FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa
Despite the centrality of the role of embryologists in in vitro fertilization (IVF), there is relatively little literature on the nature of their work. In this article, we draw on results from a large ethnographic study on the emerging IVF industry in South Africa and reproductive travel in sub-Saha...
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| Format: | Article |
| Language: | English |
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Bioscientifica
2025-01-01
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| Series: | Reproduction and Fertility |
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| Online Access: | https://raf.bioscientifica.com/view/journals/raf/6/1/RAF-24-0025.xml |
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| author | Trudie Gerrits Andrea Whittaker Lenore Manderson |
| author_facet | Trudie Gerrits Andrea Whittaker Lenore Manderson |
| author_sort | Trudie Gerrits |
| collection | DOAJ |
| description | Despite the centrality of the role of embryologists in in vitro fertilization (IVF), there is relatively little literature on the nature of their work. In this article, we draw on results from a large ethnographic study on the emerging IVF industry in South Africa and reproductive travel in sub-Saharan Africa (SSA), where IVF clinics and embryologists are scarce. Drawing on qualitative interviews with 11 embryologists, who work(ed) in SSA, we illustrate how their care practices are produced through the interaction of people and things. We emphasize the importance of context in shaping their practices, including the shortage of embryologists, the need to set up ‘first’ clinics in their respective countries, the paucity of trained counsellors in clinics and the mobility of IVF staff. The embryologists we interviewed performed multiple tasks on top of their laboratory work, including entrepreneurial tasks, advocacy, training, development of regulations, mentoring and patient counselling. They enacted care in several ways, towards gametes and embryos, patients, clinics and the profession. These multiple tasks and care practices make for dynamic and fulfilling careers of the interviewed embryologists but also stretch their capacities. They also raise questions about their contribution to the scarcity of embryological work in SSA. If access to IVF is to be achieved in the SSA region, more embryologists need to be trained and retained. |
| format | Article |
| id | doaj-art-4f7738305fe3444c824ae6f5d3b4ece8 |
| institution | Kabale University |
| issn | 2633-8386 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Reproduction and Fertility |
| spelling | doaj-art-4f7738305fe3444c824ae6f5d3b4ece82025-01-25T15:00:43ZengBioscientificaReproduction and Fertility2633-83862025-01-016110.1530/RAF-24-00251FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan AfricaTrudie Gerrits0Andrea Whittaker1Lenore Manderson2University of Amsterdam, Amsterdam School for Social Science Research (AISSR), Amsterdam, NetherlandsMonash University, School of Social Sciences, Clayton, Victoria, AustraliaMonash University, School of Social Sciences, Clayton, Victoria, AustraliaDespite the centrality of the role of embryologists in in vitro fertilization (IVF), there is relatively little literature on the nature of their work. In this article, we draw on results from a large ethnographic study on the emerging IVF industry in South Africa and reproductive travel in sub-Saharan Africa (SSA), where IVF clinics and embryologists are scarce. Drawing on qualitative interviews with 11 embryologists, who work(ed) in SSA, we illustrate how their care practices are produced through the interaction of people and things. We emphasize the importance of context in shaping their practices, including the shortage of embryologists, the need to set up ‘first’ clinics in their respective countries, the paucity of trained counsellors in clinics and the mobility of IVF staff. The embryologists we interviewed performed multiple tasks on top of their laboratory work, including entrepreneurial tasks, advocacy, training, development of regulations, mentoring and patient counselling. They enacted care in several ways, towards gametes and embryos, patients, clinics and the profession. These multiple tasks and care practices make for dynamic and fulfilling careers of the interviewed embryologists but also stretch their capacities. They also raise questions about their contribution to the scarcity of embryological work in SSA. If access to IVF is to be achieved in the SSA region, more embryologists need to be trained and retained.https://raf.bioscientifica.com/view/journals/raf/6/1/RAF-24-0025.xmlassisted reproductive technologiesembryologistspractices of careivfafrica |
| spellingShingle | Trudie Gerrits Andrea Whittaker Lenore Manderson FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa Reproduction and Fertility assisted reproductive technologies embryologists practices of care ivf africa |
| title | FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa |
| title_full | FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa |
| title_fullStr | FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa |
| title_full_unstemmed | FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa |
| title_short | FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Embryologists’ practices of care in IVF-clinics in sub-Saharan Africa |
| title_sort | fertility care in low and middle income countries embryologists practices of care in ivf clinics in sub saharan africa |
| topic | assisted reproductive technologies embryologists practices of care ivf africa |
| url | https://raf.bioscientifica.com/view/journals/raf/6/1/RAF-24-0025.xml |
| work_keys_str_mv | AT trudiegerrits fertilitycareinlowandmiddleincomecountriesembryologistspracticesofcareinivfclinicsinsubsaharanafrica AT andreawhittaker fertilitycareinlowandmiddleincomecountriesembryologistspracticesofcareinivfclinicsinsubsaharanafrica AT lenoremanderson fertilitycareinlowandmiddleincomecountriesembryologistspracticesofcareinivfclinicsinsubsaharanafrica |