Journal of Jiroft University of Medical Sciences

Introduction:Marriage causes family, proliferation and survival of generations. The aim of this study was to determine the state of health services provided to individuals on the verge of marriage.
Methods: This was a mixed-method study that in quantitative part, with cross-sectional method 170 clients of Sari Health Center which had inclusion criteria, and were randomly selected, were evaluated by a questionnaire based on the Likert scale. At qualitative section, content analysis method, inferential type has been  done through semi-structured interviews with health service providers.
Results: Expectations of 28.4% of participants in marriage counseling were at excellent level, 42.6% good, 23.1% moderate and 9.5% too low. Significant relationship has been  found between clients’ scores to different aspects of premarital counseling class with education, occupation and living place. 93% of them were very satisfied with Thalassemia counseling. 56.9% said excellent about the quality of pre-marriage testing. In the qualitative part, from interviews with providers in 3 divisions, 13 key themes were obtained totally, about the status of these services, inadequacies and their suggestions.
Conclusion: need of couples for further learning in social-emotional relationships, family planning and correct sexual relations, and mandatory HBS Ag, HIV tests, genetic testing of families’ couples, non-addictive ten test and HCV seem essential in premarital health services. So it is suggested to revise deeply pre-marriage screening plans.