Infertility in the Gambia: frequency and health care seeking

Sundby, Johanne; Mboge, Reuben; Sonko, Sheriff

doi:10.1016/s0277-9536(97)00215-3

Cited by 70 publications

(58 citation statements)

References 11 publications

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“…Interestingly an in-depth interview study of 25 infertile women in Jordan found that women preferred the choice of polygamy to avoid the social stigma of divorce with the attendant consequences (21). Studies show that women bear more of the blame for infertility compared to men (22)(23)(24). Our study confirmed this finding with 73.6% of the respondents reporting that women bear the blame for infertility and only 20.4% stating that men and women share the responsibility for the inability to conceive.…”

Section: Resultsmentioning

confidence: 99%

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Dattijo¹,

Andreadis²,

Aminu³

et al. 2016

IJWHR

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Objectives: To evaluate the knowledge, perception and treatment seeking behaviour of infertile women in Bauchi, northern Nigeria. Materials and Methods: Four hundred and six infertile women were surveyed in two hospitals using a structured questionnaire between July 2013 and June 2014. Results: The ages of the respondents ranged from 19 to 42 years with a mean age of 30.5 years (SD: ± 5 years). Many (81%) of the respondents had poor knowledge of risk factors for infertility and over 80% believed in supernatural causes. The women who had secondary level of education or higher (4.78, CI: 2.35-9.71, P < 0.001) and those who were employed (3.08, CI: 1.44-6.58, P = 0.04) had significantly better knowledge compared to those who had lower level of education and were unemployed. Almost three-quarters (n = 299, 73.6%) believed that women bear the blame for infertility and 40.4% see it as a reason for the man to take another wife. Half of the women felt the woman alone should seek for treatment and only 28% reported hospital as their site of initial treatment. Most (n = 370, 91%) felt infertility should be given priority in public hospitals and 308 (76%) believed the government should pay for infertility services as done for other reproductive health (RH) services. Conclusion: There is low level of knowledge of infertility among infertile women in Bauchi and women bear the blame for infertility. There is need for initiatives to improve RH education in Bauchi.

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Section: Resultsmentioning

confidence: 99%

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Dattijo¹,

Andreadis²,

Aminu³

et al. 2016

IJWHR

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“…[7][8][9] Many of these negative consequences can also be experienced by individuals who have given birth to one or more children but are unable to become pregnant again. 6,10 The consequences of infertility are not exclusively borne by the affected individuals; they also spread to the larger society. For example, infertility can interfere with the normal social functions of a community.…”

Section: Introductionmentioning

confidence: 99%

Unmet Fertility Expectations and the Perception of Fertility Problems in a Malawian Village

Barden-O’Fallon

2005

African Journal of Reproductive Health

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This study analyses in-depth interviews with 15 women and 11 men living in a rural Malawian village to know how fertility problems are identified and interpreted in a context of high fertility demand. Results of the analysis show that although ideal family size may be falling, expectations to quickly achieve pregnancies remain high. Individual and social expectations about childbearing inform the perception of fertility problems if more than a few months pass without a noticeable pregnancy. Such problems are usually attributed to women, especially if the male partner has proven his fertility with another spouse/sexual partner. Community education on variation in the time to conception is needed, as is an understanding of how perceived infertility, regardless of actual waiting time to pregnancy, can lead to treatment seeking and risky sexual behaviour. RÉSUMÉCette étude fait une analyse des interviews en profondeur qui ont été recueillies auprès de 15 femmes et 11 hommes qui habitent dans un village rural malawien. Elle a comme but d'examiner comment les problèmes de la fécondité sont identifiés et interprêtés dans un contexte de la damande pour la haute fécondité. Les résultats de l'analyse montrent que bien que la taille familiale idéale baisse, les espérances de devenir rapidement enceinte demeurent considérables. Les attentes idividuelles et sociales concernant la procréation justifient la perception des problèmes de la fécondité si, à la fin de quelques mois, il n'y a pas de grossesse perçue. On a souvent l'habitude d'attribuer de tels problèmes à la femme, surtout si le partenaire mâle avait déjà fait preuve de sa fécondité auprès d'une autre partenaire sexuelle. Il faut éduquer la communauté sur la variation par rapport du temps de la conception, de la même manière qu'une compréhension de la façon dont la stérilité perçue, sans compter sur la vraie période d'attendre la grossesse, peut aboutir à la recherche du traitement et au comportement sexuel à risque. (Rev Afr Santé Reprod 2005; 9[2]: 14-25)

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“…Approximately 80% of the women with presumed infertility had sought infertility services for diagnosis or treatment; this proportion is higher compared to other countries, where rates have been maximum 66.0%. Table 5 presents the proportion of infertile women who sought treatment services and the related determinants (Che and Cleland, 2002;Stephen and Chandra, 2000;Malin et al, 2001;Schmidt et al, 1995;Barden-O'Fallon, 2005;Sundby et al, 1998). Reasons for this difference may be related to the cultural context of Iran and the circumstance that Iranian women are living.…”

Section: Discussionmentioning

confidence: 99%

Service utilization patterns for presumed infertile women in the Islamic republic of Iran, 2004–2005

Ardalan

Vahidi

Mohammad

et al. 2010

Health Planning & Management

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Understanding the utilization pattern of infertility health and medical services can assist health system managers in providing better and more efficient care to affected population. This study aims to investigate the patterns in the utilization of infertility services in Iran.We performed a survey of 10 783 women in 28 provinces from 2004 to 2005. We used a systematic sampling method to draw a total of 400 clusters, the probability for selection being proportional to the size of the urban and rural population in each province. The categorization of the woman as "presumed infertile" was based on her own report of infertility at some time during her married life. We also studied the measures taken for the latest episode of presumed infertility. For each of these measures, we recorded the reason(s), the year in which it was taken, and the time interval separating it from contraceptive discontinuation. Data analysis, using the software package STATA 8.0, included descriptive statistics and computation of 95% confidence intervals (CI) as well as chi(2) and logistic regression procedures adapted to the complex sampling design.A total of 1592 women had presumed infertility at some period after their marriage (14.8%, CI0.95 = 13.8-15.7%), and 1291 subjects had taken measures to deal with the problem (81.1%, CI0.95 = 78.7-83.5%). These rates did not show any significant differences between urban and rural women (p > 0.05). In 70% of these cases, the first measure was a visit to a specialist physician and in 70% the woman had sought care in the private sector. Visits to specialists and private health care facilities had increased over the last three decades, with fewer visits to general practitioners (GPs) and midwives and less use of self-medication or traditional/local therapies. The most common motive for those who had not taken any treatment was their unwillingness to have their problem known and discussed by others (29.3%). The determinants of treatment-seeking behavior were current primary infertility (OR = 4.15, CI0.95 = 2.53-6.80), higher education (OR = 1.39, CI0.95 = 1.04-1.86) and living with husband (OR = 1.83, CI0.95 = 1.01-3.32).The current study is the first attempt to present a population-based pattern of service utilization by infertile women in Iran. It shows that for these patients, the first contact with the health system takes the form of a visit to a specialist physician, and is more likely to involve the private sector.

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Infertility in the Gambia: frequency and health care seeking

Cited by 70 publications

References 11 publications

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Unmet Fertility Expectations and the Perception of Fertility Problems in a Malawian Village

Service utilization patterns for presumed infertile women in the Islamic republic of Iran, 2004–2005

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