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Assisted reproductive technologies in Ghana: transnational undertakings local practices and ‘more affordable’ IVF

机译:加纳辅助生殖技术:跨国经营当地实践和更实惠的 IVF

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摘要

The article sketches the origins and development of IVF in Ghana as a highly transnational undertaking. Movements are from and to Africa, involving human beings (providers and users), and also refer to other entities such as technologies, skills and knowledge. None of these movements are paid for using public money, neither are they subsidized by international health organizations. Currently, ‘more affordable’ IVF is being introduced into Ghana, on initiative of the first Association of Childless Couples of Ghana (ACCOG), in collaboration with the Belgium based non-profit organization the Walking Egg (tWE), representing another form of transnational networking. The article underlines the scarcity of well-trained embryologists in Ghana, which turns the embryologists’ expertise and skills into a scarce and precious commodity and guarantees this expertise becomes a major challenge for the directors of the private clinics. Next to local Ghanaian couples, the clinics also attend to transnational reproductive travellers, including women and men from neighbouring countries and Ghanaians in the diaspora returning to their country of origin. Their manifold motivations to cross borders and visit the IVF clinics in Ghana provide insight into the structural conditions impeding or facilitating the use of assisted reproductive technologies at different local sites. Transnational movements also include the flow of new procreation practices (such as surrogacy and the use of donor material), which (re-)shape existing cultural and societal notions regarding kinship and the importance of blood/genetic ties. Finally, the article lists a number of thematic and theoretical issues which require further exploration and studies.
机译:本文概述了加纳的试管婴儿的起源和发展,这是一项高度跨国的事业。往返于非洲的运动,涉及人类(提供者和使用者),还涉及其他实体,例如技术,技能和知识。这些运动中没有一个是使用公共资金支付的,也没有得到国际卫生组织的补贴。目前,在首个加纳无子女夫妇协会(ACCOG)的倡议下,与比利时的非营利组织“行走的卵子(tWE)”合作,将“更实惠的” IVF引入加纳。联网。文章强调了加纳缺乏受过良好培训的胚胎学家的经验,这使胚胎学家的专业知识和技能变成了稀缺和珍贵的商品,并确保这种专业知识成为私人诊所主管的主要挑战。在加纳当地情侣旁边,诊所还为跨国生殖旅行者提供服务,其中包括来自邻国和返回原籍国的加纳人的男女。他们跨越国界并访问加纳的IVF诊所的多种动机提供了对阻碍或便利在不同地方使用辅助生殖技术的结构条件的见解。跨国运动还包括新的生殖方式(例如代孕和使用捐助物)的流动,这些(重新)塑造了有关亲属关系和血缘/遗传纽带的重要性的现有文化和社会观念。最后,本文列出了一些主题和理论问题,需要进一步探索和研究。

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