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Adejumo OA, Adejumo OA, Ojo OE, Edeki IR, Ojo OA, Madubuko RC. Assessment of Knowledge of Legal Provisions on Organ Donation and Transplantation amongst Healthcare Workers in Nigeria: A Cross-sectional Study. Niger Postgrad Med J 2024; 31:156-162. [PMID: 38826019 DOI: 10.4103/npmj.npmj_29_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 04/09/2024] [Indexed: 06/04/2024]
Abstract
BACKGROUND Advancements in the medical field have made organ transplantation an attractive treatment option for patients when indicated. Shortage of organs and commodification of organs are major challenges encountered in organ donation and transplantation. These could potentially breed unethical practices, if the process is not well regulated. AIM The aim of this study was to assess the knowledge of healthcare workers (HCWs) on the legal provisions regulating organ donation and transplantation in Nigeria. METHODOLOGY This cross-sectional study was conducted amongst physicians and nurses across Nigeria. Knowledge of legal provisions on organ donation and transplantation was assessed using a validated questionnaire that had 21 questions derived from the National Health Act. Each correctly answered question was given 1 point with a total obtainable score of 21 points. A score of ≥14 points was classified as good knowledge. P <0.05 was considered significant. RESULTS A total of 836 physicians and nurses with a mean age of 37.61 ± 9.78 years participated in the study. Females and physicians constituted 53.3% and 62.9% of the respondents, respectively. The mean knowledge score of the respondents was 9.70 ± 2.91 points. Eighty-three (9.9%) respondents had a good knowledge score. There was a significantly higher proportion of male HCWs (P < 0.037) and older HCWs (P = 0.017) with good knowledge of legal provisions. On logistic regression, age was the only factor found to be associated with good knowledge of legal provision (adjusted odds ratio: 3.92; confidence interval: 1.33-11.59; P = 0.01). CONCLUSION The overall knowledge of legal provisions on organ donation and transplant was very poor amongst HCWs in Nigeria. There is a need to educate them on these provisions to curb unethical practices.
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Affiliation(s)
| | | | - Olalekan Ezekiel Ojo
- Department of Internal Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
| | - Imuetinyan Rashida Edeki
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
| | - Olubukola Ayoola Ojo
- Department of Internal Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
| | - Roli Cynthia Madubuko
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
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Shaheen MF, Bukhari R, Almutairi TM, Altheaby A, Altamimi A, Bin Saad K. Enhancing Transplant Awareness and Acceptance Through Targeting Knowledge Gaps and Common Misconceptions. Cureus 2024; 16:e52303. [PMID: 38226316 PMCID: PMC10789223 DOI: 10.7759/cureus.52303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2024] [Indexed: 01/17/2024] Open
Abstract
Introduction Organ transplantation is a critical intervention for patients with end-stage organ failure, but misconceptions and knowledge gaps often hinder organ donation. This study evaluates the acceptability and effectiveness of an organ donation campaign focusing on addressing knowledge gaps and misconceptions in Riyadh, Saudi Arabia. Methods A two-day awareness campaign was conducted in a shopping mall, featuring four stations providing information on various aspects of organ donation. Participants completed a self-administered, researcher-developed, questionnaire before and after the tour. Results Of the 201 participants, 167 completed the questionnaire (83% response rate). The majority (92.9%) reported learning new information and indicated that the knowledge improved their perspective on organ donation. A high percentage (93.5%) felt the campaign answered their questions, with 90.9% deciding to register as organ donors. Conclusion A knowledge-enhancing campaign can effectively improve public perception and promote awareness of organ donation and transplantation. However, the study is limited by its short timeframe, location, and subjective data. Future research should explore the impact of such campaigns on donor registrations and evaluate their effectiveness in different cultural contexts.
