A qualitative synthesis of the impact of infertility on the mental health of African women

Labinjo Temitope

Abstract

Infertility is a reproductive problem that affects all gender, race, or social class. In many African countries, the burden of infertility is usually associated with economic, psychological, and socio-cultural factors. This review aimed to explore the factors that impact the mental health of African women with primary infertility. A qualitative evidence synthesis was used to summarise and analyse primary qualitative studies focused on the impact of primary infertility on African women. Seventeen studies met the eligibility criteria and were included in the review. The review found that social pressure, stigma from family and community members, and financial constraints led to psychological distress. In addition, social stigma also led to marital problems which led to significant psychological distress and low self-worth, especially on the wife. Recommendations to reduce stigma among African infertile women were as follows: advocacy and community mobilisation, education by health professionals, and holistic person-centred care. An intersectional approach to inform public health and social policy was also suggested. (Afr J Reprod Health 2022; 26[12]: 49- 57)

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References

Benasutti RD. Infertility: Experiences and meanings. Journal

of Couple & Relationship Therapy. 2003 Oct

;2(4):51-71.

https://www.tandfonline.com/doi/abs/10.1300/J398v

n04_04

Hammer BL and Covington S. Infertility counseling.

Parthenon, New York. 1999.

Hakim RB, Gray RH and Zacur H. Infertility and early

pregnancy loss. American journal of obstetrics and

gynecology. 1995 May 1;172(5):1510-7.

https://doi.org/10.1016/0002-9378(95)90489-1

World Health Organisation. Multiple definition of infertility

[internet.]. Geneva: World Health Organization;

http://www.who.int/reproductivehealth/

topics/infertility/multiple definitions/en/. 2016; Oct

[cited 2018 Feb 02].

Inhorn MC and Patrizio P. Infertility around the globe: new

thinking on gender, reproductive technologies and

global movements in the 21st century. Human

reproduction update. 2015 Jul 1;21(4):411-26.

https://doi.org/10.1093/humupd/dmv016

Dyer SJ, Abrahams N, Hoffman M and van der Spuy ZM.

Infertility in South Africa: women's reproductive

health knowledge and treatment-seeking behaviour

for involuntary childlessness. Human reproduction.

Jun 1;17(6):1657-62.

https://doi.org/10.1093/humrep/17.6.1657

Sharma S, Mittal S and Aggarwal P. Management of

infertility in low resource countries. BJOG: An

International Journal of Obstetrics & Gynaecology.

Oct; 116:77-83. https://doi.org/10.1111/j.1471-

2009.02311.x

Tanywe A, Matchawe C, Fernandez R and Lapkin S.

Experiences of women living with infertility in

Africa: a qualitative systematic review protocol. JBI

Evidence Synthesis. 2018 Sep 1;16(9):1772-1778.

Thorne S. The role of qualitative research within an

evidence-based context: Can metasynthesis be the

answer?. International journal of nursing studies.

Apr 1;46(4):569-75.

https://doi.org/10.1016/j.ijnurstu.2008.05.001

Sandelowski M and Barroso J. Handbook for synthesizing

qualitative research. springer publishing company;

Jul 24.

Houghton C, Murphy K, Meehan B, Thomas J, Brooker D

and Casey D. From screening to synthesis: using

nvivo to enhance transparency in qualitative evidence

synthesis. Journal of clinical nursing. 2017

Mar;26(5-6):873-81.

https://doi.org/10.1111/jocn.13443

Thomas J and Harden A. Methods for the thematic synthesis

of qualitative research in systematic reviews. BMC

medical research methodology. 2008 Dec;8(1):1-0.

https://doi.org/10.1186/1471-2288-8-45.

Houghton C, Casey D, Shaw D and Murphy K. Rigour in

qualitative case-study research. Nurse researcher.

Mar 1;20(4).

doi: 10.7748/nr2013.03.20.4.12.e326

Sandelowski M, Barroso J, Voils CI. Using qualitative

metasummary to synthesize qualitative and

quantitative descriptive findings. Research in nursing

& health. 2007 Feb;30(1):99-111.

https://doi.org/10.1002/nur.20176

Noyes J, Hannes K, Booth A, Harris J, Harden A, Popay J,

Pearson A, Cargo M and Pantoja T. Qualitative

research and Cochrane reviews. 2015: 1-26.

Dixon-Woods M, Agarwal S, Jones D, Young B and Sutton

A. Synthesising qualitative and quantitative

evidence: a review of possible methods. Journal of

health services research & policy. 2005 Jan;10(1):45-

https://doi.org/10.1177/135581960501000110

Gough D. Weight of evidence: a framework for the

appraisal of the quality and relevance of evidence.

Research papers in education. 2007 Jun 1;22(2):213-

https://doi.org/10.1080/02671520701296189

Thomas J and Harden A. Methods for the thematic synthesis

of qualitative research in systematic reviews. BMC

medical research methodology. 2008 Dec;8(1):1-0.

https://doi.org/10.1186/1471-2288-8-45.

