title: Caregivers and Healthcare Workers' Willingness to Donate Kidney in Three Tertiary Institutions in Southern Nigeria.
abstract: BACKGROUND
  Kidney transplantation (KT) is now the preferred renal replacement therapy in suitable patients with end-stage renal disease but organ availability is a major limiting factor.
  
  
  OBJECTIVE
  To evaluate the willingness of caregivers (CGs) and healthcare workers (HWs) to donate a kidney and possible motivating factors in our setting.
  
  
  METHODS
  This cross-sectional study was done at Mother and Child Hospital, Kidney Care Centre Ondo and Babcock University Teaching Hospital, all in Southern Nigeria. Participants' willingness to donate a kidney was assessed using Likert and Visual Analogue Scales (VAS). The data were analyzed using SPSS version 20.0. Student t test was used to compare weighted mean scores. Multivariate analysis done; P < .05 was taken as significant.
  
  
  RESULTS
  A total of 563 CGs and HWs took part in the study. Sixty percent of them were aware of kidney donation (KD) but only 43.7% had a favorable attitude towards it, and these were predominantly HWs (63.4% vs 33.1%, P < .001). A quarter of the participants were adequately willing to donate a kidney; HWs were significantly more willing than CGs (45.4% vs 15.8%, P < .001). On VAS, the mean willingness score of HWs was higher than that of CGs (t = 7.13, P < .001). Factors strongly influencing the willingness of CGs to donate include their educational level (P = .028, OR = 4.86, 95% CI: 1.19-19.91) social class (P = .012, OR = 6.17 95% CI: 1.5-24.8) and having a relative with kidney disease (P = .019; OR = 3.07 95% CI: 1.25-12.00). Willingness correlated with awareness of KD among CGs (r = 0.534, P < .001).
  
  
  CONCLUSIONS
  There is a low level of willingness alongside negative attitudes toward kidney donation among our participants.
authors.affiliation: Department of Child Health, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria. Electronic address: biodunmt@yahoo.com.
authors.forename: M T
authors.initials: MT
authors.lastname: Abiodun
authors.affiliation: Department of Paediatrics, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.
authors.forename: A U
authors.initials: AU
authors.lastname: Solarin
authors.affiliation: Kidney Care Centre, Ondo, Ondo State, Nigeria.
authors.forename: O A
authors.initials: OA
authors.lastname: Adejumo
authors.affiliation: Kidney Care Centre, Ondo, Ondo State, Nigeria.
authors.forename: A A
authors.initials: AA
authors.lastname: Akinbodewa
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D017028:Caregivers; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009549:Nigeria