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Affiliation(s)
- Mohammed F Shaheen
- Organ Transplant Center and Hepatobiliary Sciences Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Rawan Bukhari
- College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Taif M Almutairi
- King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Abdulrahman Altheaby
- Organ Transplant Center and Hepatobiliary Sciences Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Abdulrahman Altamimi
- Organ Transplant Center and Hepatobiliary Sciences Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Khalid Bin Saad
- Organ Transplant Center and Hepatobiliary Sciences Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
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Ríos A, Balaguer-Román A, Carrillo J, López-Navas AI, Ayala-García MA, Ramírez P. Living Kidney Donation Between African Immigrants. Prog Transplant 2023; 33:360-362. [PMID: 37964550 DOI: 10.1177/15269248231212909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Affiliation(s)
- Antonio Ríos
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Transplant Unit Surgery Service, IMIB Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
| | - Andrés Balaguer-Román
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Transplant Unit Surgery Service, IMIB Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
| | - Joaquín Carrillo
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
| | - Ana Isabel López-Navas
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Department of Psychology, Universidad Católica San Antonio, Murcia, Spain
| | - Marco Antonio Ayala-García
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Surgery Department, Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
- Surgery Department, Hospital Regional General Número 58 del IMSS (Instituto Mexicano del Seguro Social), León, Guanajuato, Mexico
| | - Pablo Ramírez
- International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
- Transplant Unit Surgery Service, IMIB Pabellón Docente del Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
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Alghamdi A, Alsaleh AA, Alfozan OA, Qutob R, Alaryni A, Bukhari A, Hakami OA, Alhusaini BA, Alzmamy SA, Alhudayris FS, Alshuaibi LK, Alenazi AM, Alhosaini LS, Aljarba NK, AlShammari SH. Awareness, Attitude, and Beliefs Regarding Organ Donation Among the General Public in Saudi Arabia. Int J Gen Med 2023; 16:4973-4989. [PMID: 37928959 PMCID: PMC10625388 DOI: 10.2147/ijgm.s434589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 10/25/2023] [Indexed: 11/07/2023] Open
Abstract
Background Organ donation is a lifesaving option to rescue many patients with end-stage organ failure from possible morbidities and mortalities. Unfortunately, due to a shortage of donors, many patients suffering from their illnesses are waiting for an organ. This study aimed to determine the awareness, attitude, and beliefs toward organ donation among the Saudi population. Patients and Methods This is an online cross-sectional survey that was conducted in Saudi Arabia between July and September 2022. A self-administered questionnaire was distributed to the general public using an online platform. The questionnaire consists of two sections: the first is about demographic data, and the second is about questions to assess awareness, attitude, and beliefs regarding organ donation. The Chi-squared test was used to examine the differences in participants' awareness, attitude, and beliefs towards organ donation. A binary logistic regression analysis was used to identify predictors of a positive attitude towards organ donation. Results A total of 3507 individuals participated in this study. Around 68.1% were aged between 18 and 30 years. Twenty-four percent of them knew of the legislative body for organ donation; 58.5% believed that organ donation should be promoted; and 66.1% had a positive attitude toward donating body organs. Younger age (31-50 years), male gender, being unemployed or working in a government job, and being married were factors that decreased the likelihood of having a positive attitude towards organ donation. Conclusion Although there was a positive attitude and belief about organ donation, awareness was suboptimal. Younger age, male gender, being unemployed or working in a government job, and being married were factors that decreased the likelihood of having a positive attitude towards organ donation. It is necessary to address the gaps in knowledge, and social media as well as mass media may have an important role in bridging the gaps.
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Affiliation(s)
- Abdullah Alghamdi
- Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | | | | | - Rayan Qutob
- Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Abdullah Alaryni
- Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Abdullah Bukhari
- Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Osamah A Hakami
- Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | | | - Saad Abdullah Alzmamy
- Faculty of medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | | | - Lama Khalid Alshuaibi
- Faculty of medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Ahad Marei Alenazi
- Faculty of medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Lama Shaya Alhosaini
- Faculty of medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | - Najd Khalid Aljarba
- Faculty of medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Saxena D, Trivedi P, Bhavsar P, Memon F, Thaker A, Chaudhary C, Yasobant S, Singhal D, Zodpey S. Challenges and Motivators to Organ Donation: A Qualitative Exploratory Study in Gujarat, India. Int J Gen Med 2023; 16:151-159. [PMID: 36687162 PMCID: PMC9846580 DOI: 10.2147/ijgm.s393240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 12/23/2022] [Indexed: 01/13/2023] Open
Abstract
Purpose Despite the global efforts to improve organ donation, there is a demand-supply gap for organs in India. The only solution to meet this disparity is to improve deceased donor transplants in the country through victims of road accidents. The government has instituted several initiatives to achieve this goal. However, challenges and barriers continue to affect the organ donation process. The present study aims to document the motivating factors and obstacles in the decision of families to donate organs in Ahmedabad, Gujarat and their suggestions to improve the processes involved in organ donation. Patients and Methods A qualitative exploratory study (in-depth interview) of ten relatives of deceased organ donors was conducted from Oct 2021 to Feb 2022. Interviews were audio recorded, and detailed notes were taken during the interview. Thematic analysis was done using ATLAS.ti version 8 software. Results The significant motivators identified were family members' belief or conviction that it would help save the lives of others; a sense of moral obligation to do so as bodies of brain-dead persons can contribute to this noble goal, no use of the body after death, an extension of life, and being a role model for others. The challenges were mistrusting the organ donation process, fear of being responsible for any mishappening, and feeling of shock. The suggestions to improve organ donation included awareness creation, simplifying the legal process for accidental deaths, providing benefits to the donor family, and a system for identifying potential donors and their counselling. Conclusion The present study reflects the need for a more comprehensive awareness campaign to generate awareness and remove the misconception about organ donation in India. The findings of the study can be helpful for policymakers to amend the current organ donation process in India and improve the disequilibrium of demand and supply of deceased donations in India.
