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Challenges experienced by clients undergoing assisted reproductive technology in Ghana: An exploratory descriptive
Josephine M Kyei1, Abubakar Manu2, Agnes M Kotoh2
1School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
Summary
Clients accessing assisted reproductive technology (ART) services in Ghana face significant challenges including high costs and emotional distress. Recommendations include integrating counseling services and exploring insurance coverage for ART treatments.
Area of Science:
- Reproductive Health
- Medical Sociology
- Health Services Research
Background:
- Assisted Reproductive Technology (ART) is crucial for infertility treatment.
- Understanding client experiences is vital for service improvement.
- Limited research exists on ART access in Greater Accra, Ghana.
Purpose of the Study:
- To explore client experiences with assisted reproductive technology (ART) services.
- To identify challenges faced by individuals accessing ART in Ghana.
- To inform policy and practice for better ART service delivery.
Main Methods:
- Qualitative exploratory and descriptive study design.
- Purposive sampling of 18 participants (12 women, 6 men).
- In-depth interviews using semi-structured guides; thematic analysis via Braun and Clarke (2006).
Main Results:
- Key challenges identified across all ART phases: high treatment costs, long travel distances, medication difficulties, work/daily routine disruptions, and pregnancy outcome anxiety.
- Participants reported significant emotional and psychological distress.
- Barriers impact accessibility and continuity of care.
Conclusions:
- Integration of counseling services with qualified professionals in ART centers is recommended.
- Exploring private health insurance funding for ART components like lab tests and medications is advised.
- Addressing identified challenges can improve patient support and ART accessibility.
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