factors in the Iranian Community

Increasing number of patients with kidney stones is a major worldwide concern that needs more attention for recognizing the disease in order to set up suitable prevention systems. In this study, we aimed to assess the prevalence and related risk factors of kidney stones in our local area (Isfahan, Iran). In 2011, we celebrated World Kidney Day (WKD) with several training programs for informing people about kidney diseases. A questionnaire containing demographic data, past medical history, and familial and self-history of kidney disease was fulfilled by each individual who participated in WKD. Blood pressure and body mass index (BMI) were also measured using standard methods. Statistical analysis with SPSS-20 software was done. 556 participants with a mean age of 44.69±15.32 were included in the study, of which 107 cases (19.2%) with a mean age of 50.24±12.33 had a kidney stone, and 449 cases (80.8%) with a mean age of 44.69±15.32 had no history of kidney stone. There were no significant differences between those with and without kidney stones regarding sex (P=0.176), type of daily work (P=0.91), diabetes mellitus (P=0.64), and place of living (urban versus rural) (P=0.92) and BMI (P=0.26). However, there were differences between groups regarding age (P˂0.001), Hypertension (HTN) (P=001), Cardiovascular disease (CVD) (P=0.02), and familial history of kidney stone (P˂0.001). Out of 107 patients with kidney stones, the mean number of urinary excretion of stones was 2.56±2.98. We found a greater prevalence of kidney stones in our local area compared with data from other research studies. Despite some previous studies, comparison of people with and without kidney stones did not reveal differences in the prevalence of DM, type of daily work (low activity versus high activity), and obesity but differences in the field of HTN and CVD were seen.

Knowledge, Attitudes, and Practices Towards COVID-19 in Iran: A Population-Based Study

Background and aims: The novel coronavirus (COVID-19) epidemic has far been the biggest global health threat of the 21st century. Protective measures are still one of the most effective methods for controlling COVID-19. Practicing hygiene and control measures are largely influenced by knowledge and attitude towards COVID-19. This study aimed to investigate the knowledge, attitude, and practice of Iranians towards COVID-19 as well as the demographic factors related to it in April and May, 2020. Methods: The study population in this cross-sectional, descriptive-analytical, and web-based study included 3736 Iranian individuals who were collected via convenience sampling method. A validated Iranian knowledge, attitude, and practices (KAP) Questionnaire about COVID-19 was used for collecting the required data. Ordinal multivariate generalized estimating equations (GEEs) were applied to analyze data. Results: The majority of participants (88.1%) had considerable knowledge, the right attitude (91%), and good practices (90.3%). In the multivariate models, factors related to greater knowledge were age>20 years (P<0.001), living in the urban area (P=0.030), holding a master’s or doctoral degree (P=0.044), and a moderate financial status (P=0.001). Females displayed mor positive attitude (P=0.035). Variables related to more favorable practices were age>20 years (P<0.001), and having a good (P=0.003) or moderate (P=0.038) financial status. Conclusion: It was concluded that the participants had good knowledge and a positive attitude, as well as adopted sound practices regarding COVID-19. However, this conclusion might not have been generalizable to entire Iranian community; therefore, it was recommended that preventive measures against COVID-19 should receive continued monitoring and emphasis.

Manager perceptions of decision-making for evaluation indicators: a centralized data envelopment analysis based approach

PurposeThis paper aims to propose an integrated centralized data envelopment analysis (CDEA)-balanced scorecard (BSC) model to provide a selective approach to determine the most efficient indicators for evaluating the four perspectives of the BSC.Design/methodology/approachAn integer linear programming model based on the efficiency concept of the CDEA method is presented to select the best indicators for evaluating four perspectives of the BSC. The basis for selecting indicators in this method is to maximize the overall performance of each BSC perspective. The modeling is performed on a real case. The considered model is solved using a general algebraic modeling system software for the data set of the real case.FindingsA real-world case is solved using the proposed method. The integration of the CDEA and the BSC seems to be advantageous because it sheds more light on the complexity and tradeoffs inherent in actual performance measurement. It is important to note that there cannot be a unique and universal model of performance measurement applicable in every situation, in every organization and at any time.Research limitations/implicationsThe data set of a single organization in the manufacturing industry is used to show the performance of the proposed mathematical model; therefore, generalization of the results should be done cautiously. This framework is based on the Iranian community and experts’ viewpoints; therefore, different results may be obtained if it is applied elsewhere, and the importance of perspectives and their indicators might show different results in other populations and other countries. In addition, because the data is collected in a specific period of time, the results cannot be extended to other periods of time.Originality/valueThe main contribution of this paper lies in the adaption of a new integrated CDEA-BSC model to performance measurement in the industrial sector that technology improves the ultimate results of performance measurement and provides wider opportunities for decision-makers. This paper aids managers and decision-makers to control the efficient indicators in perspectives.

