Perception of Key Ethical Issues in Assisted Reproductive Technology (ART) by Providers and Clients in Nigeria.
Perception of Key Ethical Issues in Assisted Reproductive Technology (ART) by Providers and Clients in Nigeria.
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DOI：
10.2147/ijwh.s331917
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Ezeome ER
中科院分区：
文献类型：
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作者：
Ezeome IV;Akintola SO;Jegede AS;Ezeome ER
在过去十年中，辅助生殖技术（ART）领域的发展增强了不孕症患者克服不孕症的希望和愿望，导致全世界对此类服务的需求不断增加。然而，随着ART的发展迅速，围绕许多方面的伦理，社会和政治争议也随之出现。众所周知，社会道德取决于特定群体的价值观和文化。我们试图探索如何在尼日利亚的从业者和客户端感知一些关键的伦理问题围绕ART。这是一个探索性的描述性研究，涉及三个ART供应商和八名女性ART客户，所有在东南部的尼日利亚的深入采访。抽样是有目的的和滚雪球技术的供应商和客户，分别。获得了伊巴丹大学/大学学院医院和尼日利亚大学教学医院研究伦理委员会的伦理批准。为便于讨论，将答复按主题分组。提供者和客户都支持性别选择，以平衡家庭和多个胚胎移植。他们还认为，提供服务时应考虑妇女的健康状况，而不是生理年龄。然而，对于婚姻状况作为一个准入因素，意见不一。与会者支持制定具有法律约束力的条例来指导实践。建议制定一项对文化敏感的国家条例，以指导这一重要的生殖领域的做法。
In the past decade, developments in the field of Assisted Reproductive Technology (ART) have intensified the hopes and the desires of infertile people to overcome infertility, resulting in an increasing demand for such services worldwide. However, as developments in ART have evolved rapidly, so have ethical, social, and political controversies surrounding many aspects arisen. It is known that societal ethics is dependent on the values and culture of a given group. We sought to explore how practitioners and clients in Nigeria perceive some Key ethical issues surrounding ART. This was an explorative descriptive study involving in-depth interview of three ART providers and eight female ART clients, all domiciled in Southeastern Nigeria. Sampling was by purposive and snowballing techniques for providers and clients, respectively. Ethical approval was obtained from University of Ibadan/University College Hospital and University of Nigeria Teaching Hospital Research Ethics Committees. Responses were grouped into themes for ease of discussion. Providers and clients were in support of sex selection for family balancing, and multiple embryo transfers. They also perceive that the health of the woman should be the factor considered and not biological age for service provision. However, views differed on marital status as an access factor. Participants were in support of legally binding regulations to guide practice. A culturally sensitive national regulation is recommended to guide practice in this vital area of reproduction.