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Affiliation(s)
- Deepak Saxena
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India,School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, India,Correspondence: Deepak Saxena, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat, 382042, India, Email
| | - Poonam Trivedi
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
| | - Priya Bhavsar
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
| | - Farjana Memon
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
| | - Abhi Thaker
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
| | - Chintan Chaudhary
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
| | - Sandul Yasobant
- Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India,School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, India
| | - Deepika Singhal
- Department of Ophthalmology, Gujarat Medical Education & Research Society, Ahmedabad, India
| | - Sanjay Zodpey
- Public Health Foundation of India (PHFI), Gurgaon, India
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Wiśniewska K, Girzelska J, Brodowicz-Król M, Chrzanowska U, Kulbaka E, Sierzantowicz R. Attitudes Toward Organ Transplantation. Transplant Proc 2023; 55:1-6. [PMID: 36690503 DOI: 10.1016/j.transproceed.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 11/16/2022] [Accepted: 12/07/2022] [Indexed: 01/23/2023]
Abstract
BACKGROUND The purpose of transplantation is to improve the health or save the life of the recipient. Although organ transplantation is a method generally accepted by society, there are still people who, referring to moral and ethical aspects, reject its validity. A great threat to transplantology is also the lack of knowledge of the society resulting from insufficient education. AIM The aim of this study was to find out attitudes and opinions about organ transplantation and to determine the level of acceptance of organ and tissue transplantation. METHODS The tool chosen for the study was a survey questionnaire. The research group consisted of 200 people. Approval from the Bioethics Committee was obtained to conduct the study. RESULTS The studies showed that more than half of the respondents (57%) would agree to organ donation for transplantation after the death of a loved one. Age was found to be statistically significant (P = .001). Older people showed more doubts about transplantation than people under 30. Over 80% of respondents agreed that initiatives to educate the public about transplantation are needed. CONCLUSIONS The respondents refer to transplantation positively as a method of treating and saving life, and more than half of respondents would agree to donate their organs for transplant after the death of a loved one. The majority of respondents described their attitude toward transplantation as positive, admitting that the objection to donating is due to the ignorance and too little awareness on the subject.
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Affiliation(s)
- Katarzyna Wiśniewska
- Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland
| | - Joanna Girzelska
- Faculty of Health Sciences, Lublin Academy of WSEI, Lublin, Poland.
| | | | - Urszula Chrzanowska
- Department of Pediatrics, Gastroenterology, Hepatology, Nutrition, Allergology and Pulmonology, Medical University of Białystok, Białystok, Poland
| | - Ewa Kulbaka
- Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland
| | - Renata Sierzantowicz
- Department of Surgical Nursing, Medical University of Białystok, Białystok, Poland
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Fan X, Li M, Rolker H, Li Y, Du J, Wang D, Li E. Knowledge, attitudes and willingness to organ donation among the general public: a cross-sectional survey in China. BMC Public Health 2022; 22:918. [PMID: 35534843 PMCID: PMC9082919 DOI: 10.1186/s12889-022-13173-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 02/28/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study is to assess the level of knowledge, attitudes, and willingness to organ donation among the general public in China. METHODS The study population consisted of 4274 participants from Eastern, Central and Western China. The participants' knowledge, attitudes and willingness to organ donation were collected by a self-designed questionnaire consisting of 30 items. Knowledge is measured by 10 items and presented as a 10 point score, attitudes is measured by 20 items using a 5-step Likert scale and total score ranged between 0 and 80; while the willingness to donate is assessed as binary variable (0 = No; 1 = Yes). A logistic regression model was used to assess the association of knowledge and attitudes with willingness to organ donation, controlling for demographic and socioeconomic confounders. RESULTS The questionnaire response rate was 94.98%. The mean score (± SD) of the general public's knowledge to organ donation was 6.84 ± 1.76, and the mean score (± SD) of attitudes to organ donation was 47.01 ± 9.07. The general public's knowledge and attitudes were the highest in Eastern China, followed by West and Central China. The logistic regression model indicated a positive association between knowledge and the willingness to organ donation (OR = 1.12, 95%CI: 1.08, 1.17; P < 0.001); attitudes were also positively potential determinant of more willingness to organ donation (OR = 1.08, 95%CI: 1.07, 1.09; P < 0.001). CONCLUSIONS Knowledge and attitudes were found to be positively associated with the Chinese general public's willingness to organ donation. Knowledge about the concept of brain death and the transplant procedure may help raise the rate of willingness to organ donation.
