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|Title:||Infertility In Nepal: A Study Of Treatment Seeking Behavior Patterns|
|Keywords:||School of Social Sciences|
Anil Kumar, K.
|Abstract:||This study entitled "Infertility in Nepal: A study of Treatment Seeking Behaviour Patterns" is based on primary data collected from infertile couples and Key informants from the Infertility Center, Putalisadak, Katmandu. Nepal is a developing country having various health problems. In Nepal, infertility is not given much importance and not many researches have been carried out on various aspect of infertility. there is a dearth of information not only on the levels and trends in infertility, but more importantly on the perceptions and attitudes of people and the factors associated with treatment seeking. Therefore study attempted to explore the perceptions and attitudes of the infertile couples, their treatment seeking behaviour, subsequently, the study aimed to identify the factors that affects treatment seeking. Literature review provided a starting point for conceptualizing the study and provided a basis for finding the methodology. This study included a. sample of six infertile couples and five Key Informants. The couples selected were of divergent background. The study used qualitative research methodology and the use of in-depth interviews along with Key Informant interviews. The data from couples interview and key informant interviews obtained were integrated into case narratives. The narrative data were analyzed by drawing out the broad themes that emerged pertaining to perceptions and attitudes and treatment seeking of respondents. For the analysis of qualitative data, Atlas Ti software was used. In accordance with the general belief that rural uneducated couples seek treatment only from traditional healers (Dhami and Jhankri) it was found in the study that most of them have visited places where they can seek treatment from traditional healers. Treatment seeking for infertile couples occurs in multiple contexts. Infertile couples who need to take services from infertility specialist have low knowledge about the infertility. So, after undergoing many other treatments they finally came to the infertility center for further treatment. Some of them are not actually infertile; they are unable to conceive just because of lack of knowledge. The varying perceptions of people are related to treatment seeking need to be understood within the context of poor developing county. Being poor many couples have to stop their treatment procedure in middle because of the huge cost involved in treatment procedure. They have to start the whole process of treatment again when they come next time for treatment. Thus their time, money and effort is lost many a times for getting treatment. The perceptions and attitudes that couples acquire from society or from the provider providing treatment of infertility further helps in deciding to continue or leave the treatment. Treatment seeking is not a simple process. It is found in the study that more the years of treatment more the knowledge acquire by the infertile couples. More the pressure for infertile couples, they tend to visit all the possible options of treatment available. Government is not serious for the problems associated with the infertility. There is not even a single government organization providing infertility treatment. This infertility treatments requires a lot of money and the majority of the population of Nepal cant afford the services provided by the two private centers for this government should provide the service in subsided rate for those who cannot afford the treatment facilities. The most important is providing education about the infertility to the general communities of Nepal. Researcher during the data collection found out that the education level is very low regarding the infertility of the general community. For the complete treatment of Infertility role of counselor is very important which is lagging in the case of Nepalese society.|
|Appears in Collections:||M.A.|
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