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Title: Stress and affordability of assisted reproductive treatment : a comparative study between the UK and Nigeria
Author: Achinanya, Adanna
ISNI:       0000 0004 7972 0317
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2019
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Introduction: This study examined the cost-burden of assisted reproductive treatment (ART), stress patterns, social support and perceived quality of life of sub-fertile women in the UK and Nigeria. Methods: After obtaining their consents, 116 sub-fertile women from the UK and Nigeria participated in the study. This was a cross-sectional concurrent mixed method research design. Quantitative data was obtained using the socio-economic questionnaire, Beck Anxiety Inventory, Perceived stress scale, social support and the WHOQOL scale while qualitative data was obtained using semi-structured interviews on 15 and 17 of these women in the UK and Nigeria respectively. Descriptive statistics, affordability analysis, correlations and regression analyses were performed on the quantitative data, while a thematic approach was used in the qualitative findings. Results: Most of the Nigerian cohort incurred catastrophic expenditures, but not the UK cohort. Interview findings showed that women obtained funds from savings, contributions and loans. Results showed that a cycle of IVF would cost the lowest paid government worker 2 months and 4 days wages in the UK and 3 years 3 months wages in Nigeria. Significant differences were observed in stress levels between both cohorts; with Nigerian cohort experiencing higher levels than the UK. Duration of subfertility and aetiology of subfertility were shown to be significant predictors of stress in Nigerian women. The findings from the UK cohort supported the hypothesis of a moderating role of quality social support in the relationship between stress and quality of life. However, within the Nigerian cohort social support did not buffer stress as most women preferred to keep their infertility diagnosis private. Conclusion: The results show that most Nigerian women are willing to acquire financial burdens to pay for ART due to the stigma associated with infertility. Additionally, the psychological management of sub-fertile women should be individualised and cost reducing strategies in this setting needs to be implemented to eliminate the burden of out of pocket payment for ART.
Supervisor: Anumba, Dilly ; Akparibo, Robert Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available