Women’s Access to Assisted Reproductive Technologies with Special Emphasis on IVF Services in Addis Ababa: Analyzing Its Implications on Their Reproductive Health and Rights
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Date
2025-08-02
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Addis Ababa University
Abstract
Infertility poses a significant challenge both globally and in Ethiopia. ARTs, particularly IVF services, provide essential solutions for women facing infertility, empowering them to pursue parenthood. However, many women in Addis Ababa encounter substantial barriers to accessing these services. This paper examines the accessibility of IVF, highlighting the challenges women face in obtaining In Vitro Fertilization services.
The research combines doctrinal legal analysis of relevant laws and human rights instruments with a qualitative approach, utilizing semi-structured interviews with health professionals and experts. Key findings reveal significant barriers to accessing IVF in Addis Ababa, including restrictive legal frameworks that limit services to legally married couples and prohibit gamete donation. Additionally, the high costs of treatment and medication, coupled with a lack of financial assistance, present major economic obstacles. Limited information and awareness about ART services, along with social and cultural stigma surrounding infertility, further deter women from seeking help. The concentration of licensed fertility centers primarily in Addis Ababa restricts access for women outside the capital.
Restricted access profoundly impacts women's reproductive health and rights, infringing on their ability to form families and make reproductive choices. It negatively affects their psychological well-being, causing distress, shame, and isolation. Moreover, limited access hinders the realization of the right to health and other fundamental human rights.
To address these issues, the study recommends tackling financial barriers, improving access to information and awareness, combating stigma, decentralizing services, and revising restrictive legal provisions regarding marital status and gamete donation. These measures aim to enhance equitable access to ART services and strengthen women's reproductive rights in Ethiopia. Ultimately, the study seeks to improve understanding, raise awareness, and inform interventions
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Keywords
Infertility, Assisted Reproductive Technologies, accessibility, reproductive rights, IVF servic