Knowledge, Attitude and Practice of Organ Donation among Clinical Medicine Students, Mount Kenya University, Kenya: A Cross-Sectional Study

Authors

  • Peter N. Mwaura Mount Kenya University
  • Caroline N. Kamau Mount Kenya University
  • Mudeizi Kihima Mount Kenya University
  • Moses Ngari KEMRI/Wellcome Trust Research Programme
  • Desire A. Nshimirimana Mount Kenya University
  • Jesse N. Gitaka Mount Kenya University

DOI:

https://doi.org/10.47604/jhmn.3711

Keywords:

Organ Donation, Clinical Medicine, Students, Knowledge, Attitude, Practice, Health Belief Model

Abstract

Purpose: Organ donations can save or prolong life. Clinicians play a key role in promoting organ donation and transplant; hence, their knowledge may have positive effect on organ donation. The aim of this study was to assess the knowledge, attitude and practices about organ donation among students undertaking training in Clinical Medicine and Community health at Mount Kenya University, Kenya.

Methodology: A cross-sectional descriptive survey among students undertaking an undergraduate course in Clinical Medicine at Mount Kenya University using a pre-tested questionnaire conducted between January and April 2017. The study used purposive sampling methodology of the students.

Findings: Seventy-six participants, mean (sd) age of 22 (2.1) years and thirty-nine (51%) females were recruited. Only 3 (4.0%, 95% CI 0.8 to 11%) students had ever made a donation, all of them blood donation. Although sixty-seven (88%) of the study participants had heard the term organ donation only 15 (20%) of them knew someone who had donated organ. The most common source of information about organ donation was from internet/online according to thirty-three participants (43%). Seventy-one (93%) of the participants reported that organ donation was for saving life and fifty-eight (84%) were aware that organ donation involved risk and that the most important risk was infection. Only 4% were aware of local legislation guiding organ donation and transplantation in Kenya while 53% unaware.  Forty-nine of the participants 64% agreed that they would receive organ for transplantation. Of the participants, thirty-nine (51%) considered `health status of the recipient’ as the main factor of the greatest importance when donating organ. Forty-three (57%) and forty-nine (64%) of the participants reported the donor and family member should consent for living donation and after death respectively. Thirty-one (41%) and twenty-six (34%) of the respondents think medical doctors and judges should make decisions about organ donation for unclaimed dead bodies respectively.

Unique Contribution to Theory, Practice and Policy: Clinical medicine students have significant gaps in knowledge regarding the organ donation and transplantation. There is a low rate of donation even for blood despite the awareness of the need to save lives and therefore need to increase awareness on importance and promote laws to govern organ donation. Addressing these gaps would provide valuable insights to guide education, policy, and advocacy strategies aimed at improving organ donation practices in Kenya.

Downloads

Download data is not yet available.

References

1. Ward, A., Klassen, D.K., Franz, K.M., Giwa, S. and Lewis, J.K., 2018. Social, economic, and policy implications of organ preservation advances. Current Opinion in Organ Transplantation, 23(3), pp.336-346.

2. World Health Organization, 2019. Strategy and plan of action on donation and equitable access to organ, tissue, and cell transplants 2019-2030. https://www.paho.org/en/topics/organ-donation-and-transplants [Accessed June 23, 2022)

3. Anantharaman, V., 2011. Third WHO Global Consultation on Organ Donation and Transplantation: striving to achieve self-sufficiency, March 23-25, 2010, Madrid, Spain.

4. Job, K. and Antony, A., 2018. Organ donation and transplantation:“Life after Death”. In Organ Donation and Transplantation-Current Status and Future Challenges. IntechOpen.

5. World Health Organization, 2009. Global glossary of terms and definitions on donation and transplantation. In Global glossary of terms and definitions on donation and transplantation

6. Olawade, D.B., Marinze, S., Qureshi, N., Weerasinghe, K. and Teke, J., 2025. Transforming organ donation and transplantation: Strategies for increasing donor participation and system efficiency. European journal of internal medicine, 133, pp.14-24.

7. Mwenda, V., Githuku, J., Gathecha, G., Wambugu, B.M., Roka, Z.G. and Ong'or, W.O., 2019. Prevalence and factors associated with chronic kidney disease among medical inpatients at the Kenyatta National Hospital, Kenya, 2018: a cross-sectional study. Pan African Medical Journal, 33(1).

