Abstract

BACKGROUND: Infertility affects an estimated 186 million people globally, with about 12% of couples of reproductive age being affected. In sub-Saharan Africa, the prevalence of infertility ranges between 9% and 30%, and individuals often experience stigma, gendered blame, and psychosocial distress. The role of nurses in infertility care support is paramount to improve patients’ experiences during treatment. In Namibia, research is limited, particularly on nurses’ perceptions of infertility care and patient experiences.

METHODS: A qualitative exploratory and descriptive study was conducted between March and August 2024 at four referral hospitals: Intermediate Hospital Katutura, Windhoek Central Hospital, Intermediate Hospital Rundu, and Intermediate Hospital Oshakati. Eleven nurses were purposively sampled from the gynaecology departments. A semi-structured interview guide was used for the interviews. Data were analysed thematically using Braun and Clarke’s six-step framework, guided by the health belief model. Trustworthiness was ensured through Lincoln and Guba’s criteria.

RESULTS: Five themes and twelve subthemes emerged: inadequate fertility care in the public sector, characterised by limited diagnostic and treatment options and financial barriers. Limited nursing roles and insufficient knowledge in psychosocial support. Patient experiences are marked by sadness, denial, and stigma, with women disproportionately blamed while men are often denied responsibility. Cultural and gender expectations that reinforced stigma and discouraged psychological support. Desired infertility care improvements, including the introduction of In Vitro fertilisation in the state facilities, community education, adoption options, training for nurses, and dedicated infertility clinics.

CONCLUSION: Infertility care in Namibia remains inadequate, with important gaps in service provision and psychosocial support. Nurses emphasised the need for comprehensive infertility care in the public sector, strengthening nursing roles through training and the integration of patient-centred approaches to address stigma, gendered blame and emotional distress.

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