Perceptions and Understanding of Organ Donation Among Medical Undergraduates in Southeastern Nigeria
Abstract
Background/Aim: Organ donation continues to be acknowledged globally as the preferred treatment for individuals with end-stage organ diseases. So far, it is one of the greatest advances of modern science and has resulted in many patients getting a new lease of life. This research focused on assessing the understanding and perspectives of undergraduate medical students regarding organ donation.
Methods: This descriptive survey was conducted among the undergraduate medical students at a government University in Anambra State of Nigeria. Data on knowledge and attitude were collected from the respondents using self-administered pre-tested questionnaires.
Result: More than 95 % of the participants demonstrated awareness of organ donation. Majority (43.4 %) identified a healthy living donor as an ideal candidate for organ donation. Participants who were clinical students were predominantly aware that the donor and recipient's blood groups must be compatible, as well as their human leukocyte antigens (HLA) being identical (OR = 2.2 and 2.5, respectively). They were also predominantly willing to donate their organs after death and to encourage their future patients to donate their organs (OR = 7.88 and 5.49, respectively). Pre-clinical students tended to agree more with the idea of keeping their bodies intact after death. (OR = 6.41).
Conclusion: Organ donation should be given greater emphasis and introduced early in the medical curriculum. This will serve to improve knowledge and bring about a desirable attitudinal change among future medical practitioners.
References
Tamuli RP, Sarmah S, Saikia B. Organ donation – “Attitude and awareness among undergraduates and postgraduates of North-East India.” J Family Med Prim Care. 2019;8(1):130-6. doi: 10.4103/jfmpc.jfmpc_206_18.
Bezinover D, Saner F. Organ transplantation in the modern era. BMC Anesthesiol, 2019 Mar 4;19(1):32. doi: 10.1186/s12871-019-0704-z.
Lewis A, Koukoura A, Tsianos GI, Gargavanis AA, Nielsen AA, Vassiliadis E. Organ donation in the US and Europe: The supply vs demand imbalance. Transplant Rev. 2021 Apr 1;35(2):100585. doi: 10.1016/j.trre.2020.100585.
Awuah WA, Ng JC, Bulut HI, Nazir A, Tenkorang PO, Yarlagadda R, et al. The unmet need of organ transplantation in Africa. Int J Surg, 2023 Mar 1; 109(3):519–20. doi: 10.1097/JS9.0000000000000025.
Emmanuel EH, Nabena IF. Legal and ethical developments in the regulation of organ donation and transplantation in Nigeria. Nnamdi Azikiwe Univ J Int Law Jurisprud. 2020 Apr 24;11(1):122–6.
Dalal AR. Philosophy of organ donation: Review of ethical facets. World J Transplant. 2015 Jun 6;5(2):44-51. doi: 10.5500/wjt.v5.i2.44.
Black CK, Termanini KM, Aguirre O, Hawksworth JS, Sosin M. Solid organ transplantation in the 21st century. Ann Transl Med. 2018 Oct;6(20):409. doi: 10.21037/atm.2018.09.68.
Mihaylov V. Organ donation and transplantation. London: IntechOpen, 2021. doi:10.5772/intechopen.87319.
Emem-Chioma PC, Bell-Gam HI. Organ donation and transplantation in port harcourt: awareness, knowledge and willingness to donate an organ. Am J Clin Med Res. 2020;8(1):13–7. doi: 10.12691/ajcmr-8-1-3.
Abdullahi IH, Garba SN, Abubakar FU. Organ donation: awareness and willingness to donate an organ among basic nursing and midwifery students of a selected college in northern Nigeria. J Health Prof. 2018;8(3):37–42.
Muoneke V, Obu D, Uwaezuoke S, Asiegbu U, Anya A, Una A. Perspectives of clinical students toward organ donation and transplantation: A cross-sectional descriptive study in a Nigerian tertiary hospital. Int J Med Health Devel. 2020 Jul 1;25(2):112. doi: 10.4103/ijmh.ijmh_14_20.
Hu D, Huang H. Knowledge, attitudes, and willingness toward organ donation; among health professionals in China. Transplantation. 2015 Jul;99(7):1379–85. doi: 10.1097/TP.0000000000000798.
Ibrahim AH, Garba SN, Abubakar FU, Salihu AK, Yunusa U, Idris A, et al. Awareness and willingness regarding organ donation among undergraduate students in Ahmadu Bello University Zaria. BJMLS 2019; 4(1):111-7.
Al Wahaibi N, Al Wahaibi A, Al Abri M. Knowledge and attitude about organ donation; and transplantation among Omani university students. Front Public Health. 2023 May 25;11:1115531. doi: 10.3389/fpubh.2023.1115531.
Kadam S, Shinde S, Shroff G, Gulanikar S. Knowledge and attitude about organ donation among medical students: an observational study from Aurangabad, Maharashtra. Int J Cur Res Rev. 2021;13(1):121-4. doi: 10.31782/IJCRR.2021.13124.
Ibrahim M, Randhawa G. Knowledge, attitudes, and behavior of Nigerian students toward organ donation. Transplant Proc. 2017 Oct 1;49(8):1691–7. doi: 10.1016/j.transproceed.2017.04.011.
Harbour L, Ingham C, Streat S, Bagg W. Attitudes to organ donation and knowledge of donation and transplantation among University of Auckland medical students. J Med Educ Curric Dev. 2015;2(2):1-6. doi:10.4137/JMECD.S20080.
Akkas M, Anık EG, Demir MC, İlhan B, Akman C, Ozmen MM, et al. Changing attitudes of medical students regarding organ donation from a University Medical School in Turkey. Med Sci Monit. 2018 Sep 30;24:6918–24. doi: 10.12659/MSM.912251.
Darlington D, Anitha FS, Joseph C. Study of knowledge, attitude, and practice of organ donation among medical students in a tertiary care centre in South India. Cureus. 2019 Jun 14; 11(6): e4896. doi: 10.7759/cureus.4896.
Giri PA, B YY, Kamble MG, Solepure AB. Organ donation and transplantation: knowledge and attitude amongst Indian undergraduate medical students. Int J Community Med Public Health. 2017 Oct 25;4(11):4303-6. doi: 10.18203/2394-6040.ijcmph20174848.
Dibaba FK, Goro KK, Wolide AD, Fufa FG, Garedow AW, Tufa BE, et al. Knowledge, attitude and willingness to donate organ among medical students of Jimma University, Jimma Ethiopia: cross-sectional study. BMC Public Health. 2020 May 27;20(1):799. doi: 10.1186/s12889-020-08931-y.
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