Addressing social responsibility of kidney healthcare facilities in Africa
Social responsibility (SR) in health is of paramount importance in the development of health systems. It is, therefore, frequently presented as one of the solutions for healthcare improvement in most developed countries. In addition, SR in health has been the subject of several publications in the W...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2025.1523196/full |
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| author | Intissar Haddiya Intissar Haddiya Sara Ramdani Wijdane Chtioui Abdellatif Sidi Aly Sidi Mohamed Mah Abdou Niang Awatef Azzabi Ahmed Yahia Elmowafy Maimouna Mahamat Angélique Akagah Ademba Sylvain Pierre Nzeyimana Mahamat Abderraman G. Zalba |
| author_facet | Intissar Haddiya Intissar Haddiya Sara Ramdani Wijdane Chtioui Abdellatif Sidi Aly Sidi Mohamed Mah Abdou Niang Awatef Azzabi Ahmed Yahia Elmowafy Maimouna Mahamat Angélique Akagah Ademba Sylvain Pierre Nzeyimana Mahamat Abderraman G. Zalba |
| author_sort | Intissar Haddiya |
| collection | DOAJ |
| description | Social responsibility (SR) in health is of paramount importance in the development of health systems. It is, therefore, frequently presented as one of the solutions for healthcare improvement in most developed countries. In addition, SR in health has been the subject of several publications in the West and Asia. However, the absence of African data on this subject motivated us to carry out this study which aimed to assess SR of African public hospitals in terms of kidney disease management, and to explore the factors that influence it based on the perceptions of patients and nephrologists, and to suggest concrete solutions to improve it.Material and methodsOur study included participants, nephrologists and patients, of public hospitals in ten African countries. Two structured questionnaires were developed to measure the perception of patients and nephrologists regarding the hospital's performance based on four dimensions: Quality of service, pertinence of care, accessibility and professional ethics. Statistical analysis of the survey data included the Student's t-test, the Chi-square test, univariate and multivariate logistic regression methods on several levels, in order to examine the factors influencing the patients’ and nephrologists’ evaluation of hospital SR.ResultsOnly 26.95% of the included patients believed that their hospitals were socially responsible. In fact, the general conditions of the hospitals and the accessibility of care (waiting times, overall cost, unavailability of treatments) were generally perceived to be unsatisfactory. Also, patients generally believed that receiving treatment regardless of their ability to pay was not always possible.As for doctors, 60% of the participants considered their hospitals not socially responsible. They had raised, in addition to the social determinants of health, a number of factors hindering SR of African hospitals, such as the lack of health professionals and brain drain.Finally, nephrologists suggested solutions, mainly directed at hospital managers, encompassing the following three components: Recruitment and training of human resources, leadership and governance, as well as strengthening of infrastructures and logistics.ConclusionOur study highlighted the crucial role of hospital governance and stakeholder involvement in improving SR and care delivery. Participants’ perceptions and concerns inform health authorities about managing kidney disease in African hospitals. |
| format | Article |
| id | doaj-art-fb0895de7bc045159a53959a34d41bfe |
| institution | OA Journals |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Health Services |
| spelling | doaj-art-fb0895de7bc045159a53959a34d41bfe2025-08-20T02:31:20ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-05-01510.3389/frhs.2025.15231961523196Addressing social responsibility of kidney healthcare facilities in AfricaIntissar Haddiya0Intissar Haddiya1Sara Ramdani2Wijdane Chtioui3Abdellatif Sidi Aly4Sidi Mohamed Mah5Abdou Niang6Awatef Azzabi7Ahmed Yahia Elmowafy8Maimouna Mahamat9Angélique Akagah Ademba10Sylvain Pierre Nzeyimana11Mahamat Abderraman G. Zalba12Department of Nephrology, Faculty of Medicine and Pharmacy of Oujda, University Mohammed Premier, Oujda, MoroccoLaboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy of Oujda, University Mohammed Premier, Oujda, MoroccoLaboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy of Oujda, University Mohammed Premier, Oujda, MoroccoDepartment of Nephrology, Faculty of Medicine and Pharmacy of Oujda, University Mohammed Premier, Oujda, MoroccoDepartment of Nephrology-Hemodialysis-Polycinique Medipole, National Council of Donation and Transplantation, Nouakchott, MauritaniaDepartment of