Comparing infertility-related stress in high fertility and low fertility countries

Emily A. Groene, Cyrialis Mutabuzi, Dickson Chinunje, Ester Matson Shango, Shalini Kulasingam, Charles Riziki Majinge

Research output: Contribution to journalArticlepeer-review


We surveyed 169 women seeking infertility treatment in Central Tanzania using an abbreviated version of the Fertility Problem Inventory (FPI) to measure infertility-related stress. We compared our FPI results to similar studies in another high fertility country (Ghana) and in three low fertility countries (the US, Canada, and Italy). Tanzanian women reported higher infertility-related stress than women in low-fertility countries but lower stress than Ghanaian women. Infertility-related stress is a serious concern for women in high-fertility countries, who experience greater pressure to have children. These findings underscore the need for increased access to infertility treatment and addressing community infertility norms.

Original languageEnglish (US)
Article number100653
JournalSexual and Reproductive Healthcare
StatePublished - Sep 1 2021

Bibliographical note

Funding Information:
This work was supported by internal funding from the University of Minnesota’s Consortium on Law and Values, the Graduate School, and the School of Public Health. Additional salary support was provided by the Minnesota Population Center grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD041023) and the National Institutes of Health’s National Center for Advancing Translational Sciences (TL1R002493 and UL1TR002494).

Publisher Copyright:
© 2021 Elsevier B.V.


  • Fertility Problem Inventory
  • Infertility
  • Stigma
  • Sub-Saharan Africa


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