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Factors affecting access to dialysis for patients with end-stage kidney disease in Sub-Saharan Africa: A scoping
Milipaak Japiong1,2, Christine Kurtz Landy2, Mary T Fox2
1Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Aims:
This scoping review examined the factors affecting access to dialysis for patients with end-stage kidney disease in Sub-Saharan Africa.
Design:
Scoping review.
Methods:
The scoping review is conducted following the Joanna Briggs Institute methodology for scoping reviews and modelled by Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review.
Results:
A descriptive content analysis of 30 included articles revealed three main findings affecting access and use of dialysis: Health system-related factors, health provider-related factors and patient factors.
Patient Or Public Contribution:
Equity in renal replacement therapy access and use will require concerted advocacy for good public policy, healthcare delivery, workforce capacity and education.
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