... Health carerelated Improved primary care services and integration of family planning programs [12,16,18,22,23], greater confidence of parents in the survival of their children [21], reduced rate of infant/child/maternal mortality [11,17,22,[24][25][26], increased rate of modern contraceptive use [7,10,11,17,[19][20][21][22][23], promoted maternal-child health services [17], increased beds/hospitals relative to population size [15], increased men's participation in reproductive/sexual health practices [23] Cultural Changes in women's attitudes towards employment [12], weakening of traditional values and norms of MENA societies concerning parenting and child-raising, and strengthening of their tendencies to the norms of Western cultures [14,16,21], increased women's tendency to get married at older ages [10,21,23], changes in people's beliefs about marriage and parenting [18], increased tendency to form smaller families [21,23] Economic High costs of marriage and child-raising [12,13,21,23], inflation [18], housing and employment problems [11,13,23], economic development and improved living standards [20], increased countries' per capita income [15,24], youth's economic expectations, increased GDP per capita [20] Social Increased urbanization [7,10,12,14,17,[20][21][22], increased educational levels (especially of women) [7, 10-13, 15-17, 19-24], women's empowerment [7,17], increased rate of migration (especially to foreign countries) [21], reduced rate of early marriage [23] Political Governments' direct support policies for family planning [11, 13-15, 20, 21, 23], abolishment of restrictions to the realization of women's rights (e.g., revision of divorce laws) increased legal age of marriage [21,23], the establishment of restrictions for polygamy [21], attempts to reduce people's tendency to have male children [23] women is higher than that of women in other parts of the world due to the impacts of Islamic culture on them [29]. Nonetheless, the present study's results were not in line with Hirschman's findings regarding the impact of religious values on the TFR decline. ...