Abstract
This study critically examined the accessibility and equity of Assisted Reproductive Technology
(ART) in Nigeria, within the context of prevailing socio-cultural beliefs, gender dynamics, and
economic constraints. Although advancements in reproductive healthcare have improved globally,
ART remained largely underutilized in Nigeria due to ambiguous legal provisions, inadequate
regulation, and persistent cultural stigmas surrounding non-natural conception and birth. The
article analysed the legal, social, and cultural barriers to ART access and to propose viable
reforms that ensure ethical, inclusive, and equitable reproductive health services. The research
assessed the extent to which existing legal and policy frameworks addressed the needs of
individuals seeking ART and how socio-economic and gender-based inequalities influenced access.
Findings revealed that gender-based discrimination significantly hindered women’s autonomous
decision making in ART usage, while economic disparities excluded many from accessing
treatment, particularly those outside urban and elite circles. Additionally, the absence of a clear
legal framework left ART providers and recipients vulnerable to exploitation and malpractice.
Based on these findings, the study recommended the enactment of comprehensive legislation
specifically governing ART, incorporating ethical standards and protective mechanisms for all
stakeholders. It also urged public education and sensitization campaigns to challenge harmful
cultural narratives and destigmatize infertility and ART use. In conclusion, the study underscored
the urgent need for Nigeria to align its reproductive health policies with international human
rights principles. A robust legal and regulatory framework, coupled with inclusive public health
strategies, would not only improve access to ART but also promote reproductive justice and gender
equity in Nigeria.