Psychometrics of the Persian version of the scale for assessing the autonomous work behavior of faculty members in Iran

Background: The autonomy of faculty members is vital for making the right decision in their work and professional development. Given the need and lack of appropriate tools to measure the autonomous work behavior of faculty members, the current study was conducted with the collaboration of the faculty members from Shahid Beheshti University of Medical Sciences, aiming at assessing the psychometrics of the Persian version of a scale for assessing autonomous work behavior of faculty members in Iran. Methods: The Persian version of a scale developed by Evers et alwas validated in this psychometric study. A total of 480 faculty members were selected using convenience sampling. After translation and cultural adaptation, face and content validity and reliability were checked, and construct validity was calculated using confirmatory factor analysis with Lisrel factor analysis software. Results: Of the 480 study participants, 225 (46.9%) were males, and 255 (53.1%) were females. The mean age of the subjects was 37.39±7.58 years. The majority (360; 75%) had the rank of assistant professor, and 360 (75%) had less than 15 years of work experience. Content validity among 20 experts was 0.88. Confirmatory factor analysis for all 25 items loaded across four factors, and this four-factor scale showed a good fit in the Iranian community. Reliability using Cronbach’s alpha was calculated at 0.85, and 0.9 using the test-retest method. Conclusion: The Persian version of this scale has good validity and reliability in Iran and is a useful tool for assessing the autonomous work behavior of faculty members that educational administrators can use.

The Responsibility of the Physician and the Hospital When the Patients Withdraw their Previous Consent for Treatment

Background and Objectives: The patient’s withdrawal of previous permission for treatment is one of the issues in jurisprudence and medical law. The present study aims to discuss the patient''s withdrawal of previous permission based on the general approach to the physician’s acquittal/not acquittal of responsibility. Subjects and Methods This is a descriptive-analytical study with a new insight into the second paragraph of Article 308 of the Iranian Civil Code to assess the physician’s refusal of treatment when the patient withdraws the previous consent for treatment. Results The penal policies of Iran regarding physicians’ responsibilities are not fair. By revising the laws and replacing the civil liability of the government, it is possible to strengthen the rposition of medical community in Iran. Conclusion Physicians have reasons such as preventing harm and death to the patient، the rule of medicine، and the moral responsibility of the physician for not allowing patients to withdraw previous permission. On the other hand، patients believe that the doctor and the hospital are responsible for the status of the patient in the case of withdrawing previous consent. The legislator should solve the government''s responsibility for the physician''s actions or not allow the patient''s withdrawal of permission to remove conflicts in the physician''s acquittal/not acquittal of responsibility.

Psychometric properties of the Persian version of the somatic symptom disorder–B Criteria Scale (SSD-12) in community and clinical samples

ObjectiveIn the DSM-5's diagnostic criteria of somatic symptom disorders (SSD), the presence of psychological problems (i.e., excessive thoughts, feelings, or behaviors) is emphasized more than the absence of the medical causes of patients' bothersome symptoms. In this regard, the Somatic Symptom Disorder–B Criteria Scale (SSD-12) is a screening tool for assessing these psychological features in somatic symptom disorder. This study aimed to validate the Persian version of SSD-12 in the Iranian community (non-clinical) and clinical samples. MethodsData was gathered from 291 individuals in a community sample (aged 18 to 54, M-age = 36.62, SD = 10.56, 79.7% females) and from clinical setting, including 118 patients diagnosed with major depressive disorder (MDD, aged 18 to 60, M-age = 36.52, SD = 11.39, 75.8% females) and 120 patients diagnosed with somatic symptom disorders (aged 18 to 60, M-age = 35.17, SD = 8.77, 73.7% females). To assess the convergent validity of SSD-12 in the clinical samples, participants were asked to complete measures assessing anxiety, depression, somatic symptoms, health anxiety, and emotional regulation. ResultsConfirmatory Factor Analyses (CFAs) showed that the three-factor model of the SSD-12 reached acceptable fit in the community and clinical samples and yielded excellent internal consistency across the samples. Also, test-retest reliability analysis results were good in the community sample. Convergent validity could be shown in the clinical samples. A cut-off score greater than 14 was in the optimal state with a sensitivity of 70.83 and a specificity of 70.07. ConclusionThe current study provides evidence on the factor structure, reliability, and validity of the Persian SSD-12 in the Iranian community and clinical samples. A sum score of 14 can be recommended as the cut-off point. Further studies are needed to assess SSD-12 in different clinical populations and larger samples.

