Infertility and the provision of infertility medical services in developing countries
Identifieur interne : 001319 ( Main/Exploration ); précédent : 001318; suivant : 001320Infertility and the provision of infertility medical services in developing countries
Auteurs : Willem Ombelet [Belgique] ; Ian Cooke [Royaume-Uni] ; Silke Dyer [Afrique du Sud] ; Gamal Serour [Égypte] ; Paul Devroey [Belgique]Source :
- Human Reproduction Update [ 1355-4786 ] ; 2008.
Abstract
BACKGROUND Worldwide 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. METHODS Medline, 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'. RESULTS The 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. CONCLUSIONS Although 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.
Url:
- https://api.istex.fr/document/897F09B9AA2C3E79D004C01452427D4F152800C2/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569858
DOI: 10.1093/humupd/dmn042
Affiliations:
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and Gynaecology, 80 Grove Road, Millhouses, Sheffield S7 2GZ</wicri:regionArea><wicri:noRegion>Sheffield S7 2GZ</wicri:noRegion></affiliation></author><author><name sortKey="Dyer, Silke" sort="Dyer, Silke" uniqKey="Dyer S" first="Silke" last="Dyer">Silke Dyer</name><affiliation wicri:level="1"><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Reproductive Medicine Unit, Department of Obstetrics and Gynaecology, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Serour, Gamal" sort="Serour, Gamal" uniqKey="Serour G" first="Gamal" last="Serour">Gamal Serour</name><affiliation wicri:level="1"><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Al Azhar University, The Egyptian IVF-ET Center, 3 Street 161, Hadayek El-Maadi, Cairo 11431</wicri:regionArea><wicri:noRegion>Cairo 11431</wicri:noRegion></affiliation></author><author><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name><affiliation wicri:level="3"><country xml:lang="fr">Belgique</country><wicri:regionArea>The Center for Reproductive Medicine of the Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Jette</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Human Reproduction Update</title><idno type="ISSN">1355-4786</idno><idno type="eISSN">1460-2369</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2008">2008</date><biblScope unit="volume">14</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="605">605</biblScope><biblScope unit="page" to="621">621</biblScope></imprint><idno type="ISSN">1355-4786</idno></series><idno type="istex">897F09B9AA2C3E79D004C01452427D4F152800C2</idno><idno type="DOI">10.1093/humupd/dmn042</idno><idno type="ArticleID">dmn042</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1355-4786</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">BACKGROUND Worldwide 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. METHODS Medline, 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'. RESULTS The 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. CONCLUSIONS Although 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.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Belgique</li><li>Royaume-Uni</li><li>Égypte</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Belgique"><noRegion><name sortKey="Ombelet, Willem" sort="Ombelet, Willem" uniqKey="Ombelet W" first="Willem" last="Ombelet">Willem Ombelet</name></noRegion><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name><name sortKey="Ombelet, Willem" sort="Ombelet, Willem" uniqKey="Ombelet W" first="Willem" last="Ombelet">Willem Ombelet</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Cooke, Ian" sort="Cooke, Ian" uniqKey="Cooke I" first="Ian" last="Cooke">Ian Cooke</name></noRegion></country><country name="Afrique du Sud"><noRegion><name sortKey="Dyer, Silke" sort="Dyer, Silke" uniqKey="Dyer S" first="Silke" last="Dyer">Silke Dyer</name></noRegion></country><country name="Égypte"><noRegion><name sortKey="Serour, Gamal" sort="Serour, Gamal" uniqKey="Serour G" first="Gamal" last="Serour">Gamal Serour</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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