Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Socio-Demographic Correlates of Women’s Infertility and Treatment Seeking Behavior in India

Authors
Sanjit Sarkar
Pallavi Gupta
International Institute for Population Sciences, Mumbai, India
Abstract
Background: Infertility is an emergent issue in India. Until recently, very few studies have understood the patterns and consequences of infertility in India. Family planning programs in India also viewed exclusively the patterns and determinants of overfertility rather than infertility. Furthermore, there is the lack of information about treatment seeking behavior of infertile couples. Therefore, this paper aimed to examine the extent of infertility and treatment seeking behavior among infertile women in India. An attempt was also made to evaluate the effects of socio-demographic factors on treatment seeking behavior. Methods: The study used the data from the District Level Household and Facility Survey carried out in India during 2007-08. Several statistical techniques such as chi-square test, proportional hazard model and binary logistic regression model were used for the analysis. Results: Approximately, 8% of currently married women suffered from infertility in India and most of them were secondary infertile (5.8%). Within India, women’s infertility rate was the highest in west Bengal (13.9 percent) and the lowest in Meghalaya (2.5 percent). About 80% of infertile women sought treatment but a substantial proportion (33%) received non-allopathic and traditional treatment due to expensive modern treatment and lack of awareness. Conclusion: In the context of policy response, it can be said that there is a need to improve the existing services and quality of care for infertile women. Treatment for infertility should be integrated into the larger reproductive health packages.
Keywords
awareness
determinants
Infertility
Primary infertility
Secondary infertility
treatment
Treatment seeking
World Health Organization (WHO). Infertility: A Tabulation of Available Data on Prevalence of Primary and Secondary Infertility. WHO/MCH/91.9. Geneva: World Health Organization; 1999.
Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009. Fertil Steril. 2009;92(5):1520-4.
Larsen U. Childlessness, subfertility, and infertility in Tanzania. Stud Fam Plann. 1996;27(1):18-28.
World Health Organization. Infections, pregnancies, and infertility: perspectives on prevention. World Health Organization. Fertil Steril. 1987;47(6):964-8.
Parikh FR, Nadkarni SG, Kamat SA, Naik N, Soonawala SB, Parikh RM, et al. Genital tuberculosis--a major pelvic factor causing infertility in Indian women. Fertil Steril. 1997;67(3):497-500.
Yeboah ED, Wadhwani JM, Wilson JB. Etiological factors of male infertility in Africa. Int J Fertil. 1992;37(5):300-7.
Philippov OS, Radionchenko AA, Bolotova VP, Voronovskaya NI, Potemkina TV. Estimation of the prevalence and causes of infertility in western Siberia. Bull World Health Organ. 1998;76(2):183-7.
Sharon NC, Linda HB. Infertility counselling: A comprehensive handbook for clinicians. 2nd ed. USA: Cambridge University Press; 2006. 635 p.
Homan GF, Davies M, Norman R. The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review. Hum Reprod Update. 2007;13(3):209-23.
Yilmaz N, Kilic S, Kanat-Pektas M, Gulerman C, Mollamahmutoglu L. The relationship between obesity and fecundity. J Womens Health (Larchmt). 2009;18(5):633-6.
Schmidt L, Sobotka T, Bentzen JG, Nyboe Andersen A. Demographic and medical consequences of the postponement of parenthood. Hum Reprod Update. 2012;18(1):29-43.
Ganguly S, Unisa S. Trends of infertility and childlessness in India: findings from NFHS data. Facts Views Vis Obgyn. 2010;2(2):131-8.
Rutstein SO, Iqbal HS. Infecundity, Infertility, and Childlessness in Developing Countries. Calverton, Maryland, USA: ORC Macro and the World Health Organization; 2004 Sept. 74 p. DHS Comparative Reports No.: 9.
Larsen U. Primary and secondary infertility in sub-Saharan Africa. Int J Epidemiol. 2000;29(2):285-91.
Ombelet W, Cooke I, Dyer S, Serour G, Devroey P. Infertility and the provision of infertility medical services in developing countries. Hum Reprod Update. 2008;14(6):605-21.
Unisa S. Childlessness in andhra Pradesh, India: Treatment-seeking and consequences. Reprod Health Matters. 1999;7(13):54-64.
Ram U. Childlessness and its consequences in India: Levels, patterns and Differentials. Final Report. International Institute for Population Sciences, Mumbai, India; 2006 Sept. 308 p.
Greil AL. Infertility and psychological distress: a critical review of the literature. Soc Sci Med. 1997;45(11):1679-704.
Bharadwaj A. Culture, infertility and gender–vignettes from South Asia and North Africa. Sex Health Exch. 2002;2:14-5.
Phipps S. Men and women react differently to infertility. South Africa Today. 1993;122(2581):14-7.
Desai S, Hazra M. Understanding the emotions of infertile couples. J Obstet Gynaecol India. 1992;42:498-503.
Patel T. Fertility behaviour: population and society in a Rajasthan village. 1st ed. New Delhi: Oxford University Press; 1994. 77 p.
Dhaliwal LK, Khera KR, Dhall GI. Evaluation and two-year follow-up of 455 infertile couples--pregnancy rate and outcome. Int J Fertil. 1991;36(4):222-6.
Kakar DN. Traditional healers in North India: a study. Nurs J India. 1983;74(3):61-3.
Mulgaonkar VB. A research and an intervention programme on women’s reproductive health in slums of Mumbai. 1st ed. Mumbai: Sujeevan Trust; 2001. 144 p.
International Institute for Population Sciences (IIPS), 2010. District Level Household and Facility Survey (DLHS-3), 2007-08, India. Mumbai: IIPS.
Statacrop. Stata Statistical Software: Release 10. College Station, TX: StataCrop LP; 2007.
Hormones and You: Patient Information Page [Internet]. The Hormone Foundation; 1998. Infertility and Women; 2005 April [cited 2011 Dec 21]. Available from: http://press.endocrine.org/doi/abs/10.1210/jcem.90.4.9997doi: 10.1210/jcem.90.4.9997
Journal of Reproduction & Infertility
Volume 17, Issue 2
Spring 2016
Pages 123-132