O708 Attitude of infertile women to child adoption in Nigeria

Oladokun, Adesina; Oladokun, RE; Morhason-Bello, Imran O.; Arulogun, Oyedunni; Bamgboye, Afolabi E.; Adewole, Isaac F.; Ojengbede, Oladosu

doi:10.1016/s0020-7292(09)61081-x

Cited by 9 publications

(15 citation statements)

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“…This was usually seen in respondents who could be positively inclined to adoption but perceived that they would lack their husband’s, parents’, or in-laws’ support, to the point of causing marital disharmony. These cultural and family reasons given for not accepting child adoption are similar to those seen in previous studies in developing countries 22,24…”

Section: Discussionsupporting

confidence: 85%

Factors associated with acceptability of child adoption as a management option for infertility among women in a developing country

Adewunmi¹,

Etti²,

Tayo³

et al. 2012

IJWH

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BackgroundAdoption as a treatment option for infertility amongst those that cannot access and/or afford assisted reproduction is not well accepted in developing countries. This study sets out to determine the willingness of infertile women in developing countries to adopt a child and factors that influence women’s attitude to adoption.MethodsWe conducted a questionnaire survey of consecutive infertile patients who attended the gynecological clinic of a regional teaching hospital over a 2-month period. Information on demographics, fertility history, and attitude to adoption was obtained, and the data were analyzed using SPSS version 16.0. Tests of statistical significance were used where appropriate at the 95% confidence level.ResultsThe majority of respondents were aware of child adoption, and the most common source of information was friends (47.8%), followed by the media (39.7%); 42.6% of respondents were willing to adopt if their infertility became intractable. The main reasons given by those unwilling to adopt were culture (78.3%) and family constraints (13.45%). On univariate analysis of factors associated with a favorable or unfavorable attitude to adoption, awareness of adoption (P = 0.002), duration of infertility > 5 years (P = 0.015), no living child (P = 0.007), tertiary education (P < 0.001), pressure from parents (P = 0.041), household yearly income ≥ $650 (P < 0.001), and belief that treatment will bring about the desired results (P < 0.001) were significant, and all except awareness of adoption turned out to be significant on multiple logistic regression analysis.ConclusionThere was a high level of awareness about child adoption among all respondents. However, the acceptability of adoption was significantly lower among poor women and those with limited education. Community advocacy and mobilization, especially through the media as well as via health care providers, will go a long way towards enlightening and enhancing the uptake of adoption among women in Nigeria.

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Section: Discussionsupporting

confidence: 85%

Factors associated with acceptability of child adoption as a management option for infertility among women in a developing country

Adewunmi¹,

Etti²,

Tayo³

et al. 2012

IJWH

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“…In developed countries, many couples may be willing to adopt babies and some resort to international adoption due to fewer opportunities in their countries. The situation is rather different in developing countries where adoption is not common and is not seen as a solution to infertility (41,42). Lack of appropriate laws on adoption and its perception as evidence of an inability to bear children limit its utilisation (43).…”

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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“…Adewunmi et al [8] found that 42.6% of the patients wanted the option of adoption only if there was no solution to the infertility. Olandokun et al in a similar study done in Nigeria [10] found that 64% thought that adoption is culturally unacceptable. Whereas in the study done by Nwobodo et al [7], 71.6% of participants with infertility did not want to adopt because adoption of children did not permit them to fulfill their role of conception as women.…”

Section: Discussionmentioning

confidence: 91%

“…The acceptance of adoption does not depend only on the level of education but also on the socio-economic level [8] [9]. In addition, social beliefs constitute a non-negligible influence on attitude towards adoption [10] [11]. In our milieu, where the socio-economic level does not permit many couples to have access to ART, how then does the patient regard child adoption?…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes and Practices of Infertile Women on Child Adoption in Douala (Cameroon)

Nguefack¹,

Ourtching²,

Gregory³

et al. 2014

OJOG

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Background: The aim of the study was to evaluate the knowledge, attitude and practices on child adoption among infertile women in Douala (Cameroon). Methods: It was a prospective descriptive study of six months duration at the General Hospital and the Dawn Medical Foundation Clinic. Patients of the gynecologic unit presenting with infertility were included. A questioner was administer to each patient with the following variables: Age, marital status, profession, level of education, past gynecologic history, number of children, type and the duration of infertility. Their knowledge, attitude and practice toward child adoption were investigated. Data collected was analyzed using the statistical software EPI-INFO 6.04 and R. p value < 0.05 was considered to be statistically significant. Results: Among the 300 women included, 269 (89.7%) had already heard about adoption, 62.1% through the media. Seventeen percent knew who to meet in order to adopt a child in Cameroon. Two hundred and thirty patients (76.7%) were in favor of adoption but 48.7% of them didn't want to adopt a child. One percent of patient had adopted a child. The attitude towards adoption was significantly influenced by the duration of infertility of more than 10 years (p = 0.0014). Among women who have at least one child 9.4% wanted adoption against 21.4% who did not want adoption (p = 0.0305). Among women aged between 25 and 30 years, 28.2% wanted to adopt a child against 79.1% who did not want it (p = 0.000). Eighty five percent of women who had secondary infertility did not want to adopt against 44.7% who wanted it (p = 0.0003). Conclusion: * Corresponding author. C. T. Nguefack et al. 1066The level of knowledge is high in educated patient. However, many women don't know the right procedure and the structures in charge of adoption. Their attitude is favorable but the practice of adoption remains low.

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O708 Attitude of infertile women to child adoption in Nigeria

Cited by 9 publications

References 0 publications

Factors associated with acceptability of child adoption as a management option for infertility among women in a developing country

Factors associated with acceptability of child adoption as a management option for infertility among women in a developing country

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Knowledge, Attitudes and Practices of Infertile Women on Child Adoption in Douala (Cameroon)

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