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首页> 外文期刊>Journal of health management >Anjali Widge and John Cleland. The public sector's role in infertility management in India. Health Policy and Planning, 2009; 24: 108-15.
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Anjali Widge and John Cleland. The public sector's role in infertility management in India. Health Policy and Planning, 2009; 24: 108-15.

机译：Anjali Widge和John Cleland。 公共部门在印度不孕症管理中的作用。 卫生政策与规划，2009; 24：108-15。

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摘要

The paper explores the significance of fertility and motherhood and women's experience of childlessness in India. A two phase survey of gynecologists practicing in the public and private sector was conducted. In the first phase a postal survey was conducted and in the second phase indepth interviews were conducted in New Delhi, Mumbai, Agra and Nasik. Of the 470 gynecologists surveyed, 55 practiced in public sector and 365 practiced in private sector. The results revealed no significant differences between what the public and private sector, providers reported in terms of infertility management and on treatments provided.Almost 60-70 per cent of the public sector doctors reported treating infection of the male genital tract, providing induced ovulation and prescribing fertility drugs and 50-60 per cent offered diagnostic services and counseling for couples. The public sector did not have any facilities for sperm banking and do not deal with donor materials. Most providers, both public and private think that the high cost of treatment is the strongest impediment to effective infertility treatment for patients followed by low educational levels of couples, low rates of success, varying infrastructure and facilities and lack of specialised training.
机译：本文探讨了生育与母性和妇女在印度无子女经验的重要性。对公共和私营部门进行了两次对妇科医生进行调查。在第一阶段，在新德里，孟买，阿格拉和纳西克进行了第二阶段进行了邮政调查。在调查的470名妇科医生中，在公共部门和365家私营部门实行55家。结果表明，公共和私营部门之间没有显着差异，在不孕症管理和提供的治疗方面报告的供应商。最高60-70％的公共部门医生报告了治疗雄性生殖道的感染，提供诱导的排卵和诱发的排卵规定的生育药物和50-60％为夫妻提供诊断服务和咨询。公共部门没有精子银行的任何设施，不处理捐助材料。大多数提供商，公共和私人认为，高治疗成本是对患者的有效不孕症治疗的最强的障碍，随后是夫妻的低教育水平，成功率低，不同的基础设施和设施以及缺乏专业培训。

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