'Mama and papa nothing': living with infertility among an urban population in Kigali, Rwanda

background: Not being able to procreate has severe social and economic repercussions in resource-poor countries. The purpose of
this research was to explore the consequences of female and/or male factor infertility for men and women in Rwanda.
methods: Both quantitative and qualitative methods were used. Couples presenting with female and/or male factor infertility problems
at the infertility clinic of the Kigali University Teaching Hospital (n ¼ 312), and fertile controls who recently delivered (n ¼ 312), were surveyed
about domestic violence, current and past relationships and sexual functioning. In addition, five focus group discussions were held with
a subsample of survey participants, who were either patients diagnosed with female- or male-factor fertility or their partners.
results: Domestic violence, union dissolutions and sexual dysfunction were reported more frequently in the survey by infertile than
fertile couples. The psycho-social consequences suffered by infertile couples in Rwanda are severe and similar to those reported in other
resource-poor countries. Although women carry the largest burden of suffering, the negative repercussions of infertility for men, especially
at the level of the community, are considerable. Whether the infertility was caused by a female factor or male factor was an important determinant
for the type of psycho-social consequences suffered.
conclusions: In Rwanda, as in other resource-poor countries, infertility causes severe suffering. There is an urgent need to recognize
infertility as a serious reproductive health problem and to put infertility care on the public health agenda.

Publication year:2011

Keywords:infertility / marriage / resource-poor countries /