Ivf In Low Resource Settings Uganda
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Transcript of Ivf In Low Resource Settings Uganda
Australia’sNa,onalVoicePa,entsasequalpartners
PATRONCandiceReed
Reproduc/vebenefitsinlowresourcese9ngs:Uganda
WHO‐ICMART‐LCIVFF/IFFSInterna9onalMee9ngon"Reproduc9veTechnologies:
CommonTerminologyandManagementinLow‐ResourceSeGngs”
SandraKDillAMBComm,MLSPhDCandidate
Coordinator,iCSiPa9entLeaderNetworkChair,AssistedConcep9onTaskforce
Boardmember,IAPOCEO:AccessAustralia
Australia’sNa,onalVoicePa,entsasequalpartners
Theinvisibilityoftheloss‐thes9gma
Lossofhope (Murray,2002)
Leavesinfer9lepeoplewithasenseofdecreasedsecurityintheirworld.
(DyregrovandMaGesen,1987)
“Givemechildren,orIshalldie!”(Rachel,Genesis30:2)
Childlessness:lossofsecurity&hope
Australia’sNa,onalVoicePa,entsasequalpartners
PATRON CandiceReed
Australia’sNa,onalVoicePa,entsasequalpartners
Using the strength of an alliance to bring infertility issues to governments in each world region.
Together we are stronger!
www.icsi.ws/regional alliances
Australia’sNa,onalVoicePa,entsasequalpartners
Sub-Saharan Africa: up to 1/3 of couples infertile
World’s highest prevalence of infertility
Australia’sNa,onalVoicePa,entsasequalpartners
PATRON CandiceReed
Australia’sNa,onalVoicePa,entsasequalpartners
PATRON CandiceReed
Australia’sNa,onalVoicePa,entsasequalpartners
“Infer9lityshouldberecognizedasapublichealthissueworldwide,includingdevelopingcountries.”
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
Couplesliveinisola9on,unders9gma,andfear.
Societyjudgesthemirresponsibleandacurse.
Liveinsecurelywithinthefamilyunit–polygamy/abandonment.
Communityostracism.
Witchdoctorsabuse.
Alwaysexpectedtogivebutnottoreceive.
(RitaSembuya,UgandaforJoyceFerAlitySupport&AfricanInferAlityAlliance)
Childlessness:Uganda
Australia’sNa,onalVoicePa,entsasequalpartners
MyhusbandtoldmeIwasuseless.
Noothermanwillacceptauselesswomanlikeme.
Whenyouarebarrenyouareuseless.(27yroldMargaret,3monthsaHerhusbanddesertedher)
Margaret’sstory
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
Noresearchfunds
Noequipment
Nolab
NoembryologistNolaparoscopes
NoIVF
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
Poorpublicawarenessabouthumanreproduc9onorfamilyplanning
Highfer9lityrate
Govtunawareofhighprevalenceofinfer9lity MostwomenhaveNOcontroloversex
HighHIV+rate
Cultural/educa9onbarriers–highilliteracy
MinistryofHealthinfrastructure: Compe9ngdemandswhenra9oningvery,very,
very,very,very,veryscarceresources.
Challenges
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
LowcostIVF–partofthesolu9on.
Laparoscopes+trng
“IcouldsellthattotheMinistry”.
AsstCommissionerofHealth:PaulKagwa
Australia’sNa,onalVoicePa,entsasequalpartners
Australia’sNa,onalVoicePa,entsasequalpartners
Exchangeprogramstotrainlocaldoctorsinpublichospitals
Trainingforembryologist
AssistanceseGngupqualitylab
Publicawarenesseduca9ontounderstandandencourageuseoffamilyplanning
Publicawarenesstargetedatmalepop.toeducatemenaboutcondomusetoprotectfemalefer9lity.
Opportuni/es
Australia’sNa,onalVoicePa,entsasequalpartners
Allevia/ngsignificanthumansuffering; Easingsocialisola9onforwomen Improvingwomen’sandmen’shealth Easingtensionsinfamilyreal9onships
Reducingdemandinpublichealthsectorfortmtoftubaldisease.
ReducingHIV+ Buildingcapacityinpublichealthsectoras
moregraduateschooseinfer9lityassubspeciality.
Benefits
Australia’sNa,onalVoicePa,entsasequalpartners
“Thereispowerinpartnership,betweenac9veconsumersandprofessionals,andthispowercanbeusedinadvocacy”.
MahmoudFathalla:
Australia’sNa,onalVoicePa,entsasequalpartners
Healthprofessionals
Community
Pa/ents/consumers
IndustryPartners
Governments
EquityofaccessPa9entautonomyReproduc9vefreedomandmedicalresponsibilitywithuseofpublicfunds
Stabilityandgrowth
Australia’sNa,onalVoicePa,entsasequalpartners
Patients and patients’ organizations working in partnership with:
health professionals,
industry partners and
WHO and govt policy-makers, To provide equity of access for our brothers and sisters in Uganda to help them achieve their dream of having a family.
Together we can!