Adversities of Living With Renal Failure in Africa: The Lived Experiences of Patients Receiving Renal Replacement Therapy in Dodoma Tanzania

• DOI: 10.29173/ijcc1003
• Publication Date: 2025-01-01T05:59:41Z
• Authors: Golden Mwakibo Ma...; Ansfrida Rwezaura...; Rehema Bakari OMARI
• Keywords: Renal replacement therapy

Background Chronic kidney disease (CKD) involves a progressive loss of function due to damage the epithelia and endothelia cells, lasting at least 3 months (Kipp & Kellerman, 2008). It emerges as global health concern it affects an average one in ten people is listed among top causes mortality globally (Kovesdy, 2022). In Tanzania, CKD three times higher than other diseases (Kilonzo et al., 2016). The impact on patient’s quality life debilitating physical psychological symptoms resulting from accumulation toxins are known. Nevertheless, overall picture their complex adversity experiences, especially patients with African region where there disparity access services, poor transportation, social-economics, remained subject for further exploration. Purpose To explore adversities living chronic perspectives lived experiences renal failure receiving hemodialysis treatment Dodoma region, Tanzania. Design A phenomenological qualitative study design. Methods total 12 maintenance Tertiary hospital city, Tanzania were purposively selected participated face-to-face in-depth interviews. data audio-recorded, transcribed verbatim analyzed using manifest thematic analysis approach. findings reported according consolidated criteria reporting research (COREQ) checklist. Results Six themes emerged that represented four major areas expressed impacted negatively lives two aspects relieving factors. depicted negative included (1) Unpleasant illness (2) Meaning constructed after having been diagnosed CKD, (3) Social disconnection, (4) Financial difficulties. factors (5) Satisfaction benefits (6) strategies they invented coping mechanisms. Conclusion: Participants sense shock, expressing no hope cure or good this context. They adversities, including social, economic, physical, struggles linked life. While socioeconomic pillars families, being affected by implied deprivation increased burden families these matters reduced engage productivity/loss jobs, relocation treatment, weekly dialysis costs would amount USD 400 hardly afford (Ang 2022), perception near death could heighten depressive mood (Bahall 2023). We recommend early screening injuries, malfunctions, be performed every facility initiation management can done prevent damage. Patients context need closer support enable them live better References Ang YTI, Gan SWS, Liow CH, Phang CC, Choong HLL, Liu P. Patients’ home self-assist haemodialysis influencing choices Singapore. Renal Replacement Therapy. 2022;8(1):1–15. https://doi.org/10.1186/s41100-022-00430-7 Bahall M, Legall G, Lalla C. Depression disease, associated factors, predictors: cross-sectional study. BMC Psychiatry. 2023;23(1):881. https://doi.org/10.1186/s12888-023-05383-7 Kilonzo SB, Seiffudin AT, Bakshi FA, Gunda DW. dysfunction adult Mwanza, Tanzania: Prevalence, outcomes Journal Health Research. 2016;18(3):1–8. https://doi.org/10.4314/thrb.v18i3.5 Kipp R, Kellerman PS. Kidney Disease. Pathophysiology Disease Hypertension. Elsevier Inc., 2016. https://doi.org/10.1016/B978-1-4160-4391-1.50018-7 Kovesdy CP. Epidemiology disease: update 2022. International Supplements. 2022;12(1):7–11. https://doi.org/10.1016/j.kisu.2021.11.003