Viewpoint: Medical infertility care in low income countries: the case for concern in policy and practice

Zandvoort, Helma Van; Koning, Korrie de; Gerrits, Trudie

doi:10.1046/j.1365-3156.2001.00756.x

Cited by 17 publications

(15 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Healthcare requires investment in human and material resources for its sustainability. Many of the RH care services are either free or heavily subsidised in developing countries as a result of government policy and partnership with international development agencies (45). Infertility, however, does not enjoy such a privilege, and patients bear the expenses involved in its care (19).…”

Section: Resultsmentioning

confidence: 99%

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Dattijo¹,

Andreadis²,

Aminu³

et al. 2016

IJWHR

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Dattijo¹,

Andreadis²,

Aminu³

et al. 2016

IJWHR

View full text Add to dashboard Cite

show abstract

“…There is consensus that stronger health systems, which are able to deliver an integrated approach to health, are key elements to achieve improved health outcomes (Van Zandvoort et al ., 2001; Travis et al ., 2004). There are many reasons for fragile and fragmented health services in developing countries, which include political instability, poor quality governance, lack of work force, inadequate drug supply and lack of functional information systems.…”

Section: Funding and Supporting The Project Of Affordable Art In Devementioning

confidence: 99%

Infertility and the provision of infertility medical services in developing countries

Ombelet

Cooke²,

Dyer

et al. 2008

Human Reproduction Update

542

398

View full text Add to dashboard Cite

BACKGROUNDWorldwide more than 70 million couples suffer from infertility, the majority being residents of developing countries. Negative consequences of childlessness are experienced to a greater degree in developing countries when compared with Western societies. Bilateral tubal occlusion due to sexually transmitted diseases and pregnancy-related infections is the most common cause of infertility in developing countries, a condition that is potentially treatable with assisted reproductive technologies (ART). New reproductive technologies are either unavailable or very costly in developing countries. This review provides a comprehensive survey of all important papers on the issue of infertility in developing countries.METHODSMedline, PubMed, Excerpta Medica and EMBASE searches identified relevant papers published between 1978 and 2007 and the keywords used were the combinations of ‘affordable, assisted reproduction, ART, developing countries, health services, infertility, IVF, simplified methods, traditional health care'.RESULTSThe exact prevalence of infertility in developing countries is unknown due to a lack of registration and well-performed studies. On the other hand, the implementation of appropriate infertility treatment is currently not a main goal for most international non-profit organizations. Keystones in the successful implementation of infertility care in low-resource settings include simplification of diagnostic and ART procedures, minimizing the complication rate of interventions, providing training-courses for health-care workers and incorporating infertility treatment into sexual and reproductive health-care programmes.CONCLUSIONSAlthough recognizing the importance of education and prevention, we believe that for the reasons of social justice, infertility treatment in developing countries requires greater attention at National and International levels.

show abstract

“…In such settings, loss of fertility will have a huge impact on a woman's health and wellbeing, and very few if any women will have access to fertility treatment. [7][8][9][10] Our study is based on a measure of 'natural fertility', which is affected by pathology (infertility or subfertility) and psychology (reproductive behaviour excluding the use of contraception or induced abortion). We analysed natural fertility rates and factors associated with natural fertility according to whether the index birth (most recent live birth) was by caesarean section or by vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

Caesarean section and subsequent fertility in sub‐Saharan Africa

Collin¹,

Marshall²,

Filippi³

2006

BJOG

View full text Add to dashboard Cite

Objective To determine the impact of caesarean section on fertility among women in sub-Saharan Africa.Design Analysis of standardised cross-sectional surveys (Demographic and Health Surveys).Setting Twenty-two countries in sub-Saharan Africa, 1993Africa, -2003 Sample A total of 35 398 women of childbearing age (15-49 years).Methods Time to subsequent pregnancy was compared by mode of delivery using Cox proportional hazards regression models.Main outcome measures Natural fertility rates subsequent to delivery by caesarean section compared with natural fertility rates subsequent to vaginal delivery.Results The natural fertility rate subsequent to delivery by caesarean section was 17% lower than the natural fertility rate subsequent to vaginal delivery (hazard ratio = 0.83, 95% CI 0.73-0.96, P < 0.01; controlling for age, parity, level of education, urban/rural residence and young age at first intercourse).Caesarean section was also associated with prior fertility and desire for further children: among multiparous women, an interval ‡3 versus <3 years between the index birth and the previous birth was associated with higher odds of caesarean section at the index birth (OR = 1.4, 95% CI 1.1-1.7, P = 0.005); among all women, the odds of desiring further children were lower among women who had previously delivered by caesarean section (OR = 0.67, 95% CI 0.54-0.84, P < 0.001). Caesarean section did not appear to increase the risk of a subsequent pregnancy ending in miscarriage, abortion or stillbirth.Conclusions Among women in sub-Saharan Africa, caesarean section is associated with lower subsequent natural fertility. Although this reflects findings from developed countries, the roles of pathological and psychological factors may be quite different because a much higher proportion of caesarean sections in subSaharan Africa are emergency procedures for maternal indication.

show abstract

Viewpoint: Medical infertility care in low income countries: the case for concern in policy and practice

Cited by 17 publications

References 52 publications

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Knowledge of Infertility Among Infertile Women in Bauchi, Northern Nigeria

Infertility and the provision of infertility medical services in developing countries

Caesarean section and subsequent fertility in sub‐Saharan Africa

Contact Info

Product

Resources

About