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Addressing barriers
 Equitable funding for infertility care within & between countries
 Education on signs, symptoms and preventable causes of fertility problems & benefits of help- seeking
 Advocacy (all barriers)
 Research
Cardiff Fertility Studies
Conclusions
 Disparity needs to be addressed as a public health matter
 More complex risk profile for reduced fertility in LMIC (additive effects
of global risks + regional risks) (disparity # 1)
 (ergo) women in LMIC more likely to have difficult and dangerous fertility lives (longer time to pregnancy, many miscarriages, complicated pregnancies) without knowing why (disparity # 2)
 Despite 1 & 2 - no fertility health education or prevention program (as found in HMIC) meaning women not able to change these outcomes (disparity # 3)
 Significant impact on quality of life (comparable to HMIC) but poor resources and support, or access to effective treatment (< 5%) (disparity # 4)
 More suffering (disparity # 5)
• Mentalhealthproblems1,physicalpain2,intimatepartnerviolence3,social
isolation4
• NegativeimpactonQualityoflife5,6
1Hudelist 2012, HR & Ashkani 2006 Indian J Med Sci; 2Riazi 2014 BMC WH; 3Sheikhan MJIRI;4Behboodi- Moghadam 2013 JJ Nurs Sci;5Chaman-Ara WCRJ;6Maroufizadeh Psych Health Med
Cardiff Fertility Studies
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