Nephrology Hemodialysis and Transplantation, Centre Hospitalier National de Nouakchott, Faculty of Medicine, Pharmacy and Ondontostomatology, Nouakchott, MauritaniaDepartment of Nephrology, Faculty of Medicine, Dakar University Medical Hospital, University Cheikh Anta Diop, Dakar, SenegalDepartment of Nephrology, Faculty of Medicine Ibn El Jazzar, Sahloul Hospital, University of Sousse, Sousse, TunisiaNephrology Unit, Urology and Kidney Transplantation Center, Faculty of Mansoura, Mansoura University, Mansoura, EgyptDepartment of Nephrology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, CameroonService de Néphrologie - Caisse Nationale de Sécurité Sociale, Université des Sciences de la Santé, Libreville, Gabon0United Nations Clinic Kinshasa, United Nations Development Programme, Kinshasa, Democratic Republic of Congo1Department of Nephrology, La Renaissance University Hospital, Faculty of Human Health Sciences, University of N'Djaména, N'Djamena, ChadSocial responsibility (SR) in health is of paramount importance in the development of health systems. It is, therefore, frequently presented as one of the solutions for healthcare improvement in most developed countries. In addition, SR in health has been the subject of several publications in the West and Asia. However, the absence of African data on this subject motivated us to carry out this study which aimed to assess SR of African public hospitals in terms of kidney disease management, and to explore the factors that influence it based on the perceptions of patients and nephrologists, and to suggest concrete solutions to improve it.Material and methodsOur study included participants, nephrologists and patients, of public hospitals in ten African countries. Two structured questionnaires were developed to measure the perception of patients and nephrologists regarding the hospital's performance based on four dimensions: Quality of service, pertinence of care, accessibility and professional ethics. Statistical analysis of the survey data included the Student's t-test, the Chi-square test, univariate and multivariate logistic regression methods on several levels, in order to examine the factors influencing the patients’ and nephrologists’ evaluation of hospital SR.ResultsOnly 26.95% of the included patients believed that their hospitals were socially responsible. In fact, the general conditions of the hospitals and the accessibility of care (waiting times, overall cost, unavailability of treatments) were generally perceived to be unsatisfactory. Also, patients generally believed that receiving treatment regardless of their ability to pay was not always possible.As for doctors, 60% of the participants considered their hospitals not socially responsible. They had raised, in addition to the social determinants of health, a number of factors hindering SR of African hospitals, such as the lack of health professionals and brain drain.Finally, nephrologists suggested solutions, mainly directed at hospital managers, encompassing the following three components: Recruitment and training of human resources, leadership and governance, as well as strengthening of infrastructures and logistics.ConclusionOur study highlighted the crucial role of hospital governance and stakeholder involvement in improving SR and care delivery. Participants’ perceptions and concerns inform health authorities about managing kidney disease in African hospitals.https://www.frontiersin.org/articles/10.3389/frhs.2025.1523196/fullAfricakidney diseasepublic hospitalssocial responsibility in healthnephrology |
| spellingShingle | Intissar Haddiya Intissar Haddiya Sara Ramdani Wijdane Chtioui Abdellatif Sidi Aly Sidi Mohamed Mah Abdou Niang Awatef Azzabi Ahmed Yahia Elmowafy Maimouna Mahamat Angélique Akagah Ademba Sylvain Pierre Nzeyimana Mahamat Abderraman G. Zalba Addressing social responsibility of kidney healthcare facilities in Africa Frontiers in Health Services Africa kidney disease public hospitals social responsibility in health nephrology |
| title | Addressing social responsibility of kidney healthcare facilities in Africa |
| title_full | Addressing social responsibility of kidney healthcare facilities in Africa |
| title_fullStr | Addressing social responsibility of kidney healthcare facilities in Africa |
| title_full_unstemmed | Addressing social responsibility of kidney healthcare facilities in Africa |
| title_short | Addressing social responsibility of kidney healthcare facilities in Africa |
| title_sort | addressing social responsibility of kidney healthcare facilities in africa |
| topic | Africa kidney disease public hospitals social responsibility in health nephrology |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1523196/full |
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