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Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system.

BMC Health Serv Res · 2013 · PMC3750448 · PMID 23816259

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a favorable trendno p-value reported
For instance, a favorable trend in the maternal mortality rate has been reported and attributable to 5 major reasons including a decreased fertility rate [ 16 - 18 ], later marriages and childbirths [ 19 ], improved rural women’s literacy [ 20 - 22 ], better access to emergency health (especially obstetric) services, and broadened maternal and childbirth care via the nation-wide health network.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.