Trend of childless couples, like in many other countries all over Europe, is increasing in Slovakia. From year to year is accumulating more and more couples who have trouble with conceiving. Once and for most of them the only way to become a parent is assisted reproduction treatment. This paper tends to present current legal framework and analyze health and financial policy on infertility care in Slovakia which can be used in future policy and decision making process.
Aim of this paper is to give an overview of policy on assisted reproduction in the Slovak Republic. This paper can serve as guideline for couples looking for achieving offspring. Pointing out all advantages and disadvantages of infertility health policy, this analytical paper can help to policy and decision makers to perceive perspectives for policy and quality improvement.
Slovakia, likewise many European countries, is facing accelerated aging population problem with in the same time growing number of couples whose can not achieve offspring. Infertile couples can obtain assisted reproductive treatment in two public and six private hospitals in Slovakia. Slovak law, based on International declarations and European directives, allow in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) method as well as donation, while prohibit surrogacy, experimentation on the embryo and cloning. As time consuming treatment of infertility, cryopreservation is allowed as one of the possibility to rich offspring in shorten time and more convenient way for woman. Possibility to apply pre-implantation genetic diagnosis (PGD) rang Slovak legislation as one of the liberal in Europe.
Confidentiality and anonymity are binding but Slovakia is among countries that on request provide offspring with identifying information. While couples can not expect that IUI treatment will be covered by their insurance, IVF treatment will be fully and ICSI partly reimbursed. Success rate and outcomes are still followed on the micro (hospital) and mezzo level (health insurance). Luck of national national register and reporting system are seen as one of the main problem in terms of measuring outcomes as important part of infertility health policy. Establishing these institutions would help to policy and decision makers to compare Slovak outcomes and regulations achievement in infertility health care with other European countries.