Ethical issues surrounding the use of assisted reproductive technologies in Ghana: An analysis of the experiences of clients and service providers

Hiadzi, Rosemond Akpene; Woodward, B.; Akrong, Godwin Banafo

doi:10.1016/j.heliyon.2023.e13767

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…This study is unique in that it is able to elicit the views of the majority of certified fertility specialists in the Philippines with the use of the Delphi technique. In contrast, recent papers, such as those from Nigeria [10] and Ghana, [11] employed the use of quali tative in-depth interviews conducted with only a handful of fer tility practitioners in each country. Nonetheless, the polarity of views on cryopreservation and third-party ART are similar across the three countries.…”

Section: Discussionmentioning

confidence: 99%

Agreement with “The ethical guidelines on the provision and practice of advanced reproductive technology and intrauterine insemination 2023” by the Philippine Society of Reproductive Medicine using online Delphi technique

Aguilar,

Novero,

Ong-Jao

et al. 2024

Global Reproductive Health

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The ethical guidelines of the National Society of Certified Fertility Specialists, the Philippine Society for Reproductive Medicine, were reviewed 5 years after its publication to determine if there was a change in the views of the current members. The 2016 guideline document was converted into 75 Delphi statements, and the level of agreement with each statement was determined after 3 rounds. One hundred twenty-six members of the national society were invited to participate. Voting was conducted using an online Google form or using a self-administered printed questionnaire. The level of agreement with each statement was measured using a 5-point Likert scale. A panel discussion of speakers in theology, law, and medical ethics, as well as stakeholders represented by an infertility patient and from the LGBTQ community, was held before the last Delphi round. The response rate for the first Delphi round was 94%, and the second and third rounds were at 98%. A consensus was achieved in 66 of the 75 Delphi statements. Statements on preimplantation genetic testing, posthumous reproduction, cryopreservation, and third-party reproduction failed to achieve consensus.

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Section: Discussionmentioning

confidence: 99%

Agreement with “The ethical guidelines on the provision and practice of advanced reproductive technology and intrauterine insemination 2023” by the Philippine Society of Reproductive Medicine using online Delphi technique

Aguilar,

Novero,

Ong-Jao

et al. 2024

Global Reproductive Health

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“…According to several studies, client preference is one of the most critical factors determining the aesthetic quality of architectural designs. For instance, research by [26] discovered that patient preference significantly influenced how healthcare facilities were perceived to have a high level of aesthetic quality. Architecture's networking use can also influence the user experience in buildings and spaces.…”

Section: Client Preferences As Moderatormentioning

confidence: 99%

Research on the development of computer digital technology combined with commercial space landscape design in the theory of "design combined with nature"

Cheng

Marzuki

2023

Int. j. commun. netw. inf. secur.

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Architecture networking and computer digital technologies are critical in building design and construction. They have transformed architects' and designers' approaches to building design, making it more efficient, accurate, and collaborative. The purpose of this study was to investigate the impact that architectural networking and computer digital technology have on aesthetic quality and user experience, with a particular emphasis on the role that functionality plays in mediating the relationship and the role that client preferences play in moderating the relationship. A quantitative approach was taken to the research, and data was obtained from 375 participants through the use of an online survey. The participants were shown a hypothetical building design via digital technology, and they were given the task of rating the aesthetically pleasing qualities of the building as well as the overall user experience. According to the findings of the research conducted, architectural networking and computer digital technology had a considerable impact, both positively and significantly, on the aesthetic quality of the building design as well as the user experience. In addition, it was discovered that functionality partially mediated the relationship between architecture networking and aesthetic quality and user experience. This finding lends credence to the idea that the functionality of a building's design played an important part in determining both the aesthetic quality and the user experience of the building. It was discovered that client preferences had a significant moderating effect on the relationship between architecture networking and aesthetic quality/user experience. This finding indicates that the impact of architecture networking on aesthetic quality and user experience was more pronounced when the clients preferred modern and innovative designs.

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“…In Ghana, these challenges are compounded by high costs, inequalities, lack of legal frameworks, and inconsistencies in adherence to international standards [14]. The lack of laws and guidelines for medical assisted reproduction (MAR) in countries such as Ghana further exacerbates these issues as countries with only "guidelines" have been shown to be inadequate to address the social, ethical, and legal aspects of this crucial eld of medicine [15,16]. At the same time, studies on informed consent, fairness in accessing IVF treatment, and ownership of embryos in different situations in Ghana are limited.…”

Section: Introductionmentioning

confidence: 99%

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

Appiah,

Ganle

2024

Preprint

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Background Infertility presents both medical and public health challenges, with in vitro fertilization (IVF) emerging as a prominent solution, particularly when other alternatives are exhausted. However, IVF treatment raises significant ethical questions that have been under explored in the Ghanaian context. This study aimed to explore ethical concerns regarding the provision of in vitro fertilization (IVF) treatment in Ghana. Methods A phenomenological descriptive qualitative design was employed. Purposive sampling techniques were used to recruit 12 participants from three in vitro fertilization (IVF) centres. In-depth face-to-face interviews guided by an open-ended interview guide were conducted. Thematic analysis of the interviews was performed to identify major themes. Results Providing IVF in Ghana raises several ethical issues, including inequitable access due to high costs and limited availability, which favour wealthier individuals and leave marginalized populations with fewer options. There are significant ethical considerations in balancing the potential benefits of successful IVF outcomes against the health risks and emotional tolls on patients. Decisions about the fate of surplus embryos present moral dilemmas, including whether to preserve, donate, or discard them. Differing personal beliefs about the moral status of the embryo further complicate the ethical landscape. Ensuring informed consent is challenging due to the complex medical, ethical, and emotional implications of IVF, potentially leading to compromised consent. Additionally, there are ongoing risks of breaches in confidentiality, given the sensitive nature of reproductive health data and the importance of protecting patient privacy. Conclusion This study revealed that several ethical dilemmas confront both healthcare providers and couples in the process of IVF. There is an urgent need for the development of clear and uniform regulations to govern the practice of IVF treatment in Ghana, with further attention given to mitigating financial barriers and enhancing support systems for couples considering IVF.

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Ethical issues surrounding the use of assisted reproductive technologies in Ghana: An analysis of the experiences of clients and service providers

Cited by 5 publications

References 32 publications

Agreement with “The ethical guidelines on the provision and practice of advanced reproductive technology and intrauterine insemination 2023” by the Philippine Society of Reproductive Medicine using online Delphi technique

Agreement with “The ethical guidelines on the provision and practice of advanced reproductive technology and intrauterine insemination 2023” by the Philippine Society of Reproductive Medicine using online Delphi technique

Research on the development of computer digital technology combined with commercial space landscape design in the theory of "design combined with nature"

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

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