Infertility policy analysis: a comparative study of selected lower middle- middle- and high-income countries

Globalization and Health

Minoor Lamyian¹  Bahar Morshed-Behbahani²  Hassan Joulaei³  Ali Montazeri⁴  Batool Hossein Rashidi⁵ 

[1]Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

[2]Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

[3]Department of midwifery, School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

[4]Health policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

[5]Population Health Research Group, Health Metrics Research Center, Institute for Health Sciences Research, ACECR, Tehran, Iran

[6]Faculty of Humanity Sciences, University of Sciences & Culture, ACECR, Tehran, Iran

[7]Vali-e-Asr Reproductive Health Research Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

关键词: Policy analysis;    Infertility care;    Universal health coverage;   

DOI  :  10.1186/s12992-020-00617-9

来源: Springer

【 摘 要 】

BackgroundInfertility has recently become a salient but neglected global issue. Policies to address the sexual and reproductive health and rights (SRHR) are vital, especially in lower middle and middle-income countries (LMICs). Hence, the aim of this study was to compare the national infertility policies in the selected countries (LMICs comparing with high-income) to determine gaps or to confirm desirable policies in the given health systems.MethodsThis study has executed a comparative policy analysis of infertility services using the universal health coverage framework (financial protection, population coverage, and service features) in three scopes (prevention, treatment, and supportive care). Seven countries that had infertility programs in their health sectors were selected.ResultsThe results showed that financial protection was good in high and middle-income countries, but in a lower middle income, and in one high-income country was poor. The findings also showed that health systems in the same countries had no infertility services for men. Preventive and supportive care services were neglected in LMICs by governments.ConclusionThe findings indicate that income is not the only factor that fulfills universal health coverage for infertility care services. Perhaps to achieve equity in infertility care services, it should be seen as a universal human right to accomplish the right to have a child and to have a life with physical and mental health for all men and women.

【 授权许可】

CC BY