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Affiliation(s)
- Xiaojing Fan
- School of Public Policy and Administration, Xi'an Jiaotong University, No. 28 Xianning West Road, Xi'an, 710049, Shaanxi, China
| | - Meng Li
- School of Marxism, Zhejiang Chinese Medical University, No. 548 Binwen Road, Binjiang District, Hangzhou, 310053, Zhejiang, China
| | - Heike Rolker
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| | - Yingying Li
- Centre of Health and Bioethics Research, Wenzhou Medical University, Wenzhou Chashan Higher Education Park, Wenzhou, 325035, Zhegjiang, China
| | - Jiaoyang Du
- Department of Epidemiology and Health Statistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta West Road,, Xi'an, Shaanxi, 710061, PR China
| | - Duolao Wang
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK
| | - Enchang Li
- Centre of Health and Bioethics Research, Wenzhou Medical University, Wenzhou Chashan Higher Education Park, Wenzhou, 325035, Zhegjiang, China.
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Pourhosein E, Bagherpour F, Latifi M, Pourhosein M, Pourmand G, Namdari F, Pourmand N, Ghaffari P, Dehghani S. The influence of socioeconomic factors on deceased organ donation in Iran. KOREAN JOURNAL OF TRANSPLANTATION 2022; 36:54-60. [PMID: 35769431 PMCID: PMC9235528 DOI: 10.4285/kjt.21.0034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/26/2022] [Accepted: 03/03/2022] [Indexed: 11/08/2022] Open
Abstract
Background There is a large gap between the number of patients on organ waiting lists and the number of available organs for donation. This study investigated the socioeconomic factors in Iran that influenced decisions for organ donation among the families of brain-dead donors. Methods This retrospective cross-sectional study was performed among the families of 333 organ donors in Iran. Two trained researchers interviewed family members about the donor’s age, sex, cause of brain death, education level, marital status, number of children, history of addiction, the financial status of the donor’s family, and reasons for which they considered refusing organ donation. Results The mean age of the donors was 37.23±16.59 years. During 2017–2019, significant differences were found according to income (P<0.001), marital status (P<0.001), sex (P=0.04), and occupation (P=0.04). More than half of the organ donors were of low socioeconomic status, and nearly half were the sole income earners of large families. Trauma was the most common cause of death (44.6%). The most common reasons for which the families considered refusing organ donation were unfamiliarity with the concept of brain death, denial, and the expectation of a miracle. Conclusions The donor’s socioeconomic status and availability of social services, such as insurance coverage, psychological services, and mourning therapy courses, play an important role in organ donation. Adequate support for the deceased’s family after organ donation is imperative.
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Affiliation(s)
- Elahe Pourhosein
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Farzaneh Bagherpour
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Marzieh Latifi
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Pourhosein
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Farshad Namdari
- Department of Urology, AJA University of Medical Sciences, Tehran, Iran
| | - Naghmeh Pourmand
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Parisa Ghaffari
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Sanaz Dehghani
- Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Bunori H, Izudi J, Alege JB, Bajunirwe F. Willingness of caregivers to donate a kidney to a patient with end-stage renal disease: Findings from four dialysis providing health facilities in Uganda. PLOS GLOBAL PUBLIC HEALTH 2022; 2:e0000287. [PMID: 36962211 PMCID: PMC10021730 DOI: 10.1371/journal.pgph.0000287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 02/23/2022] [Indexed: 11/19/2022]
Abstract
Most patients with end-stage renal disease (ESRD) benefit from a kidney transplant but there is limited information from developing countries like Uganda about the willingness of caregivers for patients with end-stage kidney disease to donate a kidney. In this cross-sectional study, we examined the magnitude and factors associated with the willingness of caregivers to donate a kidney to their patient with ESRD in Kampala, Uganda. The study was conducted at four health facilities that provide kidney dialysis in Kampala, Uganda. We used a structured questionnaire to interview caregivers for patients with ESRD. Caregivers who reported they would consider donating a kidney to a patient with ESRD were considered willing and the rest as unwilling. We summarized data using descriptive statistics and used an adjusted prevalence risk ratio (aPRR) from a generalized linear model to establish factors independently associated with willingness to donate.We enrolled 125 participants with a mean age of 32.3±9.8 years and found 68 (54.4%) participants were willing to donate a kidney for transplant. Willingness to donate a kidney was more likely among older caregivers namely those aged 25-34 years (aPRR, 1.15; 95% CI, 1.01-1.31) and ≥35 years (aPRR 1.16; 95% CI, 1.05-1.29) compared to those aged 18-24 years, females compared to males (aPRR, 1.30; 95% CI, 1.19-1.42), those with a positive attitude towards organ donation (aPRR, 1.24; 95% CI, 1.13-1.36), and when organ kidney donation was permissible by the participant's religious faith (aPRR, 1.11; 95% CI, 1.01-1.22). Conversely, willingness to donate a kidney was less likely when the family did not approve of kidney donation (aPRR, 0.80; 95% CI, 0.71-0.90). We concluded that more than half of caregivers to patients with ESRD are willing to donate a kidney for transplant. To improve the willingness of caregivers to patients with ESRD in donating a kidney, the social, religious, and personal barriers to kidney donation may need to be addressed.
