Clinical, epidemiological and socio-cultural aspects of infertility in resource-poor settings: evidence from Rwanda

摘要: Infertility is a serious but entirely neglected public health problem in resource-poor countries. Most of the infertility caused by infections and therefore potentially preventable. The Rwanda has not been researched so far. We examined predictors for treatment-seeking behaviour an unmatched case-control. We performed investigations all infertile couples discussed consequences focus group discussions. HSV-2 HIV infection sexual violence were most important determinants infertility. found higher prevalence among secondary primary relationships with at least one infected partner 45% these couples. Men reported more frequently concurrent partners over last year than fertile men. We high tubal factor (70%) male (64%). Pregnancy rates (16%) low after conventional therapy. Both men women are unlikely to attribute partner. Participants wide array treatments they received past, often including ineffective or even harmful interventions. We demonstrated severe suffering as consequence both carrying largest burden, similar what other Overall, we can conclude that there urgent need holistic approach towards reproductive services SSA, recognises importance failure. link programs.