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Improving access to ART in low-income settings through knowledge transfer: a case study from Zimbabwe.
K Hammarberg1, A Trounson2, J McBain3
1School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia.
Human Reproduction Open
|March 22, 2019
Summary
Infertility affects women in low-resource settings, causing stigma. This study shows that with mentorship and modest funding, accessible assisted reproductive technology (ART) services can be successfully established, leading to births.
Area of Science:
- Reproductive Medicine
- Global Health Equity
- Assisted Reproductive Technology (ART)
Background:
- High fertility rates in resource-poor areas mask significant infertility challenges and social stigma for childless women.
- The World Health Organization identifies infertility as a global health issue, advocating for ART adaptation to low-resource contexts.
Observation:
- A collaborative model involving knowledge transfer from Australian and Italian ART professionals to Zimbabwean healthcare workers was implemented.
- Mentorship included hands-on training, lab setup support, and protocol development for record-keeping and psychosocial care.
Findings:
- The established ART service in Harare performed 166 procedures, resulting in 16 births and 4 ongoing pregnancies by March 2018.
- Modest financial contribution (AUD $15,000) supported essential equipment purchases.
Implications:
- This case study demonstrates the feasibility of delivering successful and affordable ART in low-income settings through international collaboration and mentorship.
- Successful ART implementation can mitigate the social and psychological burdens of infertility in underserved populations.
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