Page 117 - ESHRE2019
P. 117

 Peculiarities of India:
Fertility, infertility and access to reproductive technology
• 2nd most populous country
• 6th Largest country in terms of GDP and 3rd largest by purchasing power parity • Stark inequalities in income, education, healthcare, infrastructure
• Widespread corruption including in health care
• Inefficient and loosely regulated health care system
• Urban rural divide
• Fertility highly valued and infertility with intense stigma and taboo
 Parenthood in Indian context
• Parenthood highly desired: preferably through genetic link
• Preference for a male child: evident through distorted sex ratio at birth,
sex selection and adoption statistics
• Stigma and burden of infertility or sub‐fertility disproportionately borne by women especially in rural areas, those with lower education, from lower socio‐economic strata, and those who are not financially independent.
• Policy influences who can be a parent and through which path
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