Ouadrhiri Meriem, Rochdi Chaymae, Archou Rachida, Amazian Mounia, Boucetta Mustapha, Mouhoute Nawal, Mamouni Nisrine, Amazian Kamelia
Biomedical and Translational Research Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Laboratory of Health Sciences, Care and Techniques, Higher Institute of Nursing Professions and Health Techniques, Fez, Morocco.
Obstet Gynecol Sci. 2025 May;68(3):186-197. doi: 10.5468/ogs.24259. Epub 2025 Mar 25.
The World Health Organization recognized infertility as a disease and emphasized universal access to high-quality treatment. Nevertheless, inequality and inequity in infertility care are pervasive in Morocco, access to care is hindered by multiple potential barriers delaying treatment seeking and management. This study aimed to explore factors and barriers to assisted reproductive technology (ART) among infertile women in Morocco.
This is a cross-sectional analytical study relies on prospective data collected through a standardized questionnaire, was carried out in January-June 2023. The target population concerned 110 infertile women attending a private clinic in Morocco.
Women who experienced infertility in Morrocco have demonstrated several barriers including: cost and lack of financial means (90%) and distance from fertility care (80%). On bivariate analysis findings suggest there are multifactorial factors that influence access to ART: the age, marriage span, monthly household income, duration of infertility, and education level and profession. On multivariable logistic analysis, age over 35 years old (odds ratio [OR], 3.36; 95% confidence interval [CI], 1.07-10.65; P=0.004) and the duration of infertility over 10 years (OR, 5.59; 95% CI, 1.24-25.24; P=0.003) remained significantly associated with women who had undergone ART.
This study has demonstrated that infertile women confront economic barriers, social pressure, and constraints related to health systems. Women over the age of 35 with the duration of infertility exceeding 10 years are certainly making more considerable economic efforts to access ART. Policy-makers must to take into account these barriers and factors to ensure efficient access to ART.
世界卫生组织将不孕症认定为一种疾病，并强调应普遍提供高质量的治疗。然而，摩洛哥不孕症护理中的不平等和不公平现象普遍存在，获得护理受到多种潜在障碍的阻碍，这些障碍延误了寻求治疗和管理。本研究旨在探讨摩洛哥不孕妇女辅助生殖技术（ART）的影响因素和障碍。
这是一项横断面分析研究，依赖于通过标准化问卷收集的前瞻性数据，于2023年1月至6月进行。目标人群为摩洛哥一家私人诊所的110名不孕妇女。
摩洛哥经历不孕症的妇女表现出多种障碍，包括：费用和缺乏经济手段（90%）以及距离生育护理机构较远（80%）。双变量分析结果表明，有多种因素影响获得ART的机会：年龄、婚姻年限、家庭月收入、不孕持续时间、教育水平和职业。在多变量逻辑分析中，35岁以上（比值比[OR]，3.36；95%置信区间[CI]，1.07 - 10.65；P = 0.004）和不孕持续时间超过10年（OR，5.59；95% CI，1.24 - 25.24；P = 0.003）仍然与接受ART的妇女显著相关。
本研究表明，不孕妇女面临经济障碍、社会压力以及与卫生系统相关的限制。35岁以上且不孕持续时间超过10年的妇女在获得ART方面肯定付出了更多的经济努力。政策制定者必须考虑这些障碍和因素，以确保有效获得ART。