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Affiliation(s)
- Hope Bunori
- Institute of Public Health and Management, Clarke International University, Kampala, Uganda
| | - Jonathan Izudi
- Institute of Public Health and Management, Clarke International University, Kampala, Uganda
- Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - John Bosco Alege
- Institute of Public Health and Management, Clarke International University, Kampala, Uganda
| | - Francis Bajunirwe
- Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda
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Herbertson EC, Lahiri CD, Nwogu JN, Soremekun RO, Olugbake OA, Ezechi OC, Akanmu AS, Gandhi M. High Acceptability of Donating Hair and Other Biological Samples for Research Among People Living with HIV in an Outpatient Clinic in Lagos, Nigeria. AIDS Res Hum Retroviruses 2021; 37:676-682. [PMID: 33687274 PMCID: PMC8501468 DOI: 10.1089/aid.2020.0214] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Willingness to donate hair samples is a rate-limiting step for assaying antiretroviral (ARV) concentrations in hair, an emerging technique for HIV prevention and treatment monitoring. We surveyed ethnically diverse Nigerians to determine their willingness to donate hair for biomedical research. A cross-sectional survey of people living with HIV on ARV therapy (ART) was conducted at the HIV clinic of Nigerian Institute of Medical Research, using systematic sampling. The researcher-administered questionnaire was designed to capture sociodemographic data, length of time on ART, and willingness to donate hair. Univariate analysis was performed on sociodemographic characteristics, and independent-samples t-test and chi-square tests were used for bivariate analysis. Multivariable logistic regression analysis was performed to assess factors associated with willingness to donate hair samples, with a significance level of 0.05. Of the 398 participants enrolled in the study, 258 (64.8%) were female, the average age was 40 years (±9.8), and the average time spent on ART was 7.3 years (±4.2). More than half (64.8%) of the respondents were willing to donate hair samples for biomedical research and they were 1.5 times more likely to donate hair than blood. For one-third of the participants, the anticipated benefit from the eventual research findings was the primary motivation to donate hair samples. Fear of use of hair for rituals was the most common stated reason for unwillingness to donate hair samples (21.2%). In an ethnically diverse, urban-based Nigerian study population, nearly two-thirds of the participants were willing to donate hair samples for biomedical research. These findings support the feasibility of hair sampling for future HIV clinical research conducted within Nigeria.
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Affiliation(s)
- Ebiere C. Herbertson
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
- Emory-Nigeria HIV Research Training Program, Lagos, Nigeria
- Department of Clinical Pharmacy and Biopharmacy, University of Lagos, Lagos, Nigeria
| | - Cecile D. Lahiri
- Emory-Nigeria HIV Research Training Program, Lagos, Nigeria
- Division of Infectious Diseases, Department of Medicine, Emory University, Atlanta, Georgia, USA
| | - Jacinta N. Nwogu
- Department of Pharmaceutical Chemistry, University of Ibadan, Ibadan, Nigeria
| | - Rebecca O. Soremekun
- Department of Clinical Pharmacy and Biopharmacy, University of Lagos, Lagos, Nigeria
| | - Olubusola A. Olugbake
- Department of Clinical Pharmacy and Biopharmacy, University of Lagos, Lagos, Nigeria
| | - Oliver C. Ezechi
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
- Emory-Nigeria HIV Research Training Program, Lagos, Nigeria
| | | | - Monica Gandhi
- Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA
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Knowledge and Willingness to Donate Kidneys for Transplantation in Ghana: A Cross-Sectional Survey. Transplant Proc 2020; 52:2883-2889. [DOI: 10.1016/j.transproceed.2020.02.165] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Accepted: 02/23/2020] [Indexed: 12/11/2022]
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Al-Abbasi G, Al-Jasim A. Attitudes and perceptions among Iraqi young adults towards organs donation and transplantation: A call for action. J Public Health Res 2020; 9:1857. [PMID: 33409243 PMCID: PMC7772556 DOI: 10.4081/jphr.2020.1857] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 11/12/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Organs transplantation is the only treatment for end-stage organ failure. However, the disparity between organs availability and the number of patients in the waiting lists is widening globally, especially in Iraq for many reasons. This study aims to assess the level of attitudes and perceptions among Iraqi young adults towards organs donation and