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  1. Home
  3. Why Do People Sell Their Kidneys? A Thematic Synthesis Of Qualitative Evidence.
  1. Home
  3. Why Do People Sell Their Kidneys? A Thematic Synthesis Of Qualitative Evidence.

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Why do people sell their kidneys? A thematic synthesis of qualitative evidence.

Bijaya Shrestha1, Luechai Sringernyuang2, Manash Shrestha3

  • 1Center for Research on Education, Health and Social Science, Kathmandu, Nepal.

PLOS Global Public Health
|March 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Poverty, illiteracy, and social inequities drive illegal kidney selling globally. Vulnerability is exacerbated by weak regulations and organ shortages, leading to exploitation and a cycle of organ trafficking.

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Area of Science:

  • Medical Ethics
  • Socioeconomics
  • Transplantation Science

Background:

  • Global demand for kidney transplantation significantly exceeds donor supply.
  • This organ shortage has led to the kidney becoming a highly commodified organ.
  • Understanding the drivers of kidney selling is crucial for addressing ethical and public health concerns.

Purpose of the Study:

  • To explore the multifaceted drivers of kidney selling worldwide.
  • To identify factors contributing to individual vulnerability in the organ trade.
  • To analyze the interplay of socioeconomic, institutional, and systemic factors.

Main Methods:

  • A comprehensive literature review was conducted across MEDLINE (PubMed), Scopus, and JSTOR databases.
  • The search covered articles published from 1987 to 2022.
  • Fifteen selected articles underwent thematic analysis to synthesize findings on kidney selling drivers.

    • Main Results:

    • Micro-level factors like poverty and illiteracy significantly increase vulnerability to kidney selling.
    • Meso-level issues include weak legal systems and inadequate institutional policies.
    • Macro-level drivers encompass social inequalities, corruption, organ scarcity, and poor health infrastructure.

    Conclusions:

    • Kidney selling is driven by a complex interplay of individual, societal, and systemic factors.
    • Addressing kidney selling requires tackling poverty, improving education, strengthening legal frameworks, and combating corruption.
    • Vulnerable populations are disproportionately affected, highlighting the need for targeted interventions and ethical policy development.