Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco

Objective The World Health Organization recognized infertility as a disease and emphasized universal access to high-quality treatment. Nevertheless, inequality and inequity in infertility care are pervasive in Morocco, access to care is hindered by multiple potential barriers delaying treatment seek...

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Main Authors: Meriem Ouadrhiri, Chaymae Rochdi, Rachida Archou, Mounia Amazian, Mustapha Boucetta, Nawal Mouhoute, Nisrine Mamouni, Kamelia Amazian
Format: Article
Language:English
Published: Korean Society of Obstetrics and Gynecology 2025-05-01
Series:Obstetrics & Gynecology Science
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Online Access:http://www.ogscience.org/upload/pdf/ogs-24259.pdf
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author Meriem Ouadrhiri
Chaymae Rochdi
Rachida Archou
Mounia Amazian
Mustapha Boucetta
Nawal Mouhoute
Nisrine Mamouni
Kamelia Amazian
author_facet Meriem Ouadrhiri
Chaymae Rochdi
Rachida Archou
Mounia Amazian
Mustapha Boucetta
Nawal Mouhoute
Nisrine Mamouni
Kamelia Amazian
author_sort Meriem Ouadrhiri
collection DOAJ
description Objective The World Health Organization recognized infertility as a disease and emphasized universal access to high-quality treatment. Nevertheless, inequality and inequity in infertility care are pervasive in Morocco, access to care is hindered by multiple potential barriers delaying treatment seeking and management. This study aimed to explore factors and barriers to assisted reproductive technology (ART) among infertile women in Morocco. Methods This is a cross-sectional analytical study relies on prospective data collected through a standardized questionnaire, was carried out in January-June 2023. The target population concerned 110 infertile women attending a private clinic in Morocco. Results Women who experienced infertility in Morrocco have demonstrated several barriers including: cost and lack of financial means (90%) and distance from fertility care (80%). On bivariate analysis findings suggest there are multifactorial factors that influence access to ART: the age, marriage span, monthly household income, duration of infertility, and education level and profession. On multivariable logistic analysis, age over 35 years old (odds ratio [OR], 3.36; 95% confidence interval [CI], 1.07-10.65; P=0.004) and the duration of infertility over 10 years (OR, 5.59; 95% CI, 1.24-25.24; P=0.003) remained significantly associated with women who had undergone ART. Conclusion This study has demonstrated that infertile women confront economic barriers, social pressure, and constraints related to health systems. Women over the age of 35 with the duration of infertility exceeding 10 years are certainly making more considerable economic efforts to access ART. Policy-makers must to take into account these barriers and factors to ensure efficient access to ART.
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institution Kabale University
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spelling doaj-art-6497736634dd480a96ea9594dc1145ee2025-08-20T03:48:27ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85802025-05-0168318619710.5468/ogs.242598867Journey of infertile couples: scoping the barriers for infertility care among infertile women in MoroccoMeriem Ouadrhiri0Chaymae Rochdi1Rachida Archou2Mounia Amazian3Mustapha Boucetta4Nawal Mouhoute5Nisrine Mamouni6Kamelia Amazian7 Biomedical and Translational Research Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco Maternal-Child and Mental Health Research Laboratory, Faculty of Medicine and Pharmcy, Mohammed First University, Oujda, Morocco Laboratory of Health Sciences, Care and Techniques, Higher Institute of Nursing Professions and Health Techniques, Fez, Morocco Higher Institute of Nursing Professions and Health Techniques, Rabat, Morocco Laboratory of Health Sciences, Care and Techniques, Higher Institute of Nursing Professions and Health Techniques, Fez, Morocco Higher Institute of Nursing Professions and Health Techniques, Rabat, Morocco Biomedical and Translational Research Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco Laboratory of Health Sciences, Care and Techniques, Higher Institute of Nursing Professions and Health Techniques, Fez, MoroccoObjective The World Health Organization recognized infertility as a disease and emphasized universal access to high-quality treatment. Nevertheless, inequality and inequity in infertility care are pervasive in Morocco, access to care is hindered by multiple potential barriers delaying treatment seeking and management. This study aimed to explore factors and barriers to assisted reproductive technology (ART) among infertile women in Morocco. Methods This is a cross-sectional analytical study relies on prospective data collected through a standardized questionnaire, was carried out in January-June 2023. The target population concerned 110 infertile women attending a private clinic in Morocco. Results Women who experienced infertility in Morrocco have demonstrated several barriers including: cost and lack of financial means (90%) and distance from fertility care (80%). On bivariate analysis findings suggest there are multifactorial factors that influence access to ART: the age, marriage span, monthly household income, duration of infertility, and education level and profession. On multivariable logistic analysis, age over 35 years old (odds ratio [OR], 3.36; 95% confidence interval [CI], 1.07-10.65; P=0.004) and the duration of infertility over 10 years (OR, 5.59; 95% CI, 1.24-25.24; P=0.003) remained significantly associated with women who had undergone ART. Conclusion This study has demonstrated that infertile women confront economic barriers, social pressure, and constraints related to health systems. Women over the age of 35 with the duration of infertility exceeding 10 years are certainly making more considerable economic efforts to access ART. Policy-makers must to take into account these barriers and factors to ensure efficient access to ART.http://www.ogscience.org/upload/pdf/ogs-24259.pdfaccess to careartobstacesinfertilitymorocco
spellingShingle Meriem Ouadrhiri
Chaymae Rochdi
Rachida Archou
Mounia Amazian
Mustapha Boucetta
Nawal Mouhoute
Nisrine Mamouni
Kamelia Amazian
Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
Obstetrics & Gynecology Science
access to care
art
obstaces
infertility
morocco
title Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
title_full Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
title_fullStr Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
title_full_unstemmed Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
title_short Journey of infertile couples: scoping the barriers for infertility care among infertile women in Morocco
title_sort journey of infertile couples scoping the barriers for infertility care among infertile women in morocco
topic access to care
art
obstaces
infertility
morocco
url http://www.ogscience.org/upload/pdf/ogs-24259.pdf
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