Iran steps up nationwide surveillance to prevent abortions

A medical network affiliated with Iran's Islamic Revolutionary Guard Corps (IRGC) claims to have intervened in thousands of abortion cases, stating it monitors hospitals and clinics to identify couples considering the procedure.

On Thursday, Mohammad Hossein Zarezadeh, head of the IRGC-affiliated Basij Medical Society, asserted their efforts have prevented approximately 6,000 abortions over the past three years, reporting a success rate of 90%.

The organization relies on a network of intermediaries—doctors, midwives, and health workers—to identify couples seeking abortions. These intermediaries are said to refer individuals to Basij advisors, who then offer religious, legal, and medical counseling aimed at discouraging the procedure.

This initiative aligns with the state’s broader agenda to boost national birth rates, supported by policies like the "Youthful Population" law enacted in 2021.

However, some of the officials’ statements last year suggest that Iran's population growth rate has dropped to 0.6 percent from 1.23 three years ago which was also much lower than the 4.21 percent in 1984, five years after the Islamic Revolution of 1979.

In an effort to counter this continuing trend, Iranian officials announced in July the establishment of anti-abortion centers in 250 cities nationwide, according to a Health Ministry official.

These centers, part of the Nafas network—a state initiative aimed at reducing abortions—have been referred to by some observers as “anti-abortion patrols,” drawing comparisons to Iran’s hijab enforcement units for their active role in monitoring personal behavior.

The Iranian government’s restrictions on reproductive choices intensified after March 2021, when parliament passed a law barring public health services from offering family planning options—such as contraceptives, vasectomies, and tubectomies—except when a woman’s health is at risk.

Zarezadeh also noted that economic hardship is a major factor driving many abortion decisions, particularly during the engagement period. To address this, the Basij coordinates with charitable organizations to provide financial support, including dowries, to encourage couples to marry and start families rather than opt for abortion.

The Basij, initially formed as a volunteer paramilitary force during the 1980–1988 Iran-Iraq War, has since extended its influence across various sectors of Iranian society, including healthcare. Operating under the IRGC, the Basij aligns its activities with state policies that promote population growth and traditional family values.

Internationally, the IRGC and its affiliates, including the Basij, are designated as terrorist organizations by the United States, adding complexity to their domestic and global activities.