Acceptability and experiences with assisted reproduction in Ghana

Abstract

The use of Assisted Reproductive Technologies (ART) has emerged as an alternative option to have children in Ghana. This study aimed at investigating the use of ART as a treatment option for infertility in Ghana. Specifically, the study investigated assisted reproductive technology services delivery, assessed the experiences of infertile individuals/couples undergoing assisted reproduction processes, explored the experiences of individuals/couples who have successfully delivered through the use of ART, and the religious acceptability of the use of assisted reproductive technology services among Ghanaians. A qualitative approach using in-depth interview was utilised to tap into the experiences of respondents. The model of help seeking for infertility was adopted as the conceptual framework for the study. The study revealed that ART services such as IVF, ICSI, GIFT, ZIFT, TESA, gamete donation, embryo freezing and surrogacy were employed by service providers. Key religious figures from the Islamic and Christian religions upheld their religions’ acceptability of the use of ART to treat infertility but condemned the use of third-party reproductive resources. The Traditionalist did not support the use of ART services at all. Infertile women went through challenges such as stigmatisation, abuses and abdominal pains but these challenges ceased when women achieved parenthood. Women who were undergoing treatment reported of health and other implications such as dizziness, nausea, abdominal pains and other psychological challenges. Cost of treatment was also identified to be high. Some clients had to seek financial support from banks. Generally, the use of ART to treat infertility is accepted in Ghana. However, there is the need for the state to streamline policies to guide the use of this technology.