1. Discourses of donation
1.1. Do right by religion
1.1.1. Hallal versus Haram
1.2. Third-party donations/adoptions, against sacred dyad
1.2.1. Great sin-zina
1.2.1.1. Against nature
1.2.1.1.1. Illegal child
1.2.2. no connection
1.2.2.1. Biological=strong relationship
1.3. Mixing relations
1.3.1. potential insects
1.3.1.1. lineage/relations
2. Contemplating Immoralities
2.1. Sperm banks creates risk
2.1.1. mixing sperms
2.1.1.1. haram, against religion
2.1.2. uncertainty of child or mistakes
2.1.2.1. Cause of disapproval
2.2. Doctors responsibility
2.2.1. He too must fear God
2.2.1.1. In fear of not following morals=punishments
3. Private Providers and the NRT "Epidemic"
3.1. Mechanism for regulating assisted reproduction
3.1.1. physical and financial damages
3.2. increased privatization
3.2.1. hurting the poor
3.2.2. poor quality of service-over promotion of technology interventions-lack of formal regulation
3.3. Medical paternalism
4. Private IVF Provider of Egypt
4.1. Best known centerMaadi IVF-ET Center
4.1.1. Space constrains
4.2. Nile Badrawi
4.2.1. higher prices
4.2.1.1. urban-rural maldistribution
4.2.1.1.1. One-way street
4.2.2. Dr. Zaki
4.2.2.1. high gratitude, comfort and support
4.3. IVF Cario
4.3.1. Dr. Yehia
4.3.1.1. originally an actor, word famous for honesty
5. Quality of Care: Patients Perspectives
5.1. Involvement in full range patient as person
5.1.1. sympathetic, caring, interpersonal
5.1.2. relationship and approach
5.2. Trust and confidence in IVF
5.2.1. Some focus on money
5.2.2. if not religious are judged
5.2.3. iatrogenic, unethical treatments
5.2.3.1. Dr. X
5.3. Lack of time is an issue
5.3.1. Patient centered approach is lacking
5.3.2. no longer denotes physican competence and authority
6. Reproductive Medicine and Religious Morality
6.1. Religion force- fundamental arena of practices/use of technology
6.2. Moral ramification, Good vs Bad
6.3. Affects choices-restricts social life-ethnoethics
6.3.1. Both doctors and patients
7. Fatwas and Offical Islam
7.1. Regulate everyday activities
7.1.1. Role in in disseminating viewpoints on technologies
7.2. Governemntally mandated
7.2.1. Different from other nations that, allow sperm donations- what is acceptable in assisted conception are clearly more permissive than the fatwas in the Muslim countries
7.3. Religiously inspired guidelines
7.3.1. Prohibit third-party donations/surrogacy
8. Unofficial Discourses of Island and IVF
8.1. Islam fundamentalist movement-example: Women clothing
8.2. Allah=God allows success
8.2.1. God first doctors second
8.3. Fatwas =approval
9. Quality of Care: Physicans' Perspective
9.1. Poorly distributed-major centers loosing patients
9.1.1. short supply
9.2. Neocolonialism
9.2.1. extortion to Egypt by West technologies
9.2.1.1. Profit for West, expensive for Egypt= lack of crucial technology
9.2.2. Relying on outside consultants
9.2.3. Infrastructure problems
9.2.3.1. Water supply, power outages, qualified lab personal