8. Katz, I.J., Gerntholtz, T. and Naicker, S., 2011. Africa and nephrology: the forgotten continent. Nephron Clinical Practice, 117(4), pp.320-327.

9. Carmona, M., Álvarez, M., Marco, J., Mahíllo, B., Domínguez-Gil, B., Núñez, J.R. and Matesanz, R., 2017. Global organ transplant activities in 2015. Data from the Global Observatory on Donation and Transplantation (GODT). Transplantation, 101, p.S29.

10. Awuah, W.A., Ng, J.C., Bulut, H.I., Nazir, A., Tenkorang, P.O., Yarlagadda, R., Mustapha, M.J., Abdul-Rahman, T., Akilimali, A., Oti, V.N. and Aji, N., 2023. The unmet need of organ transplantation in Africa. International Journal of Surgery, 109(3), pp.519-520.

11. https://nation.africa/kenya/healthy-nation/body-organs-going-to-waste-as-patients-wait-for-years-3208172 Accessed 12 Oct 2023

12. Gain, P., Jullienne, R., He, Z., Aldossary, M., Acquart, S., Cognasse, F. and Thuret, G., 2016. Global survey of corneal transplantation and eye banking. JAMA ophthalmology, 134(2), pp.167-173.

13. Chen, M.C., Kunselman, A.R., Stetter, C.M., Hannush, S.B. and Roberts, B.W., 2017. Corneal transplantation at Tenwek Hospital, Kenya, East Africa: analysis of outcomes and associated patient socioeconomic characteristics. Plos one, 12(10), p.e0187026.

14. Bharambe, V.K., Arole, V.U., Puranam, V., Kulkarni, P.P. and Kulkarni, P.S., 2018. Knowledge and attitude toward organ donation among health-care professionals in a rural town in India. Saudi Journal of Kidney Diseases and Transplantation, 29(3), pp.671-679.

15. Hamed, H., Awad, M.E., Youssef, K.N., Fouda, B., Nakeeb, A.E. and Wahab, M.A., 2016. Knowledge and attitudes about organ donation among medical students in Egypt: A questionnaire. J Transplant Technol Res, 6(1), pp.1-4.

16. Lima, C.X., Lima, M.V.B., Cerqueira, R.G., Cerqueira, T.G., Ramos, T.S., Nascimento, M., Andrade, C.R.M., Cunha, D.G. and Garcia, S.L.M., 2010, June. Organ donation: cross-sectional survey of knowledge and personal views of Brazilian medical students and physicians. In Transplantation proceedings (Vol. 42, No. 5, pp. 1466-1471). Elsevier.

17. Dibaba, F.K., Goro, K.K., Wolide, A.D., Fufa, F.G., Garedow, A.W., Tufa, B.E. and Bobasa, E.M., 2020. Knowledge, attitude and willingness to donate organ among medical students of Jimma University, Jimma Ethiopia: cross-sectional study. BMC public health, 20(1), p.799.

18. Jawoniyi, O., Gormley, K., McGleenan, E. and Noble, H.R., 2018. Organ donation and transplantation: awareness and roles of healthcare professionals—a systematic literature review. Journal of clinical nursing, 27(5-6), pp.e726-e738.

19. Canova, D., De Bona, M., Ruminati, R., Ermani, M., Naccarato, R. and Burra, P., 2006. Understanding of and attitudes to organ donation and transplantation: a survey among Italian university students. Clinical transplantation, 20(3), pp.307-312.

20. Chu, S.T.W., Chung, P.P.W., Hui, Y.L., Choi, H.C., Lam, H.W., Sin, L.L., Law, C.S., Yan, N.Y., Choi, K.Y. and Wan, E.Y.F., 2023. Knowledge and attitude regarding organ donation among medical students in Hong Kong: a cross-sectional study. Postgraduate Medical Journal, 99(1173), pp.744-752.

21. Green, E.C., Murphy, E.M. and Gryboski, K., 2020. The health belief model. The Wiley encyclopedia of health psychology, pp.211-214.

22. Jothula, K. Y., & Sreeharshika, D. (2018). Study to assess knowledge, attitude and practice regarding organ donation among interns of a medical college in Telangana, India. Int J Community Med Public Health, 5(4), 1339-45.

