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

Experiences of female clients in the assisted reproductive technology process in Nigeria.
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DOI:
10.4314/ahs.v23i2.76
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发表时间:
2023-06
影响因子:
1
通讯作者:
Jegede AS
Jegede AS
中科院分区:
医学4区
文献类型:
--
作者:
Ezeome IV;Akintola SO;Jegede AS

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尽管辅助生殖技术 (ART) 一直是许多不孕夫妇的希望之源,但众所周知,它在不同环境中与身体、社会、心理和道德挑战相关。该研究的目的是探讨在尼日利亚接受 ART 诊所服务的女性客户的经历。采用滚雪球技术的探索性定性设计。它使用采访指南对八名经历过辅助受孕过程的女性进行了深入采访。数据收集时间为2019年11月至2020年1月。结果:参与者的年龄范围为30-52岁,平均41.88岁。由于缺乏资金和无知,大多数客户在高龄时就诊于他们的 ART 提供者。其他挑战包括风险披露不理想、服务成本高昂、过程中和过程后的羞耻感和污名化。大多数尼日利亚人仍然无法承受 ART 的费用,因此需要政府补贴并将 ART 服务纳入国家健康保险计划。此外,缺乏充分的信息披露、共同决策和性别痛苦也是研究参与者非常关注的领域。国家监管指南将确保统一的国际护理标准。
Though assisted reproductive technology (ART) has been a source of hope for many infertile couples, it is known to be associated with physical, social, psychological, and ethical challenges in different settings. The study objective was to explore the experiences of female clients who accessed services in ART clinics in Nigeria. An exploratory qualitative design, using snowballing technique was employed. It involved in-depth interviews of eight women 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. 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.
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