Infertility and the provision of infertility medical services in developing countries
Identifieur interne : 000420 ( Pmc/Checkpoint ); précédent : 000419; suivant : 000421Infertility 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
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Infertility and the provision of infertility medical services in developing countries</title><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></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>The Center for Reproductive Medicine of the Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Jette</addr-line>,<country>Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18820005</idno><idno type="pmc">2569858</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569858</idno><idno type="RBID">PMC:2569858</idno><idno type="doi">10.1093/humupd/dmn042</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000374</idno><idno type="wicri:Area/Pmc/Curation">000374</idno><idno type="wicri:Area/Pmc/Checkpoint">000420</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Infertility and the provision of infertility medical services in developing countries</title><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></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><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></nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Devroey, Paul" sort="Devroey, Paul" uniqKey="Devroey P" first="Paul" last="Devroey">Paul Devroey</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>The Center for Reproductive Medicine of the Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Jette</addr-line>,<country>Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><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></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abbas, Ee" uniqKey="Abbas E">EE Abbas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aboulghar, Ma" uniqKey="Aboulghar M">MA Aboulghar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adeniji, Ra" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Hum Reprod Update</journal-id><journal-id journal-id-type="publisher-id">humupd</journal-id><journal-id journal-id-type="hwp">humupd</journal-id><journal-title-group><journal-title>Human Reproduction Update</journal-title></journal-title-group><issn pub-type="ppub">1355-4786</issn><issn pub-type="epub">1460-2369</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18820005</article-id><article-id pub-id-type="pmc">2569858</article-id><article-id pub-id-type="doi">10.1093/humupd/dmn042</article-id><article-id pub-id-type="publisher-id">dmn042</article-id><article-categories><subj-group subj-group-type="heading"><subject>Reviews</subject></subj-group></article-categories><title-group><article-title>Infertility and the provision of infertility medical services in developing countries</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ombelet</surname><given-names>Willem</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="corresp" rid="cor1">6</xref></contrib><contrib contrib-type="author"><name><surname>Cooke</surname><given-names>Ian</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Dyer</surname><given-names>Silke</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Serour</surname><given-names>Gamal</given-names></name><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Devroey</surname><given-names>Paul</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib></contrib-group><aff id="af1"><label>1</label><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></aff><aff id="af2"><label>2</label><addr-line>Emeritus Professor of Obstetrics and Gynaecology, 80 Grove Road, Millhouses, Sheffield S7 2GZ</addr-line>,<country>UK</country></aff><aff id="af3"><label>3</label><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></aff><aff id="af4"><label>4</label><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></aff><aff id="af5"><label>5</label><addr-line>The Center for Reproductive Medicine of the Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Jette</addr-line>,<country>Belgium</country></aff><author-notes><corresp id="cor1"><label>6</label>Correspondence address. E-mail: <email>willem.ombelet@telenet.be</email></corresp></author-notes><pub-date pub-type="ppub"><season>Nov-Dec</season><year>2008</year></pub-date><pub-date pub-type="epub"><day>26</day><month>9</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>26</day><month>9</month><year>2008</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>14</volume><issue>6</issue><fpage>605</fpage><lpage>621</lpage><history><date date-type="received"><day>6</day><month>5</month><year>2008</year></date><date date-type="rev-recd"><day>5</day><month>8</month><year>2008</year></date><date date-type="accepted"><day>13</day><month>8</month><year>2008</year></date></history><permissions><copyright-statement>© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org</copyright-statement><copyright-year>2008</copyright-year><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/2.0/uk/"><license-p>The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Keywords</title><kwd>developing countries</kwd><kwd>infertility</kwd><kwd>low-cost ART</kwd><kwd>politics</kwd><kwd>simplified infertility treatment</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Afrique du Sud</li><li>Belgique</li><li>Royaume-Uni</li><li>Égypte</li></country></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></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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