Access Barriers of Infertility Services for Urban and Rural Patients

The infertility problem is faced by 15-20% of couples of childbearing age that have an impact on couples social and psychological problems, families and communities. Infertility services in Indonesia are not well distributed and most are in urban areas. The infertility services in rural areas are normally difficult to access. This study aims to detect differences in barriers to access the infertility services in urban and rural communities who seek treatment at IVF Clinic. The study was conducted by quantitative methods using a questionnaire. A total of 130 respondents were divided into two groups each 65 respondents for rural and urban, respectively. The analyzed variables include knowledge, economic status, geography, social culture, psychological, and religious. The data obtained were analyzed by chi-square and multivariate. It was found three out of six significant variables (p = 0.014, p = 0.023 and p = 0.005) in multivariate analysis which are the economic level, geographic location, and socio-cultural with an OR values of 2.606, 3.905, and 5.299, respectively. The economic status in urban areas was higher than rural, geographical barriers in rural areas were more than urban, and socio-cultural barriers with less support in rural compared to urban areas.

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