scholarly journals Self-Reported Accounts of Assisted Reproductive Technology Treatments: The Voice of Ghanaian Women

Author(s):  
Kwadwo Asante-Afari ◽  
Eugene KM Darteh ◽  
David Teye Doku

Abstract Background: In Ghana, the infertility prevalence rate continues to be high. To avert this phenomenon, individuals with fertility challenges access assisted reproductive technology (ART). This paper explores the experiences of women who have undergone ART treatments. Methods: Using a qualitative research design, the paper explores the self-reported account of 35 women who have gone through assisted reproductive technology procedures and awaiting to be tested for pregnancy. A semi-structured interview guide was utilised to explore women’s experiences. The thematic analysis approach was used to analyse the data.Results: Findings from the study indicated that some women sought ART treatment to save their marriages from collapse while others indicated that pressure and demands from in-laws and families, as well as shame, forced them to utilise ART. Women who went through ART treatment services complained of the high cost of the treatment. As a result, some borrowed money from friends, family members, banks and in some instances sold their assets to pay for their treatments. Self-reported health implications such as anxiety, depression and changes in menstrual flows were reported by some women who went through the procedure. Other experiences such as sleeplessness, weight loss, joint pains, whole body pains, breast tenderness and bleeding were also reported. Women who went through the procedure also reported disruption in sexual life and daily routines activities.Conclusion: Undergoing ART treatment for infertility comes with experiences such as hospitalisation, disruption of work and daily activities, high cost, health and other implications. There is the need for patients to go through thorough counselling especially about the entire procedure and perceived implications associated with assisted reproductive technology treatments.

2020 ◽  
pp. 002076402098419
Author(s):  
Kwamina Abekah-Carter ◽  
George Ofosu Oti

Background: Homelessness among people with mental illness has grown to become a common phenomenon in many developed and developing countries. Just like in any other country, the living conditions of homeless people with mental illness in Ghana are unwholesome. Despite the increased population of these vulnerable individuals on the streets, not much is known about the perspectives of the general public towards this phenomenon in Ghana. Aim: This research was conducted to explore the perspectives of community members on homeless people with mental illness. The main study objectives were (a) to find out the impacts of the presence of persons with mental illness on the streets and (b) to ascertain the reasons accounting for homelessness among persons with mental illness. Method: Utilizing a qualitative research design, twenty community members were sampled from selected suburbs in Nsawam and interviewed with the use of a semi-structured interview guide. The audio data gathered from the interviews were transcribed verbatim and analysed thematically. Results: Majority of the participants asserted that homeless people with mental illness had no access to good food, shelter, and health care. They further stated that some homeless people with mental illness perpetrated physical and sexual violence against the residents. Moreover, the participants believed that persons with mental illness remained on the streets due to neglect by their family members, and limited access to psychiatric services. Conclusion: This paper concludes by recommending to government to make mental health services accessible and affordable to homeless persons with mental illness nationwide.


2021 ◽  
Vol 11 (1) ◽  
pp. 10-23
Author(s):  
Homelo Valenzuela Estoque ◽  
Reynold Culimay Padagas

Background: Transitioning is a common phenomenon that happens such as in a career shift provoked by either internal or external factors. This phenomenon also occurs to nurses becoming lawyers. Considering its complexity, such transition entails a process.Purpose: This study aimed to describe and uncover the preparations, motivations, ad barriers of nurses who transitioned into nurse-lawyers in the Philippines. Methods: The study employed descriptive-qualitative research design utilizing twenty participants selected through purposive and snowball or referral sampling techniques. A semi-structured interview guide was used for the data collection using Google form. Braun and Clarke’s thematic analysis was utilized as the primary treatment of the transcribed data. Strict observance of ethical standards in conducting research was ensured.Results: The study found out several themes and subcategories from the thematic analysis conducted. These included (1) “pre-planning emotive expressions”; (2) “motivations of career shift”; (3) “support mechanisms to afford career shift”; (4) “barriers to career shift”; (5) “the interconnectedness of law and nursing”; and (6) “impacts of the career shift.” Conclusion: Generally, the career shift of the nurse-lawyers presented significant themes pertinent to their preparations, motivations, and barriers in becoming lawyers. Apparently, these are all primordial in the career transition of the nurse-lawyers. Essentially, the study provides preliminary findings that may become springboard in the construction of a grounded theory that would explicate the transition of the nurse-lawyers as a phenomenon uniting and expanding nursing and the practice of law as complementary sciences.


