ivf in low resource settings uganda

Australia’sNa,onalVoicePa,entsasequalpartners

PATRONCandiceReed

Reproduc/vebenefitsinlowresourcese9ngs:Uganda

WHO‐ICMART‐LCIVFF/IFFSInterna9onalMee9ngon"Reproduc9veTechnologies:

CommonTerminologyandManagementinLow‐ResourceSeGngs”

SandraKDillAMBComm,MLSPhDCandidate

Coordinator,iCSiPa9entLeaderNetworkChair,AssistedConcep9onTaskforce

Boardmember,IAPOCEO:AccessAustralia


 Theinvisibilityoftheloss‐thes9gma

  Lossofhope (Murray,2002)

  Leavesinfer9lepeoplewithasenseofdecreasedsecurityintheirworld.

(DyregrovandMaGesen,1987)

“Givemechildren,orIshalldie!”(Rachel,Genesis30:2)

Childlessness:lossofsecurity&hope


PATRON CandiceReed


Using the strength of an alliance to bring infertility issues to governments in each world region.

Together we are stronger!

www.icsi.ws/regional alliances


Sub-Saharan Africa: up to 1/3 of couples infertile

World’s highest prevalence of infertility


PATRON CandiceReed


“Infer9lityshouldberecognizedasapublichealthissueworldwide,includingdevelopingcountries.”


 Couplesliveinisola9on,unders9gma,andfear.

 Societyjudgesthemirresponsibleandacurse.

 Liveinsecurelywithinthefamilyunit–polygamy/abandonment.

 Communityostracism.

 Witchdoctorsabuse.

 Alwaysexpectedtogivebutnottoreceive.

(RitaSembuya,UgandaforJoyceFerAlitySupport&AfricanInferAlityAlliance)

Childlessness:Uganda


 MyhusbandtoldmeIwasuseless.

 Noothermanwillacceptauselesswomanlikeme.

 Whenyouarebarrenyouareuseless.(27yroldMargaret,3monthsaHerhusbanddesertedher)

Margaret’sstory


Noresearchfunds

Noequipment

Nolab

NoembryologistNolaparoscopes

NoIVF


  Poorpublicawarenessabouthumanreproduc9onorfamilyplanning

  Highfer9lityrate

  Govtunawareofhighprevalenceofinfer9lity  MostwomenhaveNOcontroloversex

  HighHIV+rate

  Cultural/educa9onbarriers–highilliteracy

  MinistryofHealthinfrastructure:  Compe9ngdemandswhenra9oningvery,very,

very,very,very,veryscarceresources.

Challenges


 LowcostIVF–partofthesolu9on.

  Laparoscopes+trng

“IcouldsellthattotheMinistry”.

AsstCommissionerofHealth:PaulKagwa


 Exchangeprogramstotrainlocaldoctorsinpublichospitals

 Trainingforembryologist

 AssistanceseGngupqualitylab

 Publicawarenesseduca9ontounderstandandencourageuseoffamilyplanning

 Publicawarenesstargetedatmalepop.toeducatemenaboutcondomusetoprotectfemalefer9lity.

Opportuni/es


 Allevia/ngsignificanthumansuffering;  Easingsocialisola9onforwomen  Improvingwomen’sandmen’shealth  Easingtensionsinfamilyreal9onships

 Reducingdemandinpublichealthsectorfortmtoftubaldisease.

 ReducingHIV+ Buildingcapacityinpublichealthsectoras

moregraduateschooseinfer9lityassubspeciality.

Benefits


“Thereispowerinpartnership,betweenac9veconsumersandprofessionals,andthispowercanbeusedinadvocacy”.

MahmoudFathalla:


Healthprofessionals

Community

Pa/ents/consumers

IndustryPartners

Governments

EquityofaccessPa9entautonomyReproduc9vefreedomandmedicalresponsibilitywithuseofpublicfunds

Stabilityandgrowth


Patients and patients’ organizations working in partnership with:

  health professionals,

  industry partners and

  WHO and govt policy-makers, To provide equity of access for our brothers and sisters in Uganda to help them achieve their dream of having a family.

Together we can!

ivf in low resource settings uganda

Documents