Ofosu-Budu D and Hänninen V. Ways of reducing the

stigma of infertility: Views of infertile women and

their herbalists. African Journal of Reproductive

Health. 2021 May 19;25(2):110-9. eISSN: 1118-

Nieuwenhuis SL, Theobald S, Liu X and Odukogbe AT.

The impact of infertility on infertile men and women

in Ibadan, Oyo State, Nigeria: a qualitative study.

African Journal of Reproductive Health. 2009 Sep

;13(3):85-98.

https://hdl.handle.net/10520/EJC124166.

Hess RF, Ross R and Gililland Jr JL. Infertility,

psychological distress, and coping strategies among

women in Mali, West Africa: a mixed-methods study.

African journal of reproductive health. 2018 Apr

;22(1):60-72.

Dierickx S, Rahbari L, Longman C, Jaiteh F and Coene G.

‘I am always crying on the inside’: a qualitative study

on the implications of infertility on women’s lives in

urban Gambia. Reproductive health. 2018

Dec;15(1):1-1. https://doi.org/10.1186/s12978-018-

-2.

Fledderjohann JJ. ‘Zero is not good for me’: implications of

infertility in Ghana. Human Reproduction. 2012 May

;27(5):1383-90.

https://doi.org/10.1093/humrep/des035.

Gerrits T. Social and cultural aspects of infertility in

Mozambique. Patient education and counseling.

May 1;31(1):39-48.

Labinjo Temitope The impact of infertility on the mental health of African women

African Journal of Reproductive Health December 2022; 26 (12):57

Hollos M, Larsen U, Obono O and Whitehouse B. The

problem of infertility in high fertility populations:

meanings, consequences and coping mechanisms in

two Nigerian communities. Social science &

medicine. 2009 Jun 1;68(11):2061-8.

https://doi.org/10.1016/j.socscimed.2009.03.008.

Hollos M and Whitehouse B. Women in limbo: life course

consequences of infertility in a Nigerian community.

Human Fertility. 2014 Sep 1;17(3):188-91.

https://doi.org/10.3109/14647273.2014.936052.

Larsen U, Hollos M and Obono O and Whitehouse B.

Suffering infertility: the impact of infertility on

women's life experiences in two Nigerian

communities. Journal of biosocial science. 2010

Nov;42(6):787-814.

https://doi.org/10.1017/S0021932010000271.

Ofosu-Budu D and Hanninen V. Living as an infertile

woman: the case of southern and northern Ghana.

Reproductive health. 2020 Dec;17(1):1-9.

https://doi.org/10.1186/s12978-020-00920-z.

Nguimfack L, Newsom K and Nguekeu MR. Brief report:

A Cameroonian woman’s cultural-bound experience

of infertility. Journal of Feminist Family Therapy.

Jul 2;28(2-3):100-10.

https://doi.org/10.1080/08952833.2016.1201381.

Dierickx S, Coene G, Jarju B and Longman C. Women with

infertility complying with and resisting polygyny: an

explorative qualitative study in urban Gambia.

Reproductive Health. 2019 Dec;16(1):1-1.

https://doi.org/10.1186/s12978-019-0762-1.

Naab F, Lawali Y and Donkor ES. “My mother in-law

forced my husband to divorce me”: Experiences of

women with infertility in Zamfara State of Nigeria.

PloS one. 2019 Dec 19;14(12):e0225149.

https://doi.org/10.1371/journal.pone.0225149.

Makama GA. Patriarchy and gender inequality in Nigeria:

The way forward. European scientific journal. 2013

Jun 30;9(17).

Oladokun A, Arulogun O, Oladokun R, Morhason-Bello

IO, Bamgboye EA, Adewole IF and Ojengbede OA.

Acceptability of child adoption as management

option for infertility in Nigeria: Evidence from focus

group discussions. African Journal of Reproductive

Health. 2009;13(1). eISSN: 1118-4841

Ofosu-Budu D and Hänninen V. Explanations for

infertility: The case of women in rural Ghana. African

Journal of Reproductive Health. 2021 Oct

;25(4):142-52. eISSN: 1118-4841.

James P B, Wardle J, Steel A, & Adams J: Traditional,

complementary and alternative medicine use in SubSaharan Africa: A systematic review. BMJ Global

Health. 2018., 3, e000895. doi:10.1136/ bmjgh-2018-

Labinjo T, Serrant L, Ashmore R and Turner J. Perceptions,

attitudes and cultural understandings of mental health

in Nigeria: A scoping review of published literature.

Mental Health, Religion & Culture. 2020 Aug

;23(7):606-24.

https://doi.org/10.1080/13674676.2020.1726883.

Leavey G and King M. The devil is in the detail:

partnerships between psychiatry and faith-based

organisations. The British Journal of Psychiatry.

Aug;191(2):97-8.

https://doi.org/10.1192/bjp.bp.106.034686.

Inhorn MC. Interpreting infertility: medical anthropological

perspectives. Social Science and Medicine.

;39(4):459-61.

Tabong PT and Adongo PB. Infertility and childlessness: a

qualitative study of the experiences of infertile

couples in northern Ghana. BMC Pregnanacy and

Childbirth. 2013, 13:72.

http://www.biomedcentral.com/1471-2393/13/72

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