Perception of Key Ethical Issues in Assisted Reproductive Technology (ART) by Providers and Clients in Nigeria

Ezeome, Ijeoma Victoria; Akintola, Simisola; Jegede, Ayodele Samuel; Ezeome, Emmanuel

doi:10.2147/ijwh.s331917

Cited by 10 publications

(6 citation statements)

References 35 publications

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“…This is unacceptable especially from the prism of reproductive rights, which must include the right to assist fertility when fertility is threatened, in addition to the right to control high fertility 3. There is therefore an urgent need for ART to be offered by more government owned establishments with subsidization of services, as well as its inclusion in the National Health Insurance Scheme 42 .…”

Section: Discussionmentioning

confidence: 99%

Experiences of female clients in the assisted reproductive technology process in Nigeria

V Ezeome,

O Akintola,

S Jegede

2023

Afr H. Sci.

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Background: Though assisted reproductive technology (ART) has been a source of hope for many infertile couples, it is knownto be associated with physical, social, psychological, and ethical challenges in different settings. Objective: The study objective was to explore the experiences of female clients who accessed services in ART clinics in Nigeria. Methods: An exploratory qualitative design, using snowballing technique was employed. It involved in-depth interviews of eightwomen who had gone through the assisted conception process, using an interview guide. Data collection was from November 2019 to January 2020. Results: The age range of the participants was 30 – 52 years with a mean of 41.88 years. Majority of the clients presented at advanced age to their ART providers because of lack of funds and ignorance. Other challenges were suboptimal risk disclosure, high cost of services, feelings of shame and stigmatization during and after the process. Conclusion: Cost of ART remain unaffordable to most Nigerians hence the need for government subsidization and in-corporation of ART services into the National Health Insurance Scheme. Additionally, lack of adequate information disclosure, shared decision-making and gendered suffering are areas of great concern among the study participants. A national regulatory guideline will ensure uniform international standard of care. Keywords: Experience; clients; assisted reproductive technology.

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Section: Discussionmentioning

confidence: 99%

Experiences of female clients in the assisted reproductive technology process in Nigeria

V Ezeome,

O Akintola,

S Jegede

2023

Afr H. Sci.

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“…24 Open adoptions mirror the key ethical concerns in gamete donation: understanding possible outcomes including physical, psychological, and economic. 25 Currently, most adoptions in the U.S. are open, 25 and there's a statistically significant positive association between adoptive parents' satisfaction and communication with birth mothers. 27 Donation centers are urged to recommend both donors and recipients to provide any relevant medical information that may impact the health of the other party involved.…”

Section: Beneficence and Nonmaleficencementioning

confidence: 99%

“…While adoption is now considered a typical way to grow a family, it was not until the late twentieth century that both birth and adoptive parents were given the option to choose between an open and closed adoption 24 . Open adoptions mirror the key ethical concerns in gamete donation: understanding possible outcomes including physical, psychological, and economic 25 . Currently, most adoptions in the U.S. are open, 25 and there's a statistically significant positive association between adoptive parents’ satisfaction and communication with birth mothers 27 .…”

Section: Introductionmentioning

confidence: 99%

Who's your daddy? An ethical argument for disclosure to donor conceived children

Campo‐Engelstein

Paz

2023

Andrology

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To our knowledge, there have been few discussions in the andrology literature regarding the ethics of disclosure to donor conceived children. Our goal in this paper is to summarize the main reasons in favor of disclosure to engender more conversations about the ethics of donor conception in andrology circles. Specifically, we argue (1) transparency regarding gamete donation upholds the ethical principle of beneficence by improving the psychological health of donor conceived children; and (2) based on the ethical principle of autonomy, donor conceived children should have the right to know their donor status.

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“…Instead of state-by-state regulation, there are reasons for a national law that will be binding on all practitioners. 58 It is clear that the practice of assisted reproduction in Western countries has evolved to the point where an intending parent can simply go online and conduct the process of ART, as sperm and eggs selection from women can be done via delivery to the fertility clinic. 59 Globally, there has been considerable advancement in the development of ART.…”

Section: Legal Challenges and Prospects Around Infertility In Nigeriamentioning

confidence: 99%

The impact of Covid-19 on infertility and assisted reproductive technology in Nigeria: Legal challenges and prospects

Shittu-Adenuga¹

2022

Law, Religion, Health and Healing in Africa

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Perception of Key Ethical Issues in Assisted Reproductive Technology (ART) by Providers and Clients in Nigeria

Cited by 10 publications

References 35 publications

Experiences of female clients in the assisted reproductive technology process in Nigeria

Experiences of female clients in the assisted reproductive technology process in Nigeria

Who's your daddy? An ethical argument for disclosure to donor conceived children

The impact of Covid-19 on infertility and assisted reproductive technology in Nigeria: Legal challenges and prospects

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