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Global access to infertility care in developing countries: a case of human rights equity and social justice

机译:发展中国家在全球范围内获得不育症的机会:人权平等和社会正义的案例

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摘要

According to WHO data more than 180 million couples in developing countries suffer from primary or secondary infertility. The social stigma of childlessness still leads to isolation and abandonment in many developing countries. Differences between the developed and developing world are emerging because of the different availability in infertility care and different socio-cultural value surrounding procreation and childlessness.Although reproductive health education and prevention of infertility are number one priorities, the need for accessible diagnostic procedures and new reproductive technologies (ART) is very high. The success and sustainability of ART in resource-poor settings will depend to a large extend on our ability to optimise these techniques in terms of availability, affordability and effectiveness.Accessible infertility treatment can only be successfully introduced in developing countries if socio-cultural and economic prerequisites are fulfilled and governments can be persuaded to support their introduction. We have to liaise with the relevant authorities to discuss the strengthening of infertility services, at the core of which lies the integration of infertility, contraceptive and maternal health services within public health care structures.After a fascinating period of more than 30 years of IVF, only a small part of the world population benefits from these new technologies. Time has come to give equitable access to effective and safe infertility care in resource-poor countries as well.
机译:根据世界卫生组织的数据,发展中国家有超过1.8亿对夫妇患有原发性或继发性不孕症。在许多发展中国家,无子女的社会污名仍然导致孤立和被遗弃。发达国家和发展中国家之间的差异正在出现,原因是不育治疗的可获得性不同以及围绕生育和无子女的社会文化价值不同。尽管生殖健康教育和预防不孕是第一要务,但仍需要可及的诊断程序和新的生殖技术(ART)很高。在资源匮乏的环境中抗逆转录病毒疗法的成功与可持续性将在很大程度上取决于我们在可获得性,可负担性和有效性方面优化这些技术的能力。无障碍不育治疗只有在社会文化和经济条件下才能在发展中国家成功地引入满足先决条件,可以说服政府支持其引入。我们必须与有关当局保持联系,讨论加强不孕服务的问题,其核心是将不孕,避孕和孕产妇保健服务整合到公共卫生保健机构中。经过30多年令人着迷的体外受精,这些新技术仅使世界一小部分人口受益。在资源贫乏的国家,也有机会公平地获得有效和安全的不孕症治疗服务。

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