Fertility Centers in Nigeria: Covid-19 Pandemic Impacts Survey

Impact of COVID-19 pandemic, NCDC & AFRH policies on Fertility Centers and their operations.

COVID-19 pandemics has created a huge disruptions to the activities of Fertility centers and patients alike. These realities are to heed public health authorities’ advice to curb the spread of the disease in the communities and to protect patients and healthworkers from contracting the disease. Fertility Centers have to significantly adjust their modes of operation causing significant distruption to service deliveries and staff welfare, in addition to escalating cost incurred to procure personal protective equipments for their operations. Furthermore, infertile couples and families are also facing significant disruptions to their treatments, financial plans and uncertainty about when their fertility treatments will begin. This survey is to evaluate the impacts that COVID-19 pandemic, the compulsory societal lockdowns, total or partial closures of clinics/centers will have on the budgetary and operational activities of Fertility Centers.

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* 1. Are you currently using any preventive methods to reduce patient's risks of SAR-CoV-19 virus infection.

Yes

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* 2. How likely will you screen your patients for COVID-19 before their IVF treatments?

Yes

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* 3. As a fertility professional, how important is it for you to get tested for COVID-19?

Very Important

Important

Not Important

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* 4. What type of COVID-19 test available at your IVF clinic for patients and staffs?

RT-PCR

ELISA Antibody Test

IgG/IgM Rapid Test

Detailed history of of travel or exposure to at risk or COVID-19 patients

Temperature Monitoring and Physical Assessment

CT Scan

None

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* 5. How will you rate the following responses to COVID-19 so far by the ...

	Very Poor	Poor	Average	Good	Excellent
Nigerian Governments (States & Federal)	Nigerian Governments (States & Federal) Very Poor	Nigerian Governments (States & Federal) Poor	Nigerian Governments (States & Federal) Average	Nigerian Governments (States & Federal) Good	Nigerian Governments (States & Federal) Excellent
NCDC	NCDC Very Poor	NCDC Poor	NCDC Average	NCDC Good	NCDC Excellent
Health Management Organisations (HMO)	Health Management Organisations (HMO) Very Poor	Health Management Organisations (HMO) Poor	Health Management Organisations (HMO) Average	Health Management Organisations (HMO) Good	Health Management Organisations (HMO) Excellent
Patients	Patients Very Poor	Patients Poor	Patients Average	Patients Good	Patients Excellent
AFRH	AFRH Very Poor	AFRH Poor	AFRH Average	AFRH Good	AFRH Excellent

Other (please specify)

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* 6. As a whole, how well do you think your Fertility Center has adapted to the new working environment?

	Very Poor	Poor	Average	Good	Excellent	N/A
How well was your business continuity plan implemented (select N/A if you did not have any)	How well was your business continuity plan implemented (select N/A if you did not have any) Very Poor	How well was your business continuity plan implemented (select N/A if you did not have any) Poor	How well was your business continuity plan implemented (select N/A if you did not have any) Average	How well was your business continuity plan implemented (select N/A if you did not have any) Good	How well was your business continuity plan implemented (select N/A if you did not have any) Excellent	How well was your business continuity plan implemented (select N/A if you did not have any) N/A
Moving Staff to Homeworking	Moving Staff to Homeworking Very Poor	Moving Staff to Homeworking Poor	Moving Staff to Homeworking Average	Moving Staff to Homeworking Good	Moving Staff to Homeworking Excellent	Moving Staff to Homeworking N/A
Adapting to flexible hours	Adapting to flexible hours Very Poor	Adapting to flexible hours Poor	Adapting to flexible hours Average	Adapting to flexible hours Good	Adapting to flexible hours Excellent	Adapting to flexible hours N/A
Maintaining internal communications	Maintaining internal communications Very Poor	Maintaining internal communications Poor	Maintaining internal communications Average	Maintaining internal communications Good	Maintaining internal communications Excellent	Maintaining internal communications N/A
Managing staff remotely	Managing staff remotely Very Poor	Managing staff remotely Poor	Managing staff remotely Average	Managing staff remotely Good	Managing staff remotely Excellent	Managing staff remotely N/A
Managing Staff morale	Managing Staff morale Very Poor	Managing Staff morale Poor	Managing Staff morale Average	Managing Staff morale Good	Managing Staff morale Excellent	Managing Staff morale N/A
Helping staff stay focused on their roles	Helping staff stay focused on their roles Very Poor	Helping staff stay focused on their roles Poor	Helping staff stay focused on their roles Average	Helping staff stay focused on their roles Good	Helping staff stay focused on their roles Excellent	Helping staff stay focused on their roles N/A
Accessing IT and business systems	Accessing IT and business systems Very Poor	Accessing IT and business systems Poor	Accessing IT and business systems Average	Accessing IT and business systems Good	Accessing IT and business systems Excellent	Accessing IT and business systems N/A
Overall how would you rate your business	Overall how would you rate your business Very Poor	Overall how would you rate your business Poor	Overall how would you rate your business Average	Overall how would you rate your business Good	Overall how would you rate your business Excellent	Overall how would you rate your business N/A

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* 7. How has your Fertility Center's operations been impacted by COVID-19 and the NCDC/Governmental policies to date

	Significant Negative Impact (1)	2	No Impact (3)	4	Significant Positive Impact (5)
Incoming enquiries from new patients	Incoming enquiries from new patients Significant Negative Impact (1)	Incoming enquiries from new patients 2	Incoming enquiries from new patients No Impact (3)	Incoming enquiries from new patients 4	Incoming enquiries from new patients Significant Positive Impact (5)
Planned fertility treatments and schedules for patients	Planned fertility treatments and schedules for patients Significant Negative Impact (1)	Planned fertility treatments and schedules for patients 2	Planned fertility treatments and schedules for patients No Impact (3)	Planned fertility treatments and schedules for patients 4	Planned fertility treatments and schedules for patients Significant Positive Impact (5)
Fertility Center closed	Fertility Center closed Significant Negative Impact (1)	Fertility Center closed 2	Fertility Center closed No Impact (3)	Fertility Center closed 4	Fertility Center closed Significant Positive Impact (5)
Overall impact on your Fertility Center	Overall impact on your Fertility Center Significant Negative Impact (1)	Overall impact on your Fertility Center 2	Overall impact on your Fertility Center No Impact (3)	Overall impact on your Fertility Center 4	Overall impact on your Fertility Center Significant Positive Impact (5)
Staff retrenchments	Staff retrenchments Significant Negative Impact (1)	Staff retrenchments 2	Staff retrenchments No Impact (3)	Staff retrenchments 4	Staff retrenchments Significant Positive Impact (5)
Financial health of the fertility center	Financial health of the fertility center Significant Negative Impact (1)	Financial health of the fertility center 2	Financial health of the fertility center No Impact (3)	Financial health of the fertility center 4	Financial health of the fertility center Significant Positive Impact (5)

Is there anything else you will like to add?

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* 8. Which best describes your role?

MD, CEO, Owner

Director

Manager

Employee

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* 9. What is the staff strength of your Fertility center?

Small (1-50)

Medium (51 - 100)

Large (100+)

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* 10. What type of fertility / ART treatments available at your Fertility Center presently?

ALL fertility/ART treatments including Preimplantation Genetic Testings (PGT)

ALL fertility/ART treatments except PGT

ALL fertility/ART treatments except IVF/ICSI, cryopreservation and PGT