2020 ◽  
Vol 9 (2) ◽  
pp. 50-59
Author(s):  
FITRIO DEVIANTONY

Floods and landslides are disasters that can cause a lot of damage related to the material and of course fatalities, as well as the amount of damage from the environment that occurs, and other impacts will undoubtedly affect the psychology of the communities that changed by the disaster. The psychological effect of this unusual event will undoubtedly lead to trauma or it called posttraumatic stress disorder (PTSD). This study aims to explore the experiences of farmers who experience floods and landslides directly, the research design used is a qualitative research design using an interpretative phenomenology approach. The technique of collecting data used in-depth interviews with a semi-structured interview guide involving five participants and analyzed using interpretative analysis of phenomenology. This study produced six themes including disasters that occur due to humans, accepting the existing reality, getting closer to God, having the desire to farm again, recovering the family economy, keeping the environment around and improving themselves. The role of health workers is important because the impact caused by this condition can be worse so that health workers need to provide services so that farmers can understand, live and be able to accept and adapt to the conditions that occur


2019 ◽  
Vol 12 (2) ◽  
pp. 1175-1180
Author(s):  
Christine Atieno ◽  
Jane Kathom

Among the Mwimbi linguistic group, expressions exist or are used for a variety of purposes including communication and all are geared towards socialization of societal members so as to enable each fit in their expected caliber. In the social context words and expressions have been used by Mwimbi speakers to explicitly devalue women by normally not saying what they mean. The purpose of this study therefore, is to establish the notions expressed by cultural and social beliefs and practices upon which devaluing of women is based. The objective of this paper is to find out the cultural and social notions and expressions used to devalue women in Kimwimbi Language. Halliday's Social Semiotics Theory was used. A qualitative research design was used. Data was collected in Mwimbi in Ganga Ward Maara sub county, Tharaka Nithi County, Kenya. The population includes all the expressions that contribute to devaluing women in Kimwimbi. Speakers of the language were selected through purposive sampling. Data was collected using focus group discussion guides and a semi structured interview guide. The paper established that the Kimwimbi Language uses expressions that are heavily embedded on cultural and social attitudes to devalue women.


2021 ◽  
pp. 353-359
Author(s):  
A. G. Syrkasheva ◽  
N. V. Dolgushina

Introduction. Infertility, i.e. the inability to achieve a clinical pregnancy within 12 months of a regular sexual life without contraception, is a current medical problem and affects up to 15-25% of married couples in Western countries.Objective. To evaluate the efficacy of prophylactic prescription of antioxidants in preparation for cycles of assisted reproductive technology (ART) depending on the level of anthropogenic chemicals in the patient’s body.Materials and methods. A randomized clinical trial included 144 patients with infertility who applied for ART. Prior to ART treatment, all patients were determined the level of anthropogenic chemical substances (ACS) in the blood by mass spectrometry. The concentration of the following substances was determined: mercury, cadmium, lead, and bisphenol A. The patients were divided into groups depending on the level of ACS: group 1 consisted of 72 patients with high level of ACS (5 points or more), group 2 consisted of 72 patients with low level of ACS. Antioxidant therapy in the experimental group was performed for 2 months before ART. Coenzyme Q10 300 mg/day orally, eicosapentaenoic acid 300 mg/day orally, and docosahexaenoic acid 200 mg/day orally were used as antioxidant therapy. All patients in the control group did not take antioxidant medications for at least 6 months before entering the ART cycle.Results. When evaluating the clinical outcomes of ART cycles, a positive effect of antioxidant therapy was noted in both patients with high and low levels of ACS; as a result, the chances of pregnancy were 2.3 times higher in the group of patients who received antioxidant therapy compared to the control group. The number of patients treated was 5 for both the total patient group and the subgroups depending on the level of ACS.Conclusion. The results obtained allow us to recommend the prescription of antioxidant therapy to prepare patients for ART programs. 


Author(s):  
JUSTICE JONATHAN ◽  
Judith Anaman-Tagbor ◽  
Lily Asare ◽  
Bernice Osarfo ◽  
Rita Attivor ◽  
...  

Objective: The study aimed to explore the experiences of women undergoing Assisted Reproductive Technologies namely; Invitro Fertilization and Intracytoplasmic Sperm Injection at the Finney Hospital and Fertility Centre, New Bortianor, Ghana. Method: A qualitative research design was employed to analyse and describe the experiences of the women seeking Assisted Reproductive Technologies. Fifteen women were invited and interviewed using a semi-structured interview guide. The responses were transcribed verbatim and analysed using content analysis. Results: Three themes emerged from the study: the women’s experiences, challenges and the roles and contributions of significant others. The women were anxious, stressed-up, exhausted and financially burdened. Spouses and health professionals played significant roles by providing social, emotional and financial support for these women. Significant others such as spouses and close relatives were supportive and provided encouragement to the women. Conclusion: The experiences of women undergoing Assisted Reproductive Technologies are multi-dimensional. Thus psychosocial intervention as part of ART services with health insurance cover may be client-centered and more appropriate for these group of women.


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