Predictors of Adherence to Infertility Treatment among Women in Eastern Uttar Pradesh

Background: Infertility is a significant public health concern, impacting millions of couples globally. Adherence to treatment plays a vital role in the successful management of infertility; however, many women encounter barriers that impede their ability to follow prescribed treatments. This study seeks to explore the factors influencing treatment adherence among infertile women in Eastern Uttar Pradesh. Methods: A hospital-based study was conducted at the Department of Obstetrics & Gynaecology, Sir Sunderlal Hospital, Banaras Hindu University, from January 2024 to October 2024. A total of 106 infertile women were surveyed using a structured interview schedule. Data on socio-demographic characteristics, treatment adherence, and barriers were collected. Chi-square tests and logistic regression analyses were used to examine associations between treatment adherence and independent variables. Results: The majority of respondents (40.6%) were aged 25-29 years, and 60.4% resided in rural areas. Socioeconomic status, duration of marriage, husband's education, and type of infertility were significantly associated with adherence. Women from the highest socioeconomic class were 15.6 times more likely to adhere (OR: 15.60, 95% CI: 1.72-140.82, p = 0.014). Women married for ≤5 years had higher adherence (OR: 6.45, 95% CI: 1.96-21.21, p = 0.00). Education also played a role; women with graduate-level education (OR: 2.81, 95% CI: 1.08-7.33, p = 0.03) and those whose husbands had higher education (OR: 5.84, 95% CI: 2.17-15.71, p = 0.00) were more likely to adhere. Conclusion: Socioeconomic status, education, and marriage duration significantly influence adherence to infertility treatment. Strengthening financial support, improving healthcare access, and increasing awareness through education and counseling can enhance adherence. A multidimensional approach integrating financial, educational, and psychosocial support is essential to improving reproductive health outcomes. Key words: Infertility, Treatment Adherence, Socioeconomic Status, Education, Eastern Uttar Pradesh, Logistic Regression