transplantation as the first study to be conducted in Iraq for such purpose. Methods: This observational study was conducted among 912 Iraqi young adults through a structured questionnaire which was disseminated among social media platforms. Participants consented before filling the questionnaire and their responses were analyzed to test the hypothesis of the study. Results: Most of the participants were females, Muslims and in their undergraduate level. Overall, 84.2% of the participants were willing to donate their organs after death and (97.9%) of them actually agreed to sign for organs donation. Most of those who were not willing to donate have no idea whether their religion approves it or not. There was no statistically significant difference in willingness to donate between different socioeconomic classes or residency areas. Conclusions: Most of the participants are convinced with donating their organs after death and are willing to sign for organ donation programs, advocating for initiating an official governmental transplant agency with multiple local committees distributed among health directorates all over the country managing it. The hesitancy to donate organs was attributed mostly to religious and associated with lack of knowledge issues, thus education might be the key to positive attitudes. Significance for public health Organs donation and transplantations are crucial for end stage organ failure patients. Assessing the attitudes and perceptions of the population especially of young adults will help to create a throughout vision on the future of this socially conflicting issue. These attitudes will reflect back to affect the population as a whole. Putting these findings out as the first study ever conducted in Iraq on such topic will definitely help the policy makers to observe the need for an action by providing yet another scientific and accurate justification to work actively on the project of organs donation for the sake of general Iraqi people.
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Knowledge of Brain Death Among the Nigerian Residents in Spain. Transplant Proc 2019; 51:277-279. [DOI: 10.1016/j.transproceed.2018.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/28/2022]
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Tondinelli M, Galdino MJQ, de Carvalho MDB, Dessunti EM, Pissinati PC, Barreto MFC, Gois RSS, Haddad MFL. Organ and Tissue Donations for Transplants in the Macroregional North of Paraná, Brazil. Transplant Proc 2018; 50:3095-3099. [PMID: 30577172 DOI: 10.1016/j.transproceed.2018.08.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 08/24/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Few studies have analyzed the results of the organ and tissue donation process for transplants. OBJECTIVES To analyze donations of organs and tissues for transplants in the Macroregional North of Paraná. MATERIAL AND METHODS Cross-sectional and retrospective study, using data from 7383 death certificates of eligible donors notified in 2015 by 16 hospitals accredited to the Organ Procurement Organization. The data were analyzed using the prevalence ratio (PR) and the Wald test. RESULTS Among the 934 eligible donors, the prevalence of effective donations was 23.4% (219) Among the 582 organs and tissues donated, corneas were predominant. Organs became available for donation from younger individuals (PR = 0.992), due to brain death (PR = 2.482), notified by the type III Intra-Hospital Organ and Tissue Donation Commissions for Transplants (PR = 2.016), which took place in intensive care units (PR = 1.471). The relatives interviewed were the partners and/or children (PR = 0.469), and the interviews were held by the nurse (PR = 1.324). CONCLUSION Effective donations were able to take place through proper organizational structure and trained human resources, highlighting the role of the nurse in the optimization of the organ and tissue donation process for transplants.
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Affiliation(s)
- M Tondinelli
- Intra-Hospital Organ and Tissue Donation Commission for Transplants, Santa Casa de Misericórdia de Cornélio Procópio, Paraná, Brazil; Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil
| | - M J Q Galdino
- Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil; Universidade Estadual de Maringá, Paraná, Brazil; Nursing Department, Universidade Estadual do Norte do Paraná, Bandeirantes, Paraná, Brazil
| | - M D B de Carvalho
- Department of Medicine, Universidade Estadual de Maringá, Paraná, Brazil
| | - E M Dessunti
- Nursing Department, Universidade Estadual de Londrina, Paraná, Brazil
| | - P C Pissinati
- Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil; Universidade Estadual de Maringá, Paraná, Brazil
| | - M F C Barreto
- Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil; Universidade Estadual de Londrina, Paraná, Brazil.
