Number of babies born by assisted reproduction rises by 12%BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b2208 (Published 01 June 2009) Cite this as: BMJ 2009;338:b2208
All rapid responses
This is in response to the article by Dobson (BMJ 2009; 338:b2208). I
agree with the reported upward trend in utilization of ART services since
the same is occurring in my country Kenya. According to recent reports,
the number of couples seeking IVF has been on the increase since the local
media reported successful procedure in one client. This may be a pointer
to unmet need for ART in the country.
However, the accessibility of this health service is skewed in favour
of the upper stratum of Kenyan society. The service is only available in
few high-cost urban-based hospitals that are beyond the reach of the
common citizens. Knowledge on availability of the service is also not
available among all the citizens.
As a step to increase accessibility to ART services in the country, I
suggest the government, with support of international partners, should
work towards making available low-cost ART that is delivered in most parts
of the country. Public information dissemination needs to be intensified
to equip the citizenry with information hence informed choice on seeking
ART services. This education should have a component that specifically
targets men who might be infertile and in need of interventions like intra
-cytoplasmic sperm injection. This is because in this part of the country,
women are usually viewed as the cause in case of infertility in a couple.
NURSING COUNCIL OF KENYA
Competing interests: No competing interests