Abstract
IntroductionThe very particular natures of infertility problem and infertility care make them different from other medical problems and services in developing countries. Even after the referral to specialists, the family physicians are expected to provide continuous support for these couples. This place the primary care service at the heart of all issues related to infertility. The aim of the work: to improve family physicians' attitude and practice about the approach to infertility management within primary care setting.MethodsThis study was conducted in the between June and December 2010. The study sample comprised 100 family physician trainees in the family medicine department and working in family practice centers or primary care units. They were asked to fill a questionnaire about their personal characteristics, attitude, and practice towards support, investigations, and treatment of infertile couples.ResultsHundred family physicians were included in the study. They were previously received training in infertility management. Favorable attitude scores were detected among (68%) of physicians and primary care was considered a suitable place for infertility management among (77%) of participants. There was statistically significant difference regarding each of age groups, gender and years of experience with the physicians′ attitude. There was statistically significant difference regarding gender, perceiving PHC as an appropriate place to manage infertility and attitude towards processes of infertility management with the physicians′ practice.ConclusionFavorable attitude and practice were determined among the study sample. Supporting the structure of primary care and evidence-based training regarding infertility management are required to improve family physicians' attitude and practice towards infertility management.
Highlights
The very particular natures of infertility problem and infertility care make them different from other medical problems and services in developing countries
Section 1: Personal data of family physicians and wether they practiced infertility management or not Section 2: Physiciansattitude regarding the appropriateness of Primary Health Care (PHC) as a place for infertility management and the difficulties of providing this service
Out of 100 family physicians, (61%) of them were in the age group of (24-29)
Summary
The very particular natures of infertility problem and infertility care make them different from other medical problems and services in developing countries. Even after the referral to specialists, the family physicians are expected to provide continuous support for these couples This place the primary care service at the heart of all issues related to infertility. The study sample comprised 100 family physician trainees in the family medicine department and working in family practice centers or primary care units They were asked to fill a questionnaire about their personal characteristics, attitude, and practice towards support, investigations, and treatment of infertile couples. Supporting the structure of primary care and evidence-based training regarding infertility management are required to improve family physicians' attitude and practice towards infertility management. Infertility is a problem of global proportions; the exact prevalence of infertility in developing countries is unknown due to a lack of registration and well-performed studies [5] It is affecting on average 8-12 percent of couples worldwide. There is a wider prevalence range in resource-poor countries, possibly due to different country-specific factors, such as the prevalence of sexually transmitted diseases, age at delivery, and political factors [3]
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