Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country

• Published in: International journal of gynecology and obstetrics 2024-06, Vol.165 (3), p.1144-1150
• Main Authors: Wiweko, Budi, Mansyur, Eliza, Yuningsih, Tita, Sini, Ivan, Silvana, Vita, Maidarti, Mila, Harzif, Achmad Kemal, Pratama, Gita, Sumapraja, Kanadi, Muharam, Raden, Hestiantoro, Andon, Soebijanto, Soegiharto, Listyasari, Nurin Aisyiyah, Sirait, Batara, Hendarto, Hendy, Djuwantono, Tono, Halim, Binarwan, Angsar, Ilyas, Abdullah, Nusratuddin, Adnyana, Putra, Widad, Shofwal, Samsulhadi, Samsulhadi, Hidayat, Syarief Thaufik, Bayuaji, Hartanto, Permadi, Wiryawan, Hendry, Dedy, Lubis, Syahnural, Iffanolida, Pritta Ameilia, Mutia, Kresna, Septyani, Tri, Siregar, Fahreza Akbar, Khairani, Namira, Jovito, Axel, Hayatunnufus, Yuli, Cahya, Ni Putu, Yulinda, Dafi, Susanto, Sarah, Azzahra, Tiara Berliana
• Format: Article
• Language: English
• Subjects: Adult; assisted reproductive technology; Developing Countries; Female; female infertility; fertility clinics; Fertility Clinics - statistics & numerical data; Fertilization in Vitro - statistics & numerical data; Health Services Accessibility - statistics & numerical data; Humans; in vitro fertilization; Indonesia; Indonesia - epidemiology; infertility; Infertility - epidemiology; Infertility - therapy; infertility care; Male; male infertility; Pregnancy; Pregnancy Rate; Reproductive Techniques, Assisted - statistics & numerical data; Retrospective Studies
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1002/ijgo.15322

Objective This research was conducted to assess access to assisted reproductive technologies (ART) and the current status of the in vitro fertilization (IVF) program that have been implemented in Indonesia over the last 10 years. Methods We established a retrospective cohort study and descriptive analysis of the current state of access to infertility care in Indonesia. The data were collected from all IVF centers, clinics, and hospitals in Indonesia from 2011 to 2020, including the number of IVF clinics, total ART cycles, retrieved fresh and frozen embryos, average age of IVF patients, IVF pregnancy rate, and causes of infertility. Results The number of reported fertility clinics in Indonesia has increased from 14 clinics in 2011 to 41 clinics by 2020. As many as 69 569 ART cycles were conducted over the past 10 years, of which 51 892 cycles used fresh embryos and 17 677 cycles used frozen embryos. The leading cause of consecutive infertility diagnosis was male infertility. Nearly half of the women who underwent IVF procedures (48.9%) were under 35 years old. The pregnancy rate outcome of women who underwent IVF ranged from 24.6% to 37.3%. Conclusion Developments in ART in Indonesia have led to improvements in the ART cycles performed throughout the 10 year period. The identification of key areas that require improvement can provide an opportunity to enhance access to infertility care. Synopsis The ART developments in Indonesia throughout the last 10 years have led to a total of 69 569 ART cycles with pregnancy rate ranging from 24.6% to 37.3%.