| | - R S S Gois
- Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil; Organ Procurement Organization, State of Paraná Health Department, Brazil
| | - M F L Haddad
- Teaching and Research Group in Nursing Service Management, Universidade Estadual de Londrina, Paraná, Brazil; Nursing Department, Universidade Estadual de Londrina, Paraná, Brazil
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Agwu NP, Awosan KJ, Ukwuani SI, Oyibo EU, Makusidi MA, Ajala RA. Awareness and attitude to deceased kidney donation among health-care workers in Sokoto, Nigeria. Ann Afr Med 2018. [PMID: 29536961 PMCID: PMC5875123 DOI: 10.4103/aam.aam_52_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background: Access to renal replacement therapy by the increasing population of patients with end-stage kidney disease across Sub-Saharan Africa, including Nigeria, has become a major public health challenge. Although deceased kidney donation constitutes a viable source, its uptake by patients is contingent on its acceptance by health-care workers. Objectives: The aim of this study is to assess the awareness and attitude to deceased kidney donation among health-care workers in Sokoto, Nigeria. Materials and Methods: A cross-sectional study was conducted among 470 staff of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria (attending a 1-week seminar), selected by universal sampling. Data were collected with a set of pretested, self-administered, and semi-structured questionnaire. Results: The mean age of the respondents was 34.1 ± 7.8 years, and most of them (77.7%) were aged <40 years. Majority of respondents were males (60.6%), married (76.5%), and Moslems (73.5%). While almost all the respondents (98.1%) were aware of deceased kidney donation, only about half (51.9%) were willing to accept deceased kidney donation. Furthermore, 43.4% were willing to give consent to donate deceased relative's kidney, and 26.1% were willing to carry an organ donation card. Predictors of willingness to accept deceased kidney donation were male sex, being a medical doctor or laboratory scientist and being a Moslem (Odds ratio >2, P < 0.05). The major disincentives reported were fear that it may not work (42%) and fear of disease transmission (37.0%). Conclusion: Periodic education of health-care workers on effectiveness and safety of deceased kidney donation is crucial to promoting its acceptance among them.
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Affiliation(s)
| | | | | | - Emmanuel Ugbede Oyibo
- Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
| | | | - Rotimi Abiodun Ajala
- Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
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Makhlouf NA, Abdel-Monem SA, Farghaly AM, Helmy A. Attitude of Upper Egypt Health-Care Professionals Toward Living Liver Donation and Transplantation. Prog Transplant 2018; 28:256-262. [PMID: 29916297 DOI: 10.1177/1526924818781565] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND In Egypt, there is no legislation for deceased donor transplant; therefore, programs provide living donation only. One possible barrier against living liver donation may be the attitude of the health-care professional. This study aimed to (1) assess the level of knowledge and attitude toward liver donation and transplantation among health-care professional in an University Hospital in Upper Egypt and (2) analyze the variables that affect such an attitude. MATERIALS AND METHODS This was a cross-sectional survey study with 300 health-care professionals. RESULTS The mean (standard deviation) age was 27.4 (5.3) years. Two hundred (66.7%) were females, and 257 (85.7%) were Muslims. A total of 222 (74%) were residents in University Hospitals. Of the sample, 104 (34.7%) would donate a living liver part, 122 (40.7%) discussed the matter of organ donation and transplantation with their family, and 134 (44.7%) did not discuss this issue with their family. About 40% knew the attitude of their religion toward organ donation. Most (94.7%) health professionals were <40 years and did not know the attitude of their religion toward this issue. Single persons had more correct information regarding living organ donation and transplantation. More Muslims know the attitude of their religion toward living organ donation and transplantation. CONCLUSIONS Independent predictors of accepting living liver donation are being younger, knowledge of religion attitude, and media coverage satisfaction ( P = 0.006, odd ratio [OR] = 0.2; P = 0.000, OR = 0.39; and P = 0.016; OR = 0.38).
