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ESHRE Monographs 2008 2008(1):77-84; doi:10.1093/humrep/den139
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© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

This article appears in the following ESHRE Monographs issue: ESHRE Special Task Force on 'Developing Countries and Infertility' [View the issue table of contents]

Affordable ART services in Africa: synthesis and adaptation of laboratory services

Carin Huyser1

Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria Academic Hospital, PO Box 667, Pretoria 0001, South Africa

1 Correspondence address. E-mail: carin.huyser{at}up.ac.za


  Abstract

The aim of this paper is to provide information, opinions and suggestions on affordable laboratory-orientated fertility screening and treatment. Resource management to provide such services in developing countries, basic and advanced assisted reproductive services and assisted reproduction treatment (ART) of patients with sexually transmitted infections are addressed. Alternative viewpoints and parallel thinking should be encouraged to synthesize and adapt first-world ART guidelines and recommendations into safe and workable directives for developing regions. Affordable African ART programmes, devoid of commercialism, can provide essential sexual health screening services en route to safe fertility services for human immunodeficiency virus type-1 (HIV-1) serodiscordant couples (male HIV-positive), who wish to have their own biological child.

Keywords: affordable; Africa; assisted reproduction; semen decontamination; HIV-1


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