Risk factors for infertility and barriers to treatment in Tanzania: a survey and medical records study.

Background: The burden of infertility is serious for women in high-fertility countries.

Objectives: We sought to identify demographic, behavioral/environmental, and reproductive risk factors for various infertility factors (i.e.

Comparing infertility-related stress in high fertility and low fertility countries.

We surveyed 169 women seeking infertility treatment in Central Tanzania using an abbreviated version of the Fertility Problem Inventory (FPI) to measure infertility-related stress. We compared our FPI results to similar studies in another high fertility country (Ghana) and in three low fertility countries (the US, Canada, and Italy). Tanzanian women reported higher infertility-related stress than women in low-fertility countries but lower stress than Ghanaian women.

Making Global Health Rotations a Two-Way Street: A Model for Hosting International Residents.

As US residency programs are increasingly offering global health electives for their trainees, there is a growing call for these opportunities to include bidirectional exchanges-where residents from both the US and international partner institutions rotate at the other's site. Curricular, logistical, and funding challenges of hosting residents from an international site may be barriers to developing these programs. In this report, the authors describe an 8-year experience of a US institution hosting residents from a resource-limited international partner and provide a framework for others institutions to develop bidirectional exchanges.