Fertility Conditions in Gondar, Northwestern Ethiopia: An Appraisal of Current Status

Haile, Azbaha

doi:10.2307/1966672

Cited by 12 publications

(7 citation statements)

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“…In sub-Saharan Africa, the prevalence differs widely from 9% in the Gambia (Sundby et al ., 1998) and 11.8% in Ghana (Geelhoed et al ., 2002) compared with 21.2% in northwestern Ethiopia (Haile, 1990) and between 20 and 30% in Nigeria (Ebomoyi and Adetoro, 1990; Adetoro and Ebomyi, 1991; Okonofua, 1996; Larsen, 2000). Even less data are available from Asia and Latin-America, but a report compiled by the World Health Organization (WHO) indicated that the prevalence of infertility in these regions fell within the globally expected range 8–12% of couples of reproductive age and was thus lower when compared with African countries (World Health Organization, 1991).…”

Section: Prevalence Of Infertility In Developing Countriesmentioning

confidence: 96%

Infertility and the provision of infertility medical services in developing countries

Ombelet

Cooke²,

Dyer

et al. 2008

Human Reproduction Update

531

398

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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.

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Section: Prevalence Of Infertility In Developing Countriesmentioning

confidence: 96%

Infertility and the provision of infertility medical services in developing countries

Ombelet

Cooke²,

Dyer

et al. 2008

Human Reproduction Update

531

398

View full text Add to dashboard Cite

show abstract

“…[5] In sub-Saharan Africa, the prevalence differs widely from 9% in Gambia to 11.8% in Ghana compared with 21.2% in northwestern Ethiopia and between 20% and 30% in Nigeria. [67891011] There is paucity of data from countries of Asia to Latin America. According to the WHO, the prevalence of infertility in these regions is between 8% and 12% in couples of reproductive age.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study

Katole¹,

Saoji²

2019

Indian J Community Med

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Background:Primary infertility is a serious health issue that has profound socioeconomic and health implications on both the individual and society. Despite the important consequences of infertility, estimation of its prevalence is limited.Objective:The objective of the study is (1) to estimate the prevalence of primary infertility among women of reproductive age group in urban population of Central India and (2) to study its associated risk factors.Material and Methods:In a community-based cross-sectional study, all married women between 15 and 49 years of age in urban field practice area were included. The data were collected by face-to-face interview with the help of predesigned and pretested questionnaire.Results:The majority of the women (39.3%) belonged to 25–29 years of age group. The overall prevalence of primary infertility among reproductive age group women was 8.9% (51/570). Sociodemographic factors that had statistically significant association with infertility were age at marriage more than 25 years (P < 0.05), nuclear family (P < 0.05), higher education level (P = 0.04), employed women (P < 0.05), high socioeconomic status (P = 0.01), and family history of infertility (P < 0.05). Physiological factors that had statistically significant association with infertility were obesity (P = 0.03), age at menarche more than 14 years (P < 0.05) and irregular menstruation pattern (P < 0.05). Depression (P = 0.01) and stress (P < 0.05) were the psychological factors significantly associated with infertility.Conclusion:The prevalence rate of primary infertility in urban population of Central India was lower than reported trends of infertility from developing countries. Sound knowledge about various factors related to infertility can help health-care providers and policymakers to design and implement various policies.

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“…It is generally believed that more than 70 million couples suffer from infertility worldwide [1]. In Sub-Saharan Africa, the prevalence differs widely from 9% in the Gambia [2], 21.2% in northwestern Ethiopia [3], between 20 and 30% in Nigeria [4], [5] and 11.8% among women and 15.8% among men in Ghana [6]. There are varying opinions on the definition of infertility.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Social Meaning of Infertility and Childbearing: A Qualitative Study of the Perception of Childbearing and Childlessness in Northern Ghana

2013

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BackgroundInfertility is a major medical condition that affects many married couples in sub-Saharan African and as such associated with several social meanings. This study therefore explored community's perception of childbearing and childlessness in Northern Ghana using the Upper West Region as a case study.MethodsThe study was exploratory and qualitative using in-depth and key informant interviews and focus group discussions. Fifteen marriage unions with infertility (childless), forty-five couples with children, and eight key informants were purposively sampled and interviewed using a semi-structured interview guides. Three focus group discussions were also carried out, one for childless women, one for women with children and one with men with children. The data collected were transcribed, coded, arranged, and analyzed for categories and themes and finally triangulated.ResultsThe study revealed that infertility was caused by both social and biological factors. Socially couples could become infertile through supernatural causes such as bewitchment, and disobediences of social norms. Abortion, masturbation and use of contraceptives were also identified as causes of infertility. Most childless couples seek treatment from spiritualist, traditional healers and hospital. These sources of treatment are used simultaneously.ConclusionChildbearing is highly valued in the community and Childlessness is highly engendered, and stigmatised in this community with manifold social consequences. In such a community therefore, the concept of reproductive choice must encompass policies that make it possible for couples to aspire to have the number of children they wish.

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Fertility Conditions in Gondar, Northwestern Ethiopia: An Appraisal of Current Status

Cited by 12 publications

References 1 publication

Infertility and the provision of infertility medical services in developing countries

Infertility and the provision of infertility medical services in developing countries

Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study

Understanding the Social Meaning of Infertility and Childbearing: A Qualitative Study of the Perception of Childbearing and Childlessness in Northern Ghana

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