Significance and challenges in government infertility support

行政の不妊支援における意義と課題

Significance and challenges in government infertility support

Degree Grantors Yamaguchi Prefectural University

The purpose of this paper is to identify the significance and challenges of government infertility support from the perspective of nursing professionals involved in government infertility support and infertile women.
This dissertation consists of three chapters. First, in Chapter 1, as a research perspective on the current situation surrounding infertility and administrative infertility support, a review of the literature on “psychological characteristics and coping with infertility,” “infertility support,” and “administrative infertility support centered on infertility consultation centers” was conducted in particular to focus the issues and analysis perspective of this study. Chapter 2, Section 1 clarified the significance of administrative infertility support as perceived by nurses involved in infertility support at infertility consultation centers. In Chapter 2, Section 2, a study of infertile women was conducted to clarify the current situation and the relationship between infertile women's perceptions and use of administrative infertility support. Chapter 3 reviews the findings on the significance and challenges of administrative infertility support based on the perspectives of nursing professionals and infertile women, discusses the
significance and challenges of administrative infertility support, and presents the conclusions and limitations of this study and future challenges.
From the perspective of nursing professionals, the significance of administrative infertility support was found to be threefold: [it can supplement infertility support provided by medical institutions], [it can provide psychological support], and [it can provide a wide range of infertility-related counseling]. However, only 31.1% of infertile women were aware of government infertility support, and only 16.3% of infertile women had used it. Thus, although the recognition and utilization rates of government infertility
support are low, the level of satisfaction with government infertility support is high, indicating that it is an effective form of support. In addition, 67.5% of those who received infertility support from both medical institutions and the government rated the support as more effective than using only one of the two types of support.
Administrative infertility support, centered on specialized infertility consultation centers, has a different venue and function than medical institutions, and is significant in that it does not view infertility solely in terms of its medical meaning, but is able to attend to individual life concerns and choices. In addition, administrative infertility support has a well-developed support system that provides both information and knowledge for problem solving and emotional and psychological support in a well-balanced manner, which we believe leads to a sense of satisfaction for infertile women who use administrative infertility support.
As for the challenges of administrative infertility support, first of all, it is necessary for nurses and other professionals involved in administrative infertility support to improve the infertility support environment in each municipality and to improve their support skills. Then, the significance of administrative infertility support should be properly publicized and communicated to increase the awareness and use of administrative infertility support by infertile women. Furthermore, it was discussed that it is important to solve the issues of administrative infertility support through cooperation and collaboration between medical institutions and the government, as well as cooperation and collaboration among local governments.

Creators Ishimura Miyuki