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Female Infertility In The Dominican Republic
5
Female Infertility In DR
By: Elianny Lopez
Introduction
Intro
a multifaceted issue which is influenced by...
Social Factors
Cultural Factors
Econonmical Factors
Factors
Social
What are social factors?
Sex Education Is Important
- lack of comprehensive sexual education information on reproductive health
- family planning
- safe sex practices is missing
- Inadequate information about reproductive health, particularly fertility
“Women with schooling and improved health may be less susceptible to infertility. Educated women, as noted earlier, may be less bound by tradition; thus may not observe as carefully such fertility-reducing customs as postpartum abstinence or polygamy, where that is practiced.” (Hess 259)
Leads to...
Misconceptions and unsafe sexual practices, increasing the risk of infertility (Magnan et al. 536)
Cultural
What are cultural factors?
- family pressures on women to become mothers
- children at a young age may lead to early marriage and repeated pregnancies
The Highest
“The probability that a woman would give birth as an adolescent would be highest in the Dominican Republic” (Fennelley et al. 108)
Leads to...
early and repeated pregnancies can increase the risk of complications, including infertility, due to inadequate spacing between pregnancies and increased maternal health risks (Hindin and Adesegun 58).
Economical
What are economical factors?
Pop Growing Rapidly
poverty and limited resources impacting women's access to reproductive healthcare, including infertility evaluation and treatment.
The cost of infertility treatments, such as in vitro fertilization (IVF), can be prohibitive for many women and couples, limiting their options for fertility care (Hess 263)
“Urban populations have grown rapidly – much faster than the urban areas can accommodate with adequate employment, shelter, and amenities. Thus accelerated urbanization appears not to be a viable for reducing fertility in developing areas.” (Hess 263).
Gathering Info
Methods
Scholarly Articles
BELCHER, JOHN C., and KELLY W. CRADER. “ECONOMIC TENSION AND FERTILITY IN THE DOMINICAN REPUBLIC.” International Review of Modern Sociology, vol. 7, no. 2, 1977, pp. 181–97. JSTOR, http://www.jstor.org/stable/23565733. Accessed 18 Apr. 2023.
Fennelly, Katherine, et al. “A Comparison of the Fertility of Dominican, Puerto Rican and Mainland Puerto Rican Adolescents.” Family Planning Perspectives, vol. 24, no. 3, 1992, pp. 107–34. JSTOR, https://doi.org/10.2307/2135539. Accessed 18 Apr. 2023.
Hess, Peter N. “Public Policy and the Total Fertility Rate: Cross-Sectional Evidence from the LDCs.” Population Research and Policy Review, vol. 5, no. 3, 1986, pp. 253–75. JSTOR, http://www.jstor.org/stable/40229834. Accessed 18 Apr. 2023.
Magnani, Robert J., et al. “Why the Rise in Adolescent Fertility Rates in the Dominican Republic in the 1990s?” Population Research and Policy Review, vol. 20, no. 6, 2001, pp. 535–63. JSTOR, http://www.jstor.org/stable/40230328. Accessed 18 Apr. 2023.
Hindin, Michelle J., and Adesegun O. Fatusi. “Adolescent Sexual and Reproductive Health in Developing Countries: An Overview of Trends and Interventions.” International Perspectives on Sexual and Reproductive Health, vol. 35, no. 2, 2009, pp. 58–62. JSTOR, http://www.jstor.org/stable/40233805. Accessed 18 Apr. 2023.
Where I Stand?
To create change there needs to be an organization
Personal Stance
What is FertilityCare?
FertilityCare
- centered around providing reproductive health services, addresses cultural beliefs/stigmas and addresses socioeconomic disparities
- promote reproductive justice for all women with the hopes of lowering female infertility rate
Mission Statement
Mission Statement
Our purpose is to empower infertile women and couples by offering comprehensive support, education, and access to high-quality reproductive health care
Services
1. Counseling and Emotional Support
2. Education and Awareness
3. Medical Referral Network
4. Financial Assistance Program
5. Advocacy and Policy
Opportunities
1. Fundraising and Partnerships
2. Volunteer Opportunities
Other Aspects
It is Ethical
1. Informed consent
2. Equitable
Ethical?
It is Sustainable
Sustainable ?
1. Creating a solid Finanical Model
2. Effective financial management techniques
It is Sustainable
Scaleable ?
Flexible program and services for a variety of locations and groups
Other Stances
Counter-argument
Their are other organzations trying to tackle women infertility on a global scale.
WHO
World Health Organization
United Nations specialized body that focuses on global health concerns, particularly reproductive health.
American Society for Reproductive Medicine
ASRM
a professional association that promotes reproductive medicine expertise and fights for reproductive health legislation.
However...
Theres a need for programs that are serving at a more local level such as Resolve.
Resolve is dedicated to helping women suffering infertility
https://resolve.org/about-us/mission/
Thank You To...
Acknowledgements
Citations
Citations
GBD compare. Institute for Health Metrics and Evaluation. (2023, March 28). Retrieved April
18, 2023, from https://www.healthdata.org/data-visualization/gbd-compare
Farley, T. (2015). Saving Gotham: A billionaire mayor, activist doctors, and the fight for eight
million lives. W.W. Norton & Company.
Belcher, John C., and Kelly W. Crader. “ECONOMIC TENSION AND FERTILITY IN
THE DOMINICAN REPUBLIC.” International Review of Modern Sociology, vol. 7, no. 2, 1977, pp. 181–97. JSTOR, http://www.jstor.org/stable/23565733. Accessed 18 Apr. 2023.
Fennelly, Katherine, et al. “A Comparison of the Fertility of Dominican, Puerto Rican and
Mainland Puerto Rican Adolescents.” Family Planning Perspectives, vol. 24, no. 3, 1992, pp. 107–34. JSTOR, https://doi.org/10.2307/2135539. Accessed 18 Apr. 2023.
Hess, Peter N. “Public Policy and the Total Fertility Rate: Cross-Sectional Evidence from the
LDCs.” Population Research and Policy Review, vol. 5, no. 3, 1986, pp. 253–75. JSTOR, http://www.jstor.org/stable/40229834. Accessed 18 Apr. 2023.
Magnani, Robert J., et al. “Why the Rise in Adolescent Fertility Rates in the Dominican
Republic in the 1990s?” Population Research and Policy Review, vol. 20, no. 6, 2001, pp. 535–63. JSTOR, http://www.jstor.org/stable/40230328. Accessed 18 Apr. 2023.
Hindin, Michelle J., and Adesegun O. Fatusi. “Adolescent Sexual and Reproductive Health in
Developing Countries: An Overview of Trends and Interventions.” International Perspectives on Sexual and Reproductive Health, vol. 35, no. 2, 2009, pp. 58–62. JSTOR, http://www.jstor.org/stable/40233805. Accessed 18 Apr. 2023.