Fertility clinics go to small towns

1. Fertility clinics go
to small towns
But Big Cities Remain Magnets Of ART
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2. Contd..
People going in for assisted reproduction have always flocked to big cities,
but now a considerable number of people are getting treated in small towns
as well. A set of statistics released by the Indian Council for Medical Research
(ICMR) shows that in states like Maharashtra, Tamil Nadu and Andhra
Pradesh, the technology is spreading to smaller towns even while the metros
remain the big magnets of assistive reproduction technology (ART).
In Tamil Nadu, 16 of the 33 clinics are in tier III towns like Rajapalayam, Karur,
Nagercoil and Ramanathapuram, according to the National Registry of ART
Clinics and Banks in India. Similar is the situation in several other states. In
Maharashtra, 25 of the 77 clinics are located outside Mumbai while in
Andhra Pradesh 12 of the 25 clinics are outside Hyderabad, in towns like
Rajahmun dry, Anantapur, Guntur and Ongole in Andhra Pradesh.
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3. Contd..
“This has been happening for the past seven to eight years,“ says member of
the draft committee for ART Bill and executive director of Nova IVI Fertility
Dr Manish Banker. “Demand for infertility treatment has been increasing in
small towns, so the supply chain is automatically created,“ he said.
Infertility specialists say that the number of clinics could be even higher in
small towns. “The number of clinics enrolled in the registry is around 320.
But the real number of well-equipped fertility clinics in the country is well
over 700,“ said Dr Banker. For instance, Bangalore alone has around 44
infertility clinics, while the ICMR list says that Karnataka has just 25 clinics.
“This was because many clinics have not enrolled in the registry,'' says head
of Bangalore based Milann Fertility Centre Dr Kamini Rao.
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4. Contd..
ART experts say there is a flipside to the trend. A large number of infertility
clinics that have mushroomed in smaller towns resort to performing in-vitro
fertilisation in batches of 10 or 15 patients, they say . “The patients are put
on continuous treatment so that their IVF cycle is brought under control.
Then an embryologist and fertility specialist is brought in for four days to
extract the embryos, do the in-vitro fertilisation and inject it back into the
batch of patients,“ says Banker.
The service offered in these fertility clinics are also not on a par with those in
bigger cities, they allege.
“ICMR, which runs the registry , has no legal right to inspect the facility and
cross check the facilities and staff with the details submitted,“ says Kamini
Rao. Infertility specialist Dr Priya Selvaraj says most of the clinics use the
enrolment in the national registry for heavy marketing.But some experts feel
that it was a welcome trend for clinics to voluntarily enroll in the registry .
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