23. Chung, C. K., Ng, C. W., Li, J. Y., Sum, K. C., Adams, H. M., Chan, S. P., ... & Lee, P. P. (2008). Attitudes, knowledge, and actions with regard to organ donation among Hong Kong medical students. Hong Kong Medical Journal, 14(4), 278.

24. Fan, X., Li, M., Rolker, H., Li, Y., Du, J., Wang, D. and Li, E., 2022. Knowledge, attitudes and willingness to organ donation among the general public: a cross-sectional survey in China. BMC Public Health, 22(1), p.918.

25. Bekele, M., Jote, W., Workneh, T. and Worku, B., 2021. Knowledge and attitudes about organ donation among patient companion at a tertiary hopsital in Ethiopia. Ethiopian journal of health sciences, 31(1), p.119.

26. Alghanim, S.A., 2010. Knowledge and attitudes toward organ donation: a community-based study comparing rural and urban populations. Saudi Journal of Kidney Diseases and Transplantation, 21(1), pp.23-30.

27. Kim, J.R., Elliott, D. and Hyde, C., 2004. The influence of sociocultural factors on organ donation and transplantation in Korea: findings from key informant interviews. Journal of Transcultural Nursing, 15(2), pp.147-154.

28. Carola, V., Morale, C., Vincenzo, C., Cecchi, V., Errico, L. and Nicolais, G., 2023. Organ donation: psychosocial factors of the decision-making process. Frontiers in psychology, 14, p.1111328.

29. Oliver, M., Ahmed, A. and Woywodt, A., 2012. Donating in good faith or getting into trouble Religion and organ donation revisited. World journal of transplantation, 2(5), p.69.

30. Doerry, K., Oh, J., Vincent, D., Fischer, L. and Schulz‐Jürgensen, S., 2022. Religious and cultural aspects of organ donation: Narrowing the gap through understanding different religious beliefs. Pediatric transplantation, 26(7), p.e14339.

31. Bramstedt, K.A., 2006. Transfusion contracts for Jehovah’s Witnesses receiving organ transplants: ethical necessity or coercive pact?. Journal of medical ethics, 32(4), pp.193-195.

32. Eshraghian, A., 2013. Religion, tradition, culture, and solid organ transplantation. Critical Care Medicine, 41(7), p.e134.

33. Randhawa, G., 2012. Death and organ donation: meeting the needs of multiethnic and multifaith populations. British Journal of Anaesthesia, 108(suppl_1), pp.i88-i91.

34. Sque, M., Long, T., Payne, S. and Allardyce, D., 2008. Why relatives do not donate organs for transplants:‘sacrifice’or ‘gift of life’?. Journal of advanced nursing, 61(2), pp.134-144.

35. Hyde, M.K. and Chambers, S.K., 2014. Information sources, donation knowledge, and attitudes toward transplant recipients in Australia. Progress in Transplantation, 24(2), pp.169-177.

36. Khan, N., Masood, Z. and Zahra, S., 2011. Knowledge and attitude of people towards organ donation. Journal of University Medical & Dental College, 2(2), pp.15-21.

37. Morgan, S.E., 2004. The power of talk: African Americans’ communication with family members about organ donation and its impact on the willingness to donate organs. Journal of Social and Personal Relationships, 21(1), pp.112-124.

38. Kenya, L. O.,2013. The constitution of Kenya: 2010.

39. The Health Act, 2017. Available from http://kenyalaw.org/kl/fileadmin/pdfdownloads/Acts/HealthActNo.21of2017.pdf

40. Gridelli, B. and Remuzzi, G., 2000. Strategies for making more organs available for transplantation. New England Journal of Medicine, 343(6), pp.404-410.

Downloads

Published

2026-04-10

How to Cite

Mwaura, P., Kamau, C., Kihima, M., Ngari, M., Nshimirimana, D., & Gitaka, J. (2026). Knowledge, Attitude and Practice of Organ Donation among Clinical Medicine Students, Mount Kenya University, Kenya: A Cross-Sectional Study. Journal of Health, Medicine and Nursing, 12(2), 17–32. https://doi.org/10.47604/jhmn.3711

Issue

Section

Articles

Similar Articles

<< < 2 3 4 5 6 7 8 9 10 11 > >> 

You may also start an advanced similarity search for this article.