Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach

Objective This study intended to assess willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia.Methods and analysis This study used a triangulated phenomenological mixed-methods design, involving 1293 adults and eight key informants selected through multistage a...

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Main Authors: Ejigu Gebeye Zeleke, Merkineh Markos Lorato, Wubalem Addis Tefera, Hirut Gebremeskel Mengistu
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/10/1/e002022.full
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author Ejigu Gebeye Zeleke
Merkineh Markos Lorato
Wubalem Addis Tefera
Hirut Gebremeskel Mengistu
author_facet Ejigu Gebeye Zeleke
Merkineh Markos Lorato
Wubalem Addis Tefera
Hirut Gebremeskel Mengistu
author_sort Ejigu Gebeye Zeleke
collection DOAJ
description Objective This study intended to assess willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia.Methods and analysis This study used a triangulated phenomenological mixed-methods design, involving 1293 adults and eight key informants selected through multistage and purposive sampling. Data collection involved a pretested, semistructured questionnaire for quantitative data and an open-ended guiding questionnaire for qualitative insights. Ethical approval was granted by the University of Gondar, School of Medicine ethics review committee. The data were entered into Epi Info V.7 and analysed using SPSSV.22, with bivariable and multivariable binary logistic regression employed to identify significant factors, defined as those with a p value under 0.05. Qualitative data were analysed through thematic content analysis using code software, which included transcription, translation, coding and thematisation, ultimately enriching the quantitative findings.Results and conclusion The study found that 47.2% (95% CI 44.7, 50.0) participants were willing to donate their eyes. Significant factors influencing willingness included being male (adjusted OdR (AOR)=1.55; 95% CI 1.18, 2.03), being a Christian (AOR=2.08; 95% CI 1.42, 3.04), having a family or friends awaiting for corneal transplantation (AOR=1.78; 95% CI: 1.18, 2.68), completing higher education (AOR=2.63; 95% CI 1.88, 3.69), completing secondary education (AOR=1.77; 95% CI 1.03, 3.04), having a favourable attitude towards eye donation (AOR=4.97; 95% CI 3.70, 6.66) and being aware of eye donation (AOR=3.12; 95% CI 2.23, 4.36). Qualitative analysis indentified barriers such as lack of information, poor attitudes and religious restrictions.Overall, willingness to donate eyes was moderate compared to previous studies. The findings emphasise the need for community education to improve public attitudes and awareness about eye donation to enhance willingness to donate eyes.
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spelling doaj-art-900a14c3243643adbcfda934b6d21db12025-01-29T05:30:11ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692025-01-0110110.1136/bmjophth-2024-002022Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approachEjigu Gebeye Zeleke0Merkineh Markos Lorato1Wubalem Addis Tefera2Hirut Gebremeskel Mengistu3Department of Biostatistics and Epidemiology, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaDepartment of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Optometry, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaObjective This study intended to assess willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia.Methods and analysis This study used a triangulated phenomenological mixed-methods design, involving 1293 adults and eight key informants selected through multistage and purposive sampling. Data collection involved a pretested, semistructured questionnaire for quantitative data and an open-ended guiding questionnaire for qualitative insights. Ethical approval was granted by the University of Gondar, School of Medicine ethics review committee. The data were entered into Epi Info V.7 and analysed using SPSSV.22, with bivariable and multivariable binary logistic regression employed to identify significant factors, defined as those with a p value under 0.05. Qualitative data were analysed through thematic content analysis using code software, which included transcription, translation, coding and thematisation, ultimately enriching the quantitative findings.Results and conclusion The study found that 47.2% (95% CI 44.7, 50.0) participants were willing to donate their eyes. Significant factors influencing willingness included being male (adjusted OdR (AOR)=1.55; 95% CI 1.18, 2.03), being a Christian (AOR=2.08; 95% CI 1.42, 3.04), having a family or friends awaiting for corneal transplantation (AOR=1.78; 95% CI: 1.18, 2.68), completing higher education (AOR=2.63; 95% CI 1.88, 3.69), completing secondary education (AOR=1.77; 95% CI 1.03, 3.04), having a favourable attitude towards eye donation (AOR=4.97; 95% CI 3.70, 6.66) and being aware of eye donation (AOR=3.12; 95% CI 2.23, 4.36). Qualitative analysis indentified barriers such as lack of information, poor attitudes and religious restrictions.Overall, willingness to donate eyes was moderate compared to previous studies. The findings emphasise the need for community education to improve public attitudes and awareness about eye donation to enhance willingness to donate eyes.https://bmjophth.bmj.com/content/10/1/e002022.full
spellingShingle Ejigu Gebeye Zeleke
Merkineh Markos Lorato
Wubalem Addis Tefera
Hirut Gebremeskel Mengistu
Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
BMJ Open Ophthalmology
title Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
title_full Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
title_fullStr Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
title_full_unstemmed Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
title_short Willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia: a mixed-methods approach
title_sort willingness to donate eyes and associated factors among adults in addis ababa city ethiopia a mixed methods approach
url https://bmjophth.bmj.com/content/10/1/e002022.full
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