Oppression and empowerment: domestic foodwork and culinary capital among diasporic Iranian women in Aotearoa/New Zealand

This paper examines evolutions of domestic foodwork and associated status among diasporic Iranian women in contemporary Aotearoa/New Zealand. Drawing on feminist food studies, as well as on Bourdieu’s notion of cultural and symbolic capitals, we examine the two-fold, oppression-empowerment aspects of domestic foodwork, specifically its transformation from a socio-cultural obligation in the origin home to a means of agentic liberation and social empowerment in diaspora. Furthermore, we explore how this transformation is strategically negotiated by some women to successfully generate positions of enhanced respect, status, and private influence both within the domestic sphere and the wider diasporic Iranian community in Aotearoa/New Zealand.

High heterogeneity of fecal carriage extended-spectrum beta-lactamase-producing E. coli isolated from iranian community and clinical settings

BackgroundExtended-spectrum beta-lactamase-producing enterobacteria (ESBL-PE) in carriers have become a global health problem. Using molecular typing techniques, including PFGE, could be useful to determine the source of bacterial dissemination. The current study aimed to investigate the intestinal carriage of ESBL-producing E. coli (ESBL-EC) and clonal relatedness among ESBL-EC isolated from hospitalized and outpatient fecal carriers in Iran.MethodsA total of 120 rectal swabs were collected; 50.8% (61/120) from intensive care unit (ICU) inpatients and 49.2% (59/120) from outpatients. MacConkey agar enriched with cefotaxime was used to screen the ESBL-EC. PCR assays were performed to detect ESBL and carbapenemase genes. Pulse-fields gel electrophoresis (PFGE) was performed to assess clonal relatedness.ResultsTotally, 60.0% (72/120) were carrier for ESBL-EC. The rates of resistance against ceftazidime and cefepime were 90.2% (65/72) and 93.0% (67/72), respectively. The rates of blaCTX-M-15, blaTEM, blaSHV, blaNDM-1, blaOXA-48 and blaIMP was 90.2% (65/72), 50.0% (36/72), 5.5% (4/72), 4.1% (3/72), 4.1% (3/72) and 1.3% (1/72), respectively. Based on a cut-off 80%, 69 ESBL-EC isolates could be categorized in 10 mini-cluster and 47 isolates were considered as singletons.DiscussionHigh heterogeneity among isolates from ESBL-EC suggests that this bacterium probably has a different source of dissemination. Screening of carriers in hospitals and communities could help the infection control program in public health.

Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer.

IntroductionMaking appropriate plans for the provision of hospice care is considered a perceived need in the Iranian health system. The current study aimed to develop a model for establishing hospice care delivery system for the adult patients with cancer.Materials and MethodsThis study is part (data of the third and fourth phases) of a larger study that has been done in four phases. This Health System Policy Research (HSPR) utilized a mixed qualitative-quantitative approach. At the first phase, a qualitative study was conducted which explained the care needs and the requirements for establishing this system from the stakeholders’ perspective (directed content analysis). The second phase aimed to examine the current situation of hospice care delivery in Iran and identify and determine the similarities and differences among them in the selected countries (comparative study). At the third phase, the main areas of the model and the related indicators were extracted and prioritized by consulting with experts (Delphi survey). Then the model was formulated. At the fourth phase, the proposed model was validated and finalized in terms of importance, scientific acceptability, and feasibility.ResultsBased on the developed model the first and the most important step in establishing the hospice care delivery system is laying the groundwork in the health system which requires focusing on policymaking. It is necessary to establish hospice centers and implement public awareness raising programs, train, and supply expert manpower, strengthen family physician and referral process, formulate clinical guidelines, encourage the private sector and NGOs(Non-Governmental Organizations (NGOs).) to invest, develop end-of-life and hospice care service packages, and create quality care indicators. The proposed model had moderate feasibility.ConclusionThis model was developed based on the current Iranian healthcare structure and the needs of terminally ill cancer patients. It can be used as a model tailored to the current state of the health system and community in Iran. It is suggested to use this model as a pilot at the regional level.

