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Year : 2017  |  Volume : 31  |  Issue : 2  |  Page : 109-113

Determinants of utilization of assisted reproductive technology services in Ilorin, Nigeria

1 Department of Obstetrics and Gynaecology, University of Ilorin, Ilorin, Nigeria
2 Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria
3 Department of Chemical Pathology and Immunology, University of Ilorin, Ilorin, Nigeria
4 Department of Epidemiology and Community Health, College of Health Science, University of Ilorin, Ilorin, Nigeria

Correspondence Address:
Lukman Omotayo Omokanye
Department of Obstetrics and Gynaecology,College of Health Sciences, University of Ilorin, Ilorin
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jms.jms_59_16

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Background: Infertility is the most important reproductive health and social issue confronting married couples in developing countries. Assisted Reproductive Technology (ART) offer a chance at parenthood to couples, who until recently would have had no hope of having a “biologically related” child. Aims and Objectives: This study aimed at determining the factors influencing the utilization of ART services at a public health facility in Ilorin, Nigeria. Materials and Methods: A cross-sectional descriptive study of consecutively consenting infertile couples seen at the ART unit of the Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, between January 1, 2012, and December 31, 2015. Results: The patients aged 22–52 years with a mean age of 36.1 ± 6.6 years and mean duration of infertility of 7.3 ± 5.8 years. Majority (87.3%) was aware of ART services; only a few (15.6%) had ever used it. Most (63.3%) were of the opinion that ART is financially accessible. Reasons for nonutilization of ART were high cost (44.3%) and nonavailability (29.4%). Measures to enhance the utilization of ART were cost reduction (61.2%) and awareness creation (27.2%). Knowledge on ART practices showed that 56.7% were aware that the procedure could fail and 35.1% knew that it could address male infertility. Female partner age and parity had a significant influence on awareness and utilization of ART services. Conclusion: Awareness of ART services is high; however, utilization is abysmally low. Efforts should be made to make the procedure more affordable and accessible to the masses.

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