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Infertility treatment decision-making in Ghana and contestations that may arise

a prospective sociological study

Hiadzi, Rosemond A., PhDa; Woodward, Bryan J., PhD, FRCPathb,

doi: 10.1097/GRH.0000000000000032
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Introduction: This study aimed to explore contestations within infertile couples seeking infertility therapy in a sub-Saharan society. Their views regarding infertility treatment were explored, including their arguments for or against different treatment options. The effects of the contributions of the various partners were analyzed.

Material and methods: Semistructured in-depth interviews were conducted with people seeking infertility treatment at 3 different fertility clinics in Accra, Ghana. Participants were restricted to 45 persons from married heterosexual couples, with 15 respondents (5 male and 10 female) from each setting. Respondents were asked questions relating to the decision-making process toward seeking treatment and the reactions of their partners.

Results: Contestations tended to relate to 5 main themes: the cause of the infertility and who was to blame; male apathy; reluctance to provide semen samples for evaluation; an absentee husband due to work pressure; and finance relating to the cost of infertility treatment.

Discussion: This is the first study to highlight the contestations that arise between couples regarding their decision-making about alleviating their infertility via 3 different types of fertility clinics in Accra, Ghana. It is apparent that globalization and changing norms of family life have to a large extent, accounted for the changing ideas and practices surrounding infertility in urban Ghana.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-nc-sa/4.0/

aDepartment of Sociology, University of Ghana, Accra, Ghana

bX&Y Fertility, Leicester, UK

Published online 24 April 2019

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Corresponding author. Address: X&Y Fertility, 144a New Walk, Leicester LE1 7JA, UK. Tel.: +233 24 471 8524. E-mail address: rhiadzi@ug.edu.gh (R. Hiadzi).

Received August 4, 2018

Accepted March 5, 2019

Copyright © 2019 The Authors. Published by Wolters Kluwer on behalf of the International Federation of Fertility Societies. All rights reserved.