Ethical issues in newer assisted reproductive technologies: A view from Nigeria

Fadare, JO; Adeniyi, Ade Fatai

doi:10.4103/1119-3077.170823

“…According to few similar studies from other nations ( Brazil South Africa and Nigeria ), ART is predominantly private sector driven, expensive and remains unaffordable for those in need. [9][10][11] This is not in accordance with the findings from developed nations ( European countries ) where a specific number of cycles of IVF treatment are reimbursed by their governments.…”

Section: Discussioncontrasting

confidence: 56%

Awareness and Attitude about Social, Ethical and Legal issues Related to Assisted Reproductive Techniques (A.R.T) amongst Medical Students and Interns in a Tertiary Care Hospital at Chennai

P Shruthi,

Sri Jayanth

2021

Indian Journal of Forensic Medicine & Toxicology

0

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Infertility is an issue on the rise worldwide. Infertility treatment globally has undergone a gradual revolution from the traditional treatment to the use of assisted reproductive technology (ART). ART is presently the most sought after technology that successfully treats millions of infertile couples over the world. However, the utilization of ART still differs between various nations owing to varying socioeconomic, cultural and religious reasons. The sudden increase of this technology has introduced numerous social, ethical, and legal challenges. This paper assesses the awareness level and attitude amongst medical students and interns in Chennai regarding some of the most vital and tricky topics in the field of ART and outlines the ethical, legal and social challenges they bring in. This questionnaire-based study involved 427 participants who encompassed medical students and interns from tertiary care hospital at Chennai. The responses were collected, tabulated and statistically analysed. About 2/3 rd of the participants were females. 94% of the respondents declared that they are aware of ART ( 401), 63% answered that all the information was obtained from the medical college. Over 2/3 rd of the study population was aware of one of the ART methods. 70.8% (302) amongst the participants felt that ART solved all problems of infertility.86.7% of the respondents (370) knew that Spousal agreement to opt for A.R.T is a must. 90.6% (387) of the study population were of the opinion that revealing the identity of the sperm donor would cause psychological, social and attitudinal issues among the recipients & the spouse. 29.6% of the participants felt that donation of the surplus embryos for research purposes was the best option. The gaps in knowledge about newer methods and procedures regarding ART were identified. Medical students must be agents of socio-medical information and this makes them good ambassadors for healthy living and fertility awareness. The introduction of government run ART centres and reduction in the cost of the services will go a long way in encouraging more persons to use the services.

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“…This is due to the transfer of multiple embryos to the uterus to ascertain that at least one or two survive and develop until birth. [11,13] The present study revealed that the participants had good perception of ART techniques and their related ethical and legal issues. This finding corresponds with the study conducted in a developed country in the year 2012.…”

Section: [12]mentioning

confidence: 56%

Awareness about Consumer Protection Act amongst Patients Visiting a Private Medical College and Hospital at Chennai: A Descriptive Study

P Shruthi,

Uma Maheshwari

2021

Indian Journal of Forensic Medicine & Toxicology

1

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Infertility is an issue on the rise worldwide. Infertility treatment globally has undergone a gradual revolution from the traditional treatment to the use of assisted reproductive technology (ART). ART is presently the most sought after technology that successfully treats millions of infertile couples over the world. However, the utilization of ART still differs between various nations owing to varying socioeconomic, cultural and religious reasons. The sudden increase of this technology has introduced numerous social, ethical, and legal challenges. This paper assesses the awareness level and attitude amongst medical students and interns in Chennai regarding some of the most vital and tricky topics in the field of ART and outlines the ethical, legal and social challenges they bring in. This questionnaire-based study involved 427 participants who encompassed medical students and interns from tertiary care hospital at Chennai. The responses were collected, tabulated and statistically analysed. About 2/3 rd of the participants were females. 94% of the respondents declared that they are aware of ART ( 401), 63% answered that all the information was obtained from the medical college. Over 2/3 rd of the study population was aware of one of the ART methods. 70.8% (302) amongst the participants felt that ART solved all problems of infertility.86.7% of the respondents (370) knew that Spousal agreement to opt for A.R.T is a must. 90.6% (387) of the study population were of the opinion that revealing the identity of the sperm donor would cause psychological, social and attitudinal issues among the recipients & the spouse. 29.6% of the participants felt that donation of the surplus embryos for research purposes was the best option. The gaps in knowledge about newer methods and procedures regarding ART were identified. Medical students must be agents of socio-medical information and this makes them good ambassadors for healthy living and fertility awareness. The introduction of government run ART centres and reduction in the cost of the services will go a long way in encouraging more persons to use the services.

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“…In fact, few studies cited that the regulatory component for assisted reproduction is often overlooked or missing, despite the provision of ART [ 57 , 58 ]. Moreover, ART clinics usually adopt their own rules, which leads to different standards of care [ 59 ], contributes to inequality in access, and may facilitate professional liberty, with medical protocols not always in line with evidence-based standards or adapted to the needs of patients [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Policy action points and approaches to promote fertility care in The Gambia: Findings from a mixed-methods study

Afferri,

Dierickx,

Bittaye

et al. 2024

PLoS ONE

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Introduction In the Global South, (in)fertility care is scarcely recognized as a priority, yet the government of The Gambia has recently included it as one of the key priorities in its reproductive health strategic plan. This inclusion appears to be the result of years of engagement between policy actors, academic researchers, and activists in the field of reproductive health and specifically of infertility. However, the operationalization of the strategic plan may be hampered by multiple factors. The research aims to identify and analyze challenges that may impede the effective implementation of the strategic plan, thereby providing policy action points and practical guidance into the operationalization of (in)fertility care in the context of The Gambia’s health system. Methods This is a mixed-methods study with data from a survey and semi-structured interviews collected between 2020 and 2021 in The Gambia that were separately published. In this paper, we present the triangulation of quantitative and qualitative data using a convergence coding matrix to identify relevant policy action points. Results Six fertility care policy action points, driven by data, arose from the triangulation and interpretation process, specifically: (i) establishing and maintaining political commitment and national priority for fertility care; (ii) creating awareness and increasing the involvement of men in SRH and fertility; (iii) ensuring data-driven health policymaking; (iv) offering and regulating affordable IVF alternatives; (v) improving knowledge of and means for fertility care provision; and (vi) enhancing the collaboration among stakeholders and building links with the private healthcare sector. Conclusion This study found the implementation of the fertility care-related activities in the reproductive health strategic plan may face challenges that require careful mitigation through a holistic approach. Such an approach conceptualizes infertility not just as a biomedical issue but as a broader one that incorporates educational and socio-emotional aspects, including male and (not only) female involvement in sexual and reproductive health. Moreover, it is supported by a comprehensive health management information system that includes capturing data on the demand for, and access to, infertility services in The Gambia health system.

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Ethical issues in newer assisted reproductive technologies: A view from Nigeria

Abstract: There is an urgent need for stakeholders in developing countries to formulate cultural and context-specific guidelines to help address some of these ethical dilemmas.

Cited by 12 publications

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Awareness and Attitude about Social, Ethical and Legal issues Related to Assisted Reproductive Techniques (A.R.T) amongst Medical Students and Interns in a Tertiary Care Hospital at Chennai

Awareness and Attitude about Social, Ethical and Legal issues Related to Assisted Reproductive Techniques (A.R.T) amongst Medical Students and Interns in a Tertiary Care Hospital at Chennai

Awareness about Consumer Protection Act amongst Patients Visiting a Private Medical College and Hospital at Chennai: A Descriptive Study

Policy action points and approaches to promote fertility care in The Gambia: Findings from a mixed-methods study

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