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      Willingness to donate eyes and its associated factors among adults in Gondar town, North West Ethiopia

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          Abstract

          Background

          In Ethiopia, there is a substantial mismatch between need and supply of corneal transplant. Although corneal transplantation service is affected by various factors, willingness to donate eyes is an essential indicator of its availability, accessibility, and acceptability. Therefore, this study aimed to determine the magnitude of willingness to donate eyes and its associated factors, which help to develop appropriate strategies that can address this undersupply and unmet need.

          Methods

          A community-based cross-sectional survey was conducted on 774 adults who were selected using multistage random sampling in Gondar town, North West, Ethiopia. The data were collected through interviews.

          Results

          In this survey, 774 adults with a median age of 30 ± 14.33 years participated. The proportion of willing to donate eyes was 37.6% [95% CI: 34.3%–41.3%]. It was positively associated with the religious belief of Christianity [AOR = 1.73, 95% CI: 1.08–2.75], having awareness about eye donation [AOR = 1.38, 95% CI: 1.01–1.92], educational level of high school [AOR = 2.90, 95% CI: 1.72–4.90], and College/University [AOR = 2.23, 95% CI: 1.28–3.87].

          Conclusion

          The magnitude of willingness to donate eyes was moderate and positively associated with the higher educational level and awareness. It is, therefore, strategic to plan awareness creation programs to mobilize the community.

          Electronic supplementary material

          The online version of this article (10.1186/s12886-017-0577-1) contains supplementary material, which is available to authorized users.

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          Most cited references15

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          Specific unwillingness to donate eyes: the impact of disfigurement, knowledge and procurement on corneal donation.

          Although willingness, attitudes and beliefs surrounding solid-organ donation have been extensively investigated, much less is known about corneal donation. Despite evidence that a substantial number of families who agree to multiorgan donation also specifically refuse corneal donation, it is unclear why this occurs and what can be done to increase rates of corneal donation. We conducted a survey of 371 Australian adults regarding their views on corneal donation. Although willingness to donate corneas generally reflected a person's willingness to donate all of one's organs, unwillingness to donate corneas appeared to be due to other factors. Specifically, decisions not to donate appear to be driven by a range of concerns surrounding disfigurement. The survey also provides eye banks with reassurance about the acceptability of whole globe procurement, and recognition that research into blindness is a highly valued part of corneal donation. Finally, the survey identifies that many individuals see benefit in having their family engaged in the decision-making process, suggesting that decisions about donation are more complex than a simple appeal to the autonomy of the deceased.
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            Knowledge and beliefs on corneal donation in Singapore adults.

            To assess the knowledge and willingness of Singapore adults towards corneal donation. The study population consists of a cluster random sample of the population living in Bedok North (an area in the eastern part of Singapore). The study population comprised residents aged 21-65 years living in 675 randomly sampled housing units. The participation rate was 65.9% (544/825). All participants were interviewed face to face with a questionnaire formulated according to the modified Horton and Horton model. Knowledge, values, attitudes, and spiritual beliefs of participants were assessed to evaluate their willingness to donate their corneas. 67.0% of participants were willing to donate their corneas. Ethnicity (Chinese) and religion (Christians, Hindus, or those with no religion) were associated with increased willingness to donate corneas. Greater knowledge and increased altruistic values were also associated with increased willingness to donate corneas. A proportion of participants were willing to donate their corneas. Awareness of corneal donation is high but specific knowledge should be further increased among adults.
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              Eye donation – Awareness and willingness among attendants of patients at various clinics in Melaka, Malaysia

              Aim: Corneal blindness accounts for 3.42% of blindness in Malaysia; the rate of eye donation is low. The aim of the study was to assess the awareness about eye donation and willingness to donate eyes among attendants of patients at various clinics in Melaka, Malaysia. Materials and Methods: This observational study was conducted on attendants who accompanied patients (n = 400) visiting various outpatient departments of the General Hospital and two peripheral clinics in Melaka between August and October 2007. The participants answered a questionnaire (Malay and English versions) which included demographic profile, awareness of eye donation, knowledge regarding facts of eye donation, and willingness to donate eyes. Univariate and multivariate logistic regression was performed at 5% level of significance. Results: Awareness of eye donation was observed in 276 (69%) participants. Multivariate analysis showed that awareness was more among females when compared to males (P = 0.009). Of the 276 participants who were aware of eye donation, only 34.42% were willing to donate eyes. Willingness was more among the Indian race (P = 0.02) and males (P = 0.02). Educational status did not influence the willingness to donate eyes. Conclusions: Although majority of participants were aware of eye donation, willingness to donate eyes was poor.
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                Author and article information

                Contributors
                +251921275287 , mohamiaseid@gmail.com
                kbromu@gmail.com
                asameret@yahoo.com
                Neby.uog@gmail.com
                Journal
                BMC Ophthalmol
                BMC Ophthalmol
                BMC Ophthalmology
                BioMed Central (London )
                1471-2415
                2 October 2017
                2 October 2017
                2017
                : 17
                : 178
                Affiliations
                [1 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Optometry, College of Medicine and Health Sciences, , University of Gondar, ; Gondar, Ethiopia
                [2 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Ophthalmology, College of Medicine and Health Sciences, , University of Gondar, ; Gondar, Ethiopia
                Article
                577
                10.1186/s12886-017-0577-1
                5625743
                28969612
                88446038-e2b4-4587-bec4-c5e04a1835ae
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 8 July 2016
                : 25 September 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100007861, University of Gondar;
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Ophthalmology & Optometry
                willingness,eye donation,gondar,ethiopia
                Ophthalmology & Optometry
                willingness, eye donation, gondar, ethiopia

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