A Qualitative Exploratory Study of Facilitators and Barriers Influencing Organ Donation in Ghana: Insights for Health Policy and Advocacy.

Background: Organ donation and transplantation are among the greatest scientific discoveries of our time, which have restored hope and life to many. However, several factors influence the global organ donation rate. It is, therefore, important to understand the Ghanaian context of facilitators and barriers to donation to dispel cultural myths and misconceptions about organ donation. This study aims to qualitatively explore the facilitators and barriers influencing organ donation in Ghana. Methods: This was a qualitative exploratory study conducted among health professionals at four major tertiary hospitals in Ghana. Participants were chosen using the purposive sampling technique. Using a structured interview guide, an in-depth interview was conducted to gather qualitative data, which was then tape-recorded and transcribed. Thematic content analysis was used to manually analyze the data. Results: Of the 25 expert participants, the majority (15, 60.0%) were female. The majority (15, 60.0%) were between 40 and 59 years. The mean age was 42.4 ± 8.0 years. The average number of years of work experience was 15.8 ± 7.1 years. Themes identified for facilitators of organ donation included increased awareness and knowledge campaign, societal influence, and legislative support. Themes for barriers were inadequate knowledge, socio-cultural influence, religious beliefs, and ethical concerns. Conclusions: Increased awareness and knowledge campaigns, societal influence, and legislative support are the significant facilitators of organ donation in Ghana, whereas inadequate knowledge, socio-cultural, and religious influence are important barriers to organ donation in Ghana.