Infertility and the provision of infertility medical services in developing countries
Identifieur interne : 000042 ( Ncbi/Curation ); précédent : 000041; suivant : 000043Infertility 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
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.
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'.
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.
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:
DOI: 10.1093/humupd/dmn042
PubMed: 18820005
PubMed Central: 2569858
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PMC:2569858Le document en format XML
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<author><name sortKey="Ombelet, Willem" sort="Ombelet, Willem" uniqKey="Ombelet W" first="Willem" last="Ombelet">Willem Ombelet</name>
<affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Obstetrics and Gynaecology</addr-line>
,<institution>Genk Institute for Fertility Technology</institution>
,<addr-line>Schiepse Bos 6, 3600 Genk</addr-line>
,<country>Belgium</country>
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<country xml:lang="fr">Belgique</country>
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<author><name sortKey="Cooke, Ian" sort="Cooke, Ian" uniqKey="Cooke I" first="Ian" last="Cooke">Ian Cooke</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<author><name sortKey="Dyer, Silke" sort="Dyer, Silke" uniqKey="Dyer S" first="Silke" last="Dyer">Silke Dyer</name>
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,<institution>Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town</institution>
,<addr-line>Cape Town</addr-line>
,<country>South Africa</country>
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<country xml:lang="fr">Afrique du Sud</country>
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<author><name sortKey="Serour, Gamal" sort="Serour, Gamal" uniqKey="Serour G" first="Gamal" last="Serour">Gamal Serour</name>
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,<institution>Al Azhar University, The Egyptian IVF-ET Center</institution>
,<addr-line>3 Street 161, Hadayek El-Maadi, Cairo 11431</addr-line>
,<country>Egypt</country>
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<author><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name>
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,<country>Belgium</country>
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<country xml:lang="fr">Belgique</country>
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<author><name sortKey="Cooke, Ian" sort="Cooke, Ian" uniqKey="Cooke I" first="Ian" last="Cooke">Ian Cooke</name>
<affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Emeritus Professor of Obstetrics and Gynaecology, 80 Grove Road, Millhouses, Sheffield S7 2GZ</addr-line>
,<country>UK</country>
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<country xml:lang="fr">Royaume-Uni</country>
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<author><name sortKey="Dyer, Silke" sort="Dyer, Silke" uniqKey="Dyer S" first="Silke" last="Dyer">Silke Dyer</name>
<affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Reproductive Medicine Unit, Department of Obstetrics and Gynaecology</addr-line>
,<institution>Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town</institution>
,<addr-line>Cape Town</addr-line>
,<country>South Africa</country>
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<author><name sortKey="Serour, Gamal" sort="Serour, Gamal" uniqKey="Serour G" first="Gamal" last="Serour">Gamal Serour</name>
<affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Department of Obstetrics and Gynaecology</addr-line>
,<institution>Al Azhar University, The Egyptian IVF-ET Center</institution>
,<addr-line>3 Street 161, Hadayek El-Maadi, Cairo 11431</addr-line>
,<country>Egypt</country>
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<country xml:lang="fr">Égypte</country>
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<author><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name>
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,<country>Belgium</country>
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<country xml:lang="fr">Belgique</country>
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<series><title level="j">Human Reproduction Update</title>
<idno type="ISSN">1355-4786</idno>
<idno type="eISSN">1460-2369</idno>
<imprint><date when="2008">2008</date>
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<front><div type="abstract" xml:lang="en"><sec><title>BACKGROUND</title>
<p>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.</p>
</sec>
<sec><title>METHODS</title>
<p>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'.</p>
</sec>
<sec><title>RESULTS</title>
<p>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.</p>
</sec>
<sec><title>CONCLUSIONS</title>
<p>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.</p>
</sec>
</div>
</front>
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