ASPIRE Guidelines for Assisted Reproductive Technology (ART) Laboratory Practice in Low and Medium Resource Settings

Gaps in access to fertility care exist in nearly all health care settings but are particularly present in many countries of the Asia Pacific region.

Access gap may be present when fully stimulated IVF cycles per million of population are below the global average, and where the measure is very much lower than global average high, access gap may exist.

Enabling access to fertility treatments in areas of reduced provision of care is complex and will take years of sustained effort in many cases. Expectations of care should legitimately be set at the same level as seen in high resource settings and this should be the ultimate goal.


  • In the rehabilitative phase compromise may be acceptable in some settings. Hence, ASPIRE’s aim of developing these guidelines is to set the minimum standards of an ART unit in a low to medium resource setting.
  • The guideline is targeted to provide recommendations to improve the Standards of care within the APAC region.
  • The aim of ART lab guidelines is to aid healthcare professionals in everyday decisions about appropriate and effective care of their patients.
  • These guidelines represent the views of ASPIRE, which were achieved after careful consideration of available scientific evidence at the time of preparation (2022-2023).

The guidelines is published in Fertility & Reproduction (F&R) Open Access Journal – Volume 5, Issue 3 (September issue)

Read the guidelines here.