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Affiliation(s)
- Nahed A Makhlouf
- 1 Faculty of Medicine, Department of Tropical Medicine and Gastroenterology, Assiut University, Assiut, Egypt
| | - Shaimaa Arafat Abdel-Monem
- 1 Faculty of Medicine, Department of Tropical Medicine and Gastroenterology, Assiut University, Assiut, Egypt.,2 Faculty of Medicine, South Valley University, Qena, Egypt
| | - Ahlam Mohamed Farghaly
- 1 Faculty of Medicine, Department of Tropical Medicine and Gastroenterology, Assiut University, Assiut, Egypt
| | - Ahmed Helmy
- 1 Faculty of Medicine, Department of Tropical Medicine and Gastroenterology, Assiut University, Assiut, Egypt.,3 Department of Internal Medicine, College of Medicine, Aljouf University, Aljouf, Saudi Arabia
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Update on Causes of Family Refusal for Organ Donation and the Related Factors: Reporting the Changes Over 6 Years. Transplant Proc 2018; 50:10-13. [DOI: 10.1016/j.transproceed.2017.11.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Accepted: 11/12/2017] [Indexed: 11/21/2022]
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Sadic S, Sadic J, Krupic R, Fatahi N, Krupic F. THE INFLUENCE OF INFORMATION AND RELIGION ON ORGAN DONATION, AS SEEN BY SCHOOL TEACHERS IN BOSNIA AND HERZEGOVINA. Mater Sociomed 2016; 28:373-377. [PMID: 27999488 PMCID: PMC5149443 DOI: 10.5455/msm.2016.28.373-377] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Accepted: 10/05/2016] [Indexed: 12/21/2022] Open
Abstract
Introduction: Transplantation of organs is the treatment of choice for severe organ failure worldwide. Aim: The aims of the present study were to determine the influence of religion on attitudes towards organ donation among staff at schools in Tuzla. Material and Methods: In the Tuzla region there are 42 schools and 1580 school staff. A total of 21 schools were selected randomly, which were stratified by geographical location. 499 employees were invited to participate in the study, and 475 agreed to participate. According to the definition of their attitude towards religion the subjects were divided into three groups: non-religious, only religious and practical believers. Results: None of the subjects possesses a donor card. To the question whether the subjects support the idea of organ transplantation, most replied that they support the idea of donating organs both during life and after death. Regarding this question there is a significant difference between the groups (p = 0.0063). To the question whether they are prepared to donate an organ of a deceased family member, most replied that they would consent to donating an organ, whilst a significant number also replied that they were not sure. The results show that there is no significant difference between the replies given by the groups (p = 0.7694). To the question regarding to whom they were prepared to donate an organ, most said they were prepared to donate one to a member of their family, then to a close relative, whilst the least would donate to a stranger. The results show that there is a significant difference between the groups (p = 0.0002). Conclusion: In order to reduce the wide disparity between the need and organ donation amongst other things a more active relationship is necessary between health workers, religious officials and school staff.
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Affiliation(s)
- Sahmir Sadic
- Orthopaedic and Traumatology Clinic, University Clinical Centre Tuzla, Bosnia and Herzegovina
| | - Jasna Sadic
- Public health and educational institutions Health Centre Tuzla, Bosnia and Herzegovina
| | - Rasim Krupic
- Department of Health Statistics, Sarajevo, Bosnia and Herzegovina
| | - Nabi Fatahi
- Institute of Health and Caring Sciences, University of Gothenburg, Gothenburg, Sweden
| | - Ferid Krupic
- Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Adejumo OA, Solarin AU, Abiodun MT, Akinbodewa AA. Knowledge of Kidney Donation Among Care Givers in Two Tertiary Hospitals in Southwest Nigeria. Artif Organs 2016; 41:446-451. [PMID: 27654132 DOI: 10.1111/aor.12769] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Revised: 03/20/2016] [Accepted: 04/22/2016] [Indexed: 11/30/2022]
Abstract
One of the major challenges of kidney transplantation is shortage of kidney donors. Care givers (CGs) are potential kidney donors, but the majority of them are unwilling to donate due to inadequate knowledge on kidney donation. This study evaluated the knowledge of kidney donation and its determinants among CGs in two tertiary hospitals in Southwest Nigeria. This was a cross-sectional study that was carried out in the Kidney Care Centre (KCC), Ondo and Babcock University Teaching Hospital (BUTH), Ilishan-Remo using a self-administered pretested questionnaire that assessed knowledge of kidney donation and its determinants. Pvalue of <0.05 was taken as significant. A total of 244 respondents participated in the study. The majority were below 40 years, married, and female. The proportion of respondents with adequate knowledge of kidney donation was 63.4%. More respondents from BUTH compared to KCC had adequate knowledge of kidney donation (80% vs. 46.7%, P ≤ 0.001). Similarly, the mean knowledge score was higher in respondents from BUTH (P ≤ 0.001). Factors that determined knowledge of kidney donation were female gender (AOR: 3.43, 95% CI: 1.25-9.40, P = 0.02) and social class (AOR: 1.22, 95% CI: 0.50-2.95, P ≤ 0.001). There was positive correlation between knowledge of kidney donation among the respondents from both hospitals and their willingness to donate kidneys (r = 0.439, P ≤ 0.001). Knowledge of kidney donation was better among BUTH's respondents. Gender and social class were predictors of knowledge of kidney donation. Improving knowledge of kidney donation may improve willingness to donate among the public.
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Affiliation(s)
- Oluseyi A Adejumo
- Department of Internal Medicine, Kidney Care Centre, Kidney Care Centre, University of Medical Sciences Ondo, Ondo State
| | - Adaobi U Solarin
- Department of Paediatrics, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State
| | - Moses T Abiodun
- Department of Child Health, University of Benin Teaching Hospital, Benin, Benin City, Edo State, Nigeria
| | - Ayodeji A Akinbodewa
- Department of Internal Medicine, Kidney Care Centre, Kidney Care Centre, University of Medical Sciences Ondo, Ondo State
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