Risk management, Public health matters, risk communication and perspectives on the Sustainable Development Goals(SDGs2030)

Wednesday, 12 April 2017

The burden of infertility in Nigeria


In low-resource settings such as Nigeria, accessing basic assisted reproductive technology treatments can be challenging or impossible for many couples who want to conceive. Many fear the negative consequences of childlessness resulting from societal pressure. Couples who cannot conceive often experience emotional and psychological trauma. Sadly, societal norms dictate that the woman is the cause of the infertility, ignoring male infertility. Infertility comes at a high price financially, emotionally and physically for many couples in Nigeria.

The prevalence of infertility is generally higher in sub-Saharan Africa compared to most other regions. Given the poverty that exists in Nigeria, where 92.4% of the population live on less than 2 USD a day, the high cost of infertility treatments is associated with a significant risk of catastrophic health expenditure. For example, tubal disease, which is the most common cause of infertility in Nigeria, is best treated with in-vitro fertilization (IVF), and one cycle of IVF in Nigeria costs an average of 3,289 USD. This out-of-pocket payment has the potential to create or exacerbate poverty.

Evidence suggests that many women discontinue treatment for financial reasons. In desperation, some have sought cheaper care from traditional healers such as “mamas that rub.” Mamas that rub are generally untrained providers who use herbal medicines and abdominal massage, a technique that is not supported by scientific evidence for infertility treatment, exploiting and deceiving their patients. Read more here
News credit : Maternal health task force

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