Title:
Exploring Factors Influencing Discontinuation of Biomedical Infertility Care among Individuals with Infertility in Tanzania: A Literature Review and Qualitative Study
Authors:
Kasililika, Anna Gideon
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2025
PAGE:
xi, 58
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Biomedical Infertility care, Treatment discontinuation, Socio-ecological model, Tanzania
Abstract:
Biomedical infertility care is often sought by individuals to cope with infertility. However, many discontinue treatment before achieving pregnancy, exposing them to prolonged infertility-related stigma, emotional distress, hopelessness, and an increased risk of mental health disorders. Most studies examining reasons for discontinuation have been conducted in high-income countries, which may not reflect the realities of low-income settings like Tanzania due to differences in population structure, fertility healthcare systems, economic conditions, and sociocultural factors. This study explored factors influencing biomedical infertility care discontinuation and identified context-sensitive interventions to improve continuation in Tanzania. A literature review guided by McLeroy’s socio-ecological model was combined with qualitative interviews with key informants, including fertility care professionals, a religious leader, and a leader for infertility support group. Discontinuation was mainly influenced by financial burden due to high treatment costs, limited insurance coverage, and lack of government-funded infertility services. Emotional stress—linked to treatment failure, long duration of treatment, and inadequate counselling—was another key factor. Lack of support from male partners, rural residence, low income, and certain religious beliefs also contributed. However, religion also encouraged continuation, as faith and support from religious communities motivated individuals to persist with care. These factors interact across levels of the socio-ecological model, shaping individual decisions. Holistic interventions—including psychosocial support, insurance expansion, national Assisted Reproduction Technology legislation, improved training for fertility care professionals, and engagement with male partners, religious, and community leaders—are essential for promoting continued infertility care in Tanzania.
Organization:
KIT - Royal Tropical Institute, VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Tanzania
Region:
East Africa
Training:
Master of Science in Public Health and Health Equity
Category:
Research
Right:
@ 2025 Kasililika
Document type:
Thesis/dissertation
File:
pgBaNvEVYi_20251216121917793.pdf