Development and construct validation of a short form of the interpersonal reactivity index in Iranian community

Development and construct validation of a short form of the interpersonal reactivity index in Iranian community

Sweden’s Iranian Community and Its Attitude Towards Israel and Jews

Sweden’s Iranian Community and Its Attitude Towards Israel and Jews

Narcissism and Risk-Taking

Previous research has shown that narcissism is associated with risk-taking. However, little is known about the factors that may contribute to narcissistic individuals being more likely to engage in risk-taking behaviour. The present research examined whether social worldviews would mediate the associations that specific narcissistic personality features had with risk-taking across life domains in a sample of Iranian community members (N = 489). Our results revealed that the extraverted, antagonistic, and neurotic aspects of narcissism had positive indirect associations with risk-taking in certain life domains through the competitive social worldview. These results suggest that the tendency to view the social environment as intensely competitive may play an important role in the associations that narcissistic personality features have with risk-taking in certain life domains.

Assessment of the causes and effects of design deficiencies for large construction projects using social network analysis

PurposeThe purpose of this study is to investigate the latent interrelationships of causes and effects of design deficiencies (DDs) and to identify the most crucial ones by considering the interactions among them.Design/methodology/approachFirst, through a comprehensive literature review, the most critical causes of DDs were identified. The review eventuated in a list of 22 causes and 12 effects, which were categorized into six groups. Second, through the rules of system dynamics and the interactions between the causes and effects were modeled and illustrated using causal loop diagrams (CLDs). With the aid of semi-structured interviews with 20 competent experts, the resultant CLDs were also validated. Third, the opinions of 54 experts, who were chosen from the Iranian community of clients and consultants, were solicited concerning the degree of influence which each factor (causes or effects) exerts on others. Finally, the social network analysis (SNA) approach was deployed to analyze and prioritize factors based on the gathered data from experts.FindingsSNA results indicated that factors such as “design firms' staff rework” and “design firms' loss of reputation” are the most central factors affecting DDs. The model results also identified that factors such as “schedule variance”, “workload” and “lack of quality control and supervision during the design phase” have the highest overall impact on DDs. In the end, some recommendations to address major factors and links were also put forward. Overall, more communications between the pair of stakeholder groups and continuous learning from project experiences are believed to be the main strategies.Originality/valueIt is believed that this study has provided a comprehensive understanding of causal mechanisms among factors, which can assist project managers of different parties (clients, contractors and consulting firms) in taking more effective actions to ameliorate the quality of design documents.

The process of acquiring the heritage or home language by children in immigrant families (A case study of Iranian migrant families to Georgia)

In this study, we are researching the impact of immigration on acquiring the heritage language in Iranian immigrant families to Georgia whose children age was between 3 to 15 years. The methodology used in this research is a survey study in the Iranian community, and the results methodology is questionnaires. According to the answers and the independent variable which is immigration, the result has shown that Iranian immigrant families to Georgia try to keep their heritage language even though some families were multinational. People are immigrating in the 21st century more than ever. This result is that people are being separated from their mother tongue and joining a new world and language. One of the challenges people face is how to preserve their heritage language while it faces a variety of obstacles that may be lost by its speakers. In this research, we study the effects of immigration on language knowledge from each side in addition to find out how the immigrant family’s children acquire languages.

Effectiveness of the Preventive Intervention of Chromosomal Disorders of Iran's Community Genetics Program: Application of Bayesian Network.

Background: Evidence-based policymaking for the genetic preventive interventions at the community level requires information on the effectiveness of interventions in the operational areas taking into account the characteristics of health system and customer behaviour. These information are limited in many low- and middle-income countries. In this study, we estimated the effectiveness of preventive interventions for chromosomal disorders using the conceptual framework of Iran’s community genetics program (ICGP) using a Bayesian Network as a modeling method in limited access situation to the complete and accurate observational data. Methods: Expert elicitation method based on global and national scientific evidences was applied to determine the structure of the Bayesian Network (BN) and to quantify the probability of nodes. The nomological and face validity of the network was checked. Also, a sensitivity analysis against the sources of uncertainty of probabilities was conducted. Results: By ICGP interventions, 63% (95% CI, 0.55-0.71) of all chromosomal disorders can be prevented, which is responsible for 80% (95% CI, 0.76-0.84) and 38% (95% CI, 0.31-0.45) reduction of expected baseline birth prevalence of trisomis and other autosomal disorders, respectively. Improving the access to and the uptake of screening service can also result in a 12% and 11% increase in effectiveness, respectively. Conclusion: Effectiveness of ICGP’s intervention is between the same interventions’ effectiveness in Western Europe and the Eastern Mediterranean region. Opportunities for increasing the uptake of and the access to the interventions are strengthening the public genetic literacy and implantation of a system of laboratory sample transfer at the side of the utilization of telehealth for delivering the counseling services at remote areas.