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

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).

 a révélé que la pression sociale, la stigmatisation des membres de la famille et de la communauté et les contraintes financières entraînaient une détresse psychologique. En outre, la stigmatisation sociale a également entraîné des problèmes conjugaux qui ont entraîné une détresse psychologique importante et une faible estime de soi, en particulier chez l'épouse. Les recommandations pour réduire la stigmatisation chez les femmes africaines infertiles étaient les suivantes : plaidoyer et mobilisation communautaire, éducation par les professionnels de la santé et soins holistiques centrés sur la personne. Une approche intersectionnelle pour éclairer la santé publique et la politique sociale a également été suggérée. (Afr J Reprod Health 2022; 26[12]: 49-57).