A significant development in Ethiopia’s healthcare landscape is currently unfolding, as a new bill has been submitted to the House of Representatives that could legalize sperm donation in the country. Titled the Health Care Administration and Control Bill, this twelve-part legislation covers a wide range of health services and includes provisions for technology-assisted reproductive medicine.
Key Provisions of the Bill
The Health Care Administration and Control Bill consists of 60 articles addressing general health care, health service delivery, human resource development, and more. The most groundbreaking aspect of the bill, however, is in the fourth section, which outlines special health services. Under this section, the bill specifically mentions technology-assisted reproductive services, including sperm donation—a practice that was not previously authorized by Ethiopian law.
According to the draft, licensed health facilities may now be allowed to provide technology-assisted reproductive treatments, including sperm donation, if the bill is passed. It outlines the necessary legal framework for the donation and collection of sperm, which will only be allowed through institutions licensed by the Ministry of Health.
Legalization of Sperm Donation
Historically, the Ethiopian legal framework has not explicitly allowed sperm donation, even though artificial reproductive services have been provided in licensed institutions for over a decade. The new bill aims to clarify this by explicitly stating that sperm donation is legal, as long as it complies with specific medical and legal conditions.
According to the draft decree, sperm can only be collected at designated institutions approved by the Ministry of Health. Donors are required to undergo medical assessments to ensure the donation will not cause them harm. Moreover, sperm donation is not permitted for profit, and its collection, donation, or sale is tightly regulated under the proposed bill.
Assisted Reproductive Technology Services: Conditions for Use
The bill specifies that assisted reproductive technology services, including sperm donation, will be available only under four mandatory conditions:
- The recipients must be legally married and provide proof of their marriage.
- A medical professional must confirm that the couple is unable to conceive naturally.
- It must be proven that the treatment will have a positive impact without jeopardizing the health of the users.
- Both spouses must give informed written consent before receiving the treatment.
Additionally, even couples who can conceive naturally but face significant health risks due to childbirth may be eligible for assisted reproductive services under the new legislation.
Impact on Family Law
The draft bill also introduces changes to Ethiopia’s family law concerning children born through assisted reproductive services. It specifies that legal parenthood will be granted to married couples who use these services, and provisions related to paternity and maternity will not apply to children born via sperm donation.
This shift in legal framework reflects a growing recognition of the need to adapt existing laws to accommodate advances in reproductive technology, making Ethiopia one of the few African nations considering legalizing sperm donation.