Determining the need for fertility care and the acceptability and feasibility of administering a fertility awareness tool from the user's perspective in a sample of Sudanese infertility patients.
FertiSTAT
Sudan
cultural appropriateness
infertility
preventable causes
qualitative methods
Journal
Reproductive biomedicine & society online
ISSN: 2405-6618
Titre abrégé: Reprod Biomed Soc Online
Pays: England
ID NLM: 101700286
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
04
02
2021
revised:
28
04
2021
accepted:
07
06
2021
entrez:
12
8
2021
pubmed:
13
8
2021
medline:
13
8
2021
Statut:
epublish
Résumé
Fertility experts have advocated addressing preventable causes of infertility and early intervention. However, awareness of risk factors is low, especially in low- and middle-income countries where the prevalence of infertility is high. To address this lack of awareness, the Fertility Awareness Tool (FertiSTAT) was adapted for use in Sudan and other low-resource countries. The aims of this study were to ascertain the need for fertility education in Sudan (Aim 1), and to gauge the acceptability and feasibility of implementing the FertiSTAT in Sudan (Aim 2), both from the patients' perspective. Convenience sampling was used to recruit participants for semi-structured-in-depth interviews from a fertility clinic in Sudan. We collected sociodemographic information, medical and reproductive history, asked about fertility knowledge, administered the FertiSTAT and asked about the acceptability of the FertiSTAT. Thematic analysis was conducted for qualitative data. Twenty participants were included; of these, 17 were female, 13 were educated beyond secondary school, the mean age was 32.8 years, and the mean duration of infertility was 4.1 years. Ten themes emerged: of these, three themes addressed Aim 1: 'desire for fertility information', 'state of fertility knowledge' and 'benefits of fertility education'; and seven themes addressed Aim 2: 'specific suggestions for the tool', 'factors influencing the acceptability and feasibility of implementing the tool', 'challenges and barriers to implementation', 'self-disclosure', 'understanding of being at risk', 'compatibility with worldview' and 'cultural tailoring'. Fertility education was viewed as necessary and beneficial; however, participants thought that lack of acceptability of sensitive topics would hinder the implementation of the FertiSTAT. Acceptability and feasibility would be enhanced if challenges were addressed in a culturally sensitive manner using cultural tailoring of materials to increase compatibility with individual worldviews.
Identifiants
pubmed: 34381885
doi: 10.1016/j.rbms.2021.06.004
pii: S2405-6618(21)00018-6
pmc: PMC8340046
doi:
Types de publication
Journal Article
Langues
eng
Pagination
85-97Informations de copyright
© 2021 The Authors.
Références
BMC Public Health. 2011 Oct 04;11:760
pubmed: 21970548
Health Promot Int. 2006 Dec;21 Suppl 1:25-35
pubmed: 17307954
PLoS Med. 2012;9(12):e1001356
pubmed: 23271957
Hum Reprod. 2013 Feb;28(2):385-97
pubmed: 23184181
BMC Health Serv Res. 2008 Jul 03;8:141
pubmed: 18598339
Am J Prev Med. 2009 May;36(5):452-7
pubmed: 19362699
Health Educ Behav. 2003 Apr;30(2):133-46
pubmed: 12693519
BMC Health Serv Res. 2017 Jan 5;17(1):8
pubmed: 28056967
Int J Epidemiol. 2000 Apr;29(2):285-91
pubmed: 10817127
J Natl Cancer Inst Monogr. 1999;(25):15-20
pubmed: 10854451
Hum Reprod. 2017 Sep 1;32(9):1786-1801
pubmed: 29117321
Gynecol Obstet Invest. 2012;74(3):218-27
pubmed: 23146951
Ethn Dis. 1999 Winter;9(1):10-21
pubmed: 10355471
Health Educ Res. 2000 Feb;15(1):1-4
pubmed: 10788196
Hum Reprod. 2007 Jun;22(6):1506-12
pubmed: 17376819
Hum Reprod. 2010 Jul;25(7):1722-33
pubmed: 20410218
Med Care. 1999 Jan;37(1):104-11
pubmed: 10413398
Med Decis Making. 2016 Oct;36(7):811-33
pubmed: 26296619
Fertil Res Pract. 2019 Jul 18;5:7
pubmed: 31360531
Reprod Biomed Soc Online. 2018 Jul 27;6:10-21
pubmed: 30186978
Risk Anal. 2000 Feb;20(1):1-11
pubmed: 10795334
J Health Psychol. 2006 Sep;11(5):799-808
pubmed: 16908474
Fam Community Health. 2007 Jan-Mar;30(1 Suppl):S34-42
pubmed: 17159630
J Hum Reprod Sci. 2015 Oct-Dec;8(4):191-6
pubmed: 26752853