RESEARCH ARTICLE Prevalence and factors ass

Full list of author information is available at the end of the articleBackground Infertility is a public health problem in middle and low-resource countries but continues to receive little attention [1]. In many cultures, having children is an essential part of life while infertility is seen in much of Sub-Saharan Africa (SSA) as a personal tragedy, with the potential to impact the entire family or community [1]. It is a dreaded condi-tion that is associated with devastating psychosocial conse-quences [2-5]. In developing countries, where child-bearing is greatly valued, infertile couples are faced with problems ranging from overt ostracism or divorce to more subtle forms of social stigma leading to isolation and mental distress [4,6-8]. Child bearing is not only a continuation of one’s lineage but also economic security. In resource limited settings * Correspondence