Awareness, Knowledge, and Attitude Towards Corneal Donation Among Adults in a Rural Community in Enugu State, Nigeria
DOI:
https://doi.org/10.4314/wnjms.v9i1.7Keywords:
Awareness, cornea, Donation, Knowledge, attitude, ruralAbstract
Introduction: Corneal blindness remains a major cause of visual impairment in developing countries. Corneal transplantation is an effective treatment for many corneal diseases; however, the shortage of donor corneas remains a major challenge. This study determines the awareness, knowledge, and attitude towards corneal donation among adults in a rural community in Enugu State, Nigeria.
Methods: This descriptive cross-sectional study was conducted among adults aged 18 years and above who attended a medical outreach programme in a rural community in Enugu State. Data were collected using a structured interviewer-administered questionnaire assessing socio-demographic characteristics, awareness, knowledge, and attitude towards corneal donation. Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 23.0. Descriptive statistics were used to summarize the findings.
Results: A total of 170 participants were enrolled, comprising 47 (27.6%) males and 123 (72.4%) females, with a mean age of 48.3 ± 17.2 years. More than half of the respondents (57.1%) had poor knowledge of corneal donation, while 79.4% demonstrated poor awareness. Furthermore, 135 (79.4%) participants were unaware that individuals could voluntarily pledge to donate their corneas after death. Attitude towards corneal donation was generally poor, with 83.5% of respondents unwilling to donate their corneas after death.
Conclusion: Knowledge, awareness, and attitude towards corneal donation were generally poor among adults in this rural community. Community-based health education and sustained public enlightenment campaigns are needed to improve awareness, correct misconceptions, and promote acceptance of corneal donation.
References
1. Hussen MS, Belete GT. Knowledge and attitude toward eye donation among adults in Northwest Ethiopia: a community-based cross-sectional study. Middle East Afr J Ophthalmol. 2018;25:126-130.
2. Mathews PM, Lindsley K, Aldave AJ, Akpek EK. Etiology of global corneal blindness and current practices of corneal transplantation: a focused review. Cornea. 2018;37(9):1198-1203.
3. Nigeria National Blindness and Visual Impairment Study Group, Muhammad M. Abdull, S. Sivasubramaniam, G. V. Murthy, et al. Causes of blindness and visual impairment in Nigeria: the Nigeria National Blindness and Visual Impairment Survey. Invest Ophthalmol Vis Sci. 2009;50(9):4114-4120.
4. Domenico Pascolini, Silvio Paolo Mariotti. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614-618.
5. Clare Gilbert, Allen Foster. Blindness in children: control priorities and research opportunities. Br J Ophthalmol. 2001;85:1025-1027.
6. Garg P, Krishna PV, Stratis AK, Gopinathan U. The value of corneal transplantation in reducing blindness. Eye (Lond). 2005;19:1106-1114.
7. Gain P, Jullienne R, He Z, Aldossary M, Acquart S, Cognasse F, et al. Global survey of corneal transplantation and eye banking. JAMA Ophthalmol. 2016;134(2):167-173.
8. Rajan MS. Surgical strategies to improve visual outcomes in corneal transplantation. Eye (Lond). 2014;28:196-201.
9. Rao GN, Gopinathan U. Eye banking: an introduction. Community Eye Health. 2009;22:46-47.
10. Lawlor M, Kerridge I, Ankeny R, Dobbins TA, Billson F. Specific unwillingness to donate eyes: the impact of disfigurement, knowledge and procurement on corneal donation. Am J Transplant. 2010;10(3):657-663.
11. Chu T, Wang LN, Yu H, Zhang RY. Awareness of cornea donation among registered tissue donors in Nanjing. Chin Med Sci J. 2013;28(1):20-27.
12. Haddad MF, Khabour OF, Alzoubi KH, Bakkar MM. Public attitudes toward corneal donation in northern Jordan. Clin Ophthalmol. 2018;12:1973-1980.
13. Yew YW, Saw SM, Pan JC, Shen HM, Lwin M, Yew MS, et al. Knowledge and beliefs on corneal donation among Singapore adults. Br J Ophthalmol. 2005;89(7):835-840.
14. Berhane Y, Worku A, Bejiga A, Adamu L, Alemayehu W, Bedri A, et al. Prevalence and causes of blindness and low vision in Ethiopia. Ethiop J Health Dev. 2008;21:204-210.
15. Okoye OI, Maduka-Okafor FC, Eze BI. What do medical students know about eye donation and corneal transplantation? The University of Nigeria scenario. West Indian Med J. 2010;59:41-44.
16. Alvarez MC, Pham HT, Sng DK, Chee HY, et al. Knowledge and attitudes toward corneal donation among Singaporean youth: a cross-sectional study. Eye Vis (Lond). 2016;3:17.
17. Federal Republic of Nigeria. National Health Act, 2014. Official Gazette No. 145, Vol. