Parenthood Without Barriers: A Policy Framework for Inclusive IVF Systems, Disability and Reproductive Rights

This publication presents a comprehensive and structured approach to inclusive reproductive healthcare, focusing on the intersection of in vitro fertilization (IVF), disability, pregnancy loss and the right to parenthood. Developed as both an analytical and operational work, it examines the structural barriers embedded within contemporary reproductive systems, including legal frameworks, financial models, institutional practices and social narratives that shape access to care. The central contribution of this work is the Mihaljević Inclusive IVF Framework — a system architecture that integrates: inclusive clinical pathways supported decision-making and consent models accessibility standards and certification systems integrated counselling structures financial access and equity mechanisms cross-border reproductive care coordination digital support platforms The framework is designed for implementation at institutional, national and international levels, transforming reproductive care from fragmented and inconsistent services into structured, coordinated and accountable systems. Grounded in European policy frameworks and aligned with international human rights standards, this work provides a foundation for policy development, healthcare system reform and cross-border cooperation. Parenthood without barriers is not a theoretical concept. It is a system that can be built.