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Hum. Reprod. Advance Access originally published online on February 3, 2009
Human Reproduction 2009 24(5):1008-1011; doi:10.1093/humrep/den503
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© The Author 2009. 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

Providing infertility treatment in resource-poor countries{dagger}

ESHRE Task Force on Ethics and Law including

G. Pennings1, G. de Wert, F. Shenfield, J. Cohen, B. Tarlatzis and P. Devroey

Bioethics Institute Ghent, Ghent University, Blandijnberg 2, B-9000 Ghent, Belgium

1 Correspondence address. E-mail: guido.pennings{at}ugent.be

Recently, several initiatives were started to introduce medically assisted reproduction in developing countries. Infertility is a major problem in these countries and causes extensive social and psychological suffering. This article analyses the main ethical arguments pro and contra the provision of infertility treatment in resource-poor countries. It is concluded that infertility treatment should be part of an integrated reproductive care programme including family planning and motherhood care. Education, empowerment of women and economic prosperity are the most effective solutions to most problems related to both population growth and infertility. Simultaneously, investments in low-cost interventions are justified.

Key words: developing countries/justice/low-cost IVF/overpopulation/prevention

{dagger} The expert consulted for this paper was Willem Ombelet.

Submitted on December 1, 2008; resubmitted on December 1, 2008; accepted on December 28, 2008.


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