Factors Effective on Safe Childbirth Behavior based on the Health Promotion Model in Pregnant Afghan Refugees in Iran

Safe childbirth is a health concern among refugees. This study was conducted to determine factors which influence safe delivery among Pregnant Afghan Refugees (PAR) based on the Health Promotion Model (HPM).
This descriptive and analytical cross-sectional study included 160 pregnant Afghan refugees living in Sirjan, a city in Kerman, Iran. The data were collected using a 45-item questionnaire in three parts (demographic information, constructs of Pender’s HPM, and safe childbirth behavior questions). After data collection, all data were analyzed by SPSS19, through descriptive statistics and linear regression.
Health promotion model constructs (perceived self-efficacy, perceived barriers, perceived benefits, perceived social support, and interpersonal norms) had direct and significant effects on promoting safe childbirth behavior (P<0.05), and perceived social support was the most influential factor.
Strengthening health-promoting behaviors including perceived social support, perceived self-efficacy, perceived barriers, interpersonal norms, and perceived benefits can help improve safe delivery among Pregnant Afghan Refugees (PARs) in Iran.