title: Infertility in South Africa: women's reproductive health knowledge and treatment-seeking behaviour for involuntary childlessness.
abstract: BACKGROUND
  Infertility is a major reproductive health problem in Africa. This paper presents the findings of two studies which focus on the knowledge that infertile women have about fertility and the causes of infertility, their treatment-seeking behaviour and their expectations of an infertility clinic.
  
  
  METHODS
  A total of 150 infertile women from a culturally diverse, urban community in South Africa participated in the two studies. Both qualitative and quantitative research methods were applied using in-depth, semi-structured interviews and structured questionnaires.
  
  
  RESULTS
  The women who participated had little knowledge about human reproduction and modern treatment options for infertility. They were highly motivated to find treatment and accessed both traditional and modern health care. Treatment barriers within modern health care were identified.
  
  
  CONCLUSIONS
  The importance of health education and counselling is recognized, and both need to be integrated into infertility management, particularly in the developing world. The introduction of clinical guidelines is recommended in order to overcome treatment barriers and improve the delivery of health services.
authors.affiliation: Reproductive Medicine Unit, Department of Obstetrics and Gynaecology, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, Observatory 7925, South Africa. sdyer@uctgsh1.uct.ac.za
authors.forename: S J
authors.initials: SJ
authors.lastname: Dyer
authors.forename: N
authors.initials: N
authors.lastname: Abrahams
authors.forename: M
authors.initials: M
authors.lastname: Hoffman
authors.forename: Z M
authors.initials: ZM
authors.lastname: van der Spuy
mesh_terms: D000328:Adult; D003695:Delivery of Health Care; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007247:Infertility, Female / Q000523:psychology*; D016488:Medicine, African Traditional; D010342:Patient Acceptance of Health Care; D013019:South Africa