对发展中国家医疗辅助生殖技术面临的挑战和前性建议进行系统审查
Melese Dereje Mesfin1,2, Dahabo Adi Galgallo1,3,4, Leman Atmaca1
1Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Frontiers in reproductive health
|December 15, 2025
概括
在许多发展中国家,由于高成本和社会文化障碍,诸如辅助生殖技术等不孕不育治疗仍然无法获得. 需要合作,以整合服务,并制定支持性政策,以改善访问.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 全球卫生平等全球卫生平等
背景情况:
- 不孕症影响着全球人口的很大一部分,但在发展中国家仍未得到充分解决.
- 在资源贫困的环境中,尽管有几十年的可用性,但对辅助生殖技术 (ART) 的访问是有限的.
研究的目的:
- 系统地审查阻碍发展中国家获得ART的障碍.
- 识别和探索拟议的解决方案,以克服这些访问差距.
主要方法:
- 根据一个注册的协议 (PROSPERO CRD42025632094) 进行了系统审查.
- 在包括Ovid MEDLINE,PubMed,Web of Science和Google Scholar在内的主要数据库中进行了搜索.
- 包括标准导致从最初的3097个引用中对43项研究进行了最终分析.
主要成果:
- 高昂的治疗费用是ART接入的主要障碍.
- 可访问性,基础设施,心理社会和文化因素,包括社会不接受,也大大阻碍了访问.
- 缺乏支持性政策和宗教考虑进一步加剧了这些挑战.
结论:
- 解决不孕症需要采取涉及政府,非政府组织和国际组织的多方面的方法.
- 将不孕症治疗纳入现有卫生系统,并重新审视金融机制至关重要.
- 与社区和宗教领袖合作制定支持性政策对于克服社会文化和宗教障碍至关重要.
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