Nahar Papreen, Shafique Sohana, Satalkar-Götz Priya, Sultana Foyjunnaher, Mburu Gitau
Department of Global Health and Infection, Brighton and Sussex Medical School, University of Brighton, Brighton, UK
Department of Global Health and Infection, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
BMJ Open. 2024 Dec 22;14(12):e092365. doi: 10.1136/bmjopen-2024-092365.
One in six people of reproductive age experience infertility in their lifetime throughout the world, often with devastating consequences. Men are often invisible in infertility research and services, yet masculinity and reproductive agency intersect within social, cultural and religious contexts to shape their experiences of infertility and masculine expression. This study aims to provide insights into the lived experience of male infertility, the availability and access of infertility services for men within the biomedical sector in Bangladesh and the potential willingness of men to use home-based semen testing.
This qualitative study will be conducted in Dhaka and Khulna districts in Bangladesh over 18 months (late 2023-2025). A total of 35 biomedically diagnosed infertile men will be selected for interview using convenience sampling. Additionally, 25 key informants, including healthcare providers from public and private fertility clinics and health policymakers, will be interviewed. Service availability will be documented by creating a list of fertility clinics and cataloguing services offered in a selection of these clinics. Both inductive and deductive thematic analysis will be used.
The study has been reviewed and approved by the Brighton and Sussex Medical School's Research and Governance Ethics Committee (RGEC: ER/BSMS9E3G/1), Institutional Review Board of icddr,b (International Centre for Diarrhoeal Disease Research, Bangladesh) and the WHO Ethics Review Committee (WHO ERC, AID: A66040). A comprehensive participant information sheet containing the study aims, objectives and data collection procedures will be provided to eligible participants and informed consent obtained. Two dissemination workshops will be held, one with the community at the field level and another with the key stakeholders, that is policymakers, health service and clinical stakeholders to disseminate the results of the study and its implications for fertility care for men with infertility in Bangladesh and other low- and middle-income countries. Scientific manuscripts will be published in open-access journals to inform the global community.
在全球范围内，六分之一的育龄人群一生中会经历不孕不育，这往往会带来毁灭性的后果。在不孕不育的研究和服务中，男性常常被忽视，然而男性气质和生殖行为在社会、文化和宗教背景下相互交织，塑造了他们的不孕不育经历和男性表达方式。本研究旨在深入了解男性不孕不育的生活经历、孟加拉国生物医学领域为男性提供的不孕不育服务的可及性以及男性使用居家精液检测的潜在意愿。
这项定性研究将在孟加拉国的达卡和库尔纳地区进行，为期18个月（2023年末至2025年）。采用便利抽样法，选取35名经生物医学诊断为不孕不育的男性进行访谈。此外，还将采访25名关键信息提供者，包括公立和私立生育诊所的医疗服务提供者以及卫生政策制定者。通过列出生育诊所清单并对其中部分诊所提供的服务进行编目，记录服务的可及性。将同时使用归纳和演绎主题分析法。
该研究已获得布莱顿和萨塞克斯医学院研究与治理伦理委员会（RGEC：ER/BSMS9E3G/1）、孟加拉国腹泻病研究国际中心（icddr，b）机构审查委员会以及世界卫生组织伦理审查委员会（WHO ERC，援助编号：A66040）的审查和批准。将向符合条件的参与者提供一份包含研究目的、目标和数据收集程序的全面参与者信息表，并获得知情同意。将举办两次传播研讨会，一次在实地层面与社区进行，另一次与关键利益相关者，即政策制定者、卫生服务和临床利益相关者进行，以传播研究结果及其对孟加拉国和其他低收入和中等收入国家不孕不育男性生育护理的影响。科学手稿将发表在开放获取期刊上，以告知全球学术界。
