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Access, Equity and Cultural Dynamics in The Use of Assisted Reproductive Technology in Nigeria: A Socio-Legal Analysis

Professor Uwakwe Abugu, Elohor Evarista Odebala-Alonu

Abstract

This study critically examined the accessibility and equity of Assisted Reproductive Technology (ART) in Nigeria, within the context of prevailing socio-cultural beliefs, gender dynamics, and economic constraints. Although advancements in reproductive healthcare have improved globally, ART remained largely underutilized in Nigeria due to ambiguous legal provisions, inadequate regulation, and persistent cultural stigmas surrounding non-natural conception and birth. The article analysed the legal, social, and cultural barriers to ART access and to propose viable reforms that ensure ethical, inclusive, and equitable reproductive health services. The research assessed the extent to which existing legal and policy frameworks addressed the needs of individuals seeking ART and how socio-economic and gender-based inequalities influenced access. Findings revealed that gender-based discrimination significantly hindered women’s autonomous decision making in ART usage, while economic disparities excluded many from accessing treatment, particularly those outside urban and elite circles. Additionally, the absence of a clear legal framework left ART providers and recipients vulnerable to exploitation and malpractice. Based on these findings, the study recommended the enactment of comprehensive legislation specifically governing ART, incorporating ethical standards and protective mechanisms for all stakeholders. It also urged public education and sensitization campaigns to challenge harmful cultural narratives and destigmatize infertility and ART use. In conclusion, the study underscored the urgent need for Nigeria to align its reproductive health policies with international human rights principles. A robust legal and regulatory framework, coupled with inclusive public health strategies, would not only improve access to ART but also promote reproductive justice and gender equity in Nigeria.

Keywords

Cultural StigmaInfertilityWomen’s AutonomyReproductive JusticeGender

References

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