Determinants of Willingness to Donate Kidneys Among Relatives of Haemodialysis Patients in Gaborone, Botswana
DOI:
https://doi.org/10.70619/vol6iss4pp42-52777Keywords:
Willingness to Donate Kidney, Personal health status, history of chronic illnesses, history of organ donation, perceived compatibility with the patient, Haemodialysis PatientsAbstract
Willingness to donate kidneys among relatives of hemodialysis patients is a critical issue, particularly in low-resource settings like Gaborone, Botswana, where kidney disease is a growing public health concern. This study aimed to examine the willingness of relatives of hemodialysis patients to donate kidneys and to identify health status factors that influence this willingness. A descriptive cross-sectional approach was adopted, using a standardized questionnaire to collect information from 131 family members of patients undergoing hemodialysis at selected health institutions in Gaborone. Both descriptive and inferential statistical techniques were applied to detect trends and associations among the study variables. The study revealed that 67.2% of relatives of hemodialysis patients in Gaborone expressed willingness to donate a kidney, while 32.8% were unwilling. Logistic regression showed that willingness to donate kidneys was significantly associated with perceived medical compatibility (AOR = 3.63). This study emphasizes the important influence of prior family experience with organ donation or transplantation on individuals’ willingness to donate kidneys. Public health strategies should leverage the influence of prior familial experiences with organ donation to enhance willingness to donate kidneys. Educational programs and counseling sessions can incorporate personal stories and testimonials from families who have participated in donation or transplantation, helping to reduce fear, build familiarity, and motivate potential donors. Healthcare providers should offer tailored guidance that reassures potential donors about the process, risks, and outcomes, while highlighting relatable experiences that encourage positive attitudes.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Almutairi, A. F., Aljohani, N. J., Alqahtani, A. S., & Alshammari, M. H. (2021). Knowledge, attitudes, and willingness toward organ donation among family members of patients with end-stage renal disease. Transplantation Proceedings, 53(7), 2165–2171. https://doi.org/10.1016/j.transproceed.2021.03.012
Ayinde, O. O. (2019). Cultural and religious perspectives on organ donation in sub-Saharan Africa. Journal of Religion and Health, 58(6), 2341–2353. https://doi.org/10.1007/s10943-019-00857-6
Boima, V., Amissah-Arthur, M. B., Yorke, E., Dey, D., Fiagbe, D., Yawson, A. E., Nonvignon, J., & Mate-Kole, C. C. (2021). Determinants of willingness to accept kidney transplantation among chronic kidney disease patients in Ghana. BMC Nephrology, 22(1), 1–10. https://doi.org/10.1186/s12882-021-02335-9
Boima, V., Ganu, V., Yorke, E., Dey, D., Amissah-Arthur, M. B., Agyabeng, K., Yawson, A., Lartey, M., & Mate-Kole, C. C. (2020). Knowledge and willingness to donate kidneys for transplantation in Ghana: A cross-sectional survey. Transplantation Proceedings, 52(10), 2883–2889. https://doi.org/10.1016/j.transproceed.2020.02.165
Bunori, H., Izudi, J., Alege, J. B., & Bajunirwe, F. (2022). 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, 2(4), e0000287. https://doi.org/10.1371/journal.pgph.0000287
Global Observatory on Donation and Transplantation. (2024). Global organ donation and transplantation activities. International Society of Nephrology. (2023). Global Kidney Health Atlas. https://www.theisn.org
Kaur, A., & Jindal, R. M. (2022). Psychosocial determinants of living kidney donation: A global perspective. Clinical Transplantation, 36(4), e14589. https://doi.org/10.1111/ctr.14589
Kidney.org. (2020). Living donation. National Kidney Foundation. https://www.kidney.org
Mamven, M., Adejumo, O. A., Edeki, I. R., Oyedepo, D. S., Ngoka, S. C., Abdu, A., Tuko, M. T., Adeyeye, L. A., Loskurima, U., Fasaanu, A., Madu, N. C., Angbazo, D., & Ummate, I. (2025). Examining kidney donation in Nigeria: A mixed methods study of family members’ knowledge, perceptions, information needs and decision-making. BMC Nephrology, 26(1), 1–12. https://doi.org/10.1186/s12882-025-04064-9
Ministry of Health [MoH], Botswana. (2024). National renal services annual report. Gaborone, Botswana.
Mokgatle, M. M., Madiba, S., & Cele, L. (2021). Cultural beliefs and perceptions influencing organ donation decisions in Southern Africa. African Journal of Primary Health Care & Family Medicine, 13(1), e1–e8. https://doi.org/10.4102/phcfm.v13i1.2867
Mwebia, C. M., Mutiso, V. N., & Otieno, E. S. (2023). Quality of life outcomes following kidney transplantation compared to dialysis in low-resource settings. African Journal of Nephrology, 26(2), 89–97.
Nguyen, L. H., Patel, M. S., & Formica, R. N. (2023). Bridging the gap between willingness and actual living kidney donation. Kidney International Reports, 8(4), 1023–1031. https://doi.org/10.1016/j.ekir.2023.01.021
Noman, M., Khan, A., & Iqbal, F. (2022). Family experience and decision-making in living kidney donation: A qualitative study. BMC Medical Ethics, 23(1), 45. https://doi.org/10.1186/s12910-022-00763-5
Okoro, R. N., Ajayi, K. V., & Musa, A. (2021). Barriers to organ donation in sub-Saharan Africa: A systematic review. Transplantation Reviews, 35(3), 100627. https://doi.org/10.1016/j.trre.2021.100627
Okpechi, I. G., Swanepoel, C. R., Venter, F., & Rayner, B. L. (2023). Kidney transplantation in sub-Saharan Africa: Current status and future perspectives. Nature Reviews Nephrology, 19(4), 247–259. https://doi.org/10.1038/s41581-023-00655-1
Sadagah, L. F., Makeen, A., Alharthi, M., & Almalki, A. H. (2020). Willingness of hemodialysis patients’ family members toward kidney donation: A cross-sectional study. Transplantation Proceedings, 52(10), 2996–3001. https://doi.org/10.1016/j.transproceed.2020.05.017
South African Renal Registry. (2022). Annual renal registry report. South African Renal Society.Tamara, J. L., Peters, R. M., & Collins, A. J. (2024). Perceptions of medical eligibility and willingness to live kidney donate. Clinical Kidney Journal, 17(1), sfad192. https://doi.org/10.1093/ckj/sfad192.
Tesema, B., Bogale, E. K., Wasihun, Y., & Anagaw, T. F. (2023). Intention to donate a kidney and associated factors among students in Bahir Dar University: Application of theory of planned behavior. International Journal of General Medicine, 16, 5363–5376. https://doi.org/10.2147/IJGM.S441636.
World Health Organization. (2023). Global transplantation activity report. World Health Organization.
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