title: Acceptability of artificial donor insemination among infertile couples in Enugu, southeastern Nigeria.
abstract: BACKGROUND
  Male factor infertility presents one of the greatest challenges with respect to infertility treatment in Africa. Artificial insemination by donor semen (AID) is a cost-effective option for infertile couples, but its practice may be influenced by sociocultural considerations. The purpose of this study was to determine the awareness and acceptability of AID among infertile couples in Enugu, southeastern Nigeria, and identify the sociocultural factors associated with its practices.
  
  
  METHODS
  Questionnaires were administered to a cross-section of 200 consecutive infertile couples accessing care at the infertility clinics of two tertiary health institutions in Enugu, Nigeria, between April 1, 2012 and January 31, 2013.
  
  
  RESULTS
  Among the 384 respondents, the level of awareness and acceptability of AID were 46.6% (179/384) and 43% (77/179), respectively. The acceptability rate was significantly higher among female respondents, women with primary infertility, and those whose infertility had lasted for 5 years and beyond (P<0.05). The major reasons for nonacceptance of AID were religious conviction (34.7%, n=33), cultural concern (17.9%, n=17), fear of contracting an infection (17.9%, n=17), and fear of possibility of failure of the procedure (12.6%, n=12).
  
  
  CONCLUSIONS
  Health education and public enlightenment are advocated to increase awareness and dispel the current misconceptions about AID in our environment.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
authors.forename: Emmanuel O
authors.initials: EO
authors.lastname: Ugwu
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
authors.forename: Godwin U
authors.initials: GU
authors.lastname: Odoh
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
authors.forename: Samuel N
authors.initials: SN
authors.lastname: Obi
authors.affiliation: Department of Obstetrics and Gynaecology, Enugu State University Teaching Hospital, Parklane, Enugu, Nigeria.
authors.forename: Frank O
authors.initials: FO
authors.lastname: Ezugwu
keywords: Nigeria; acceptability; artificial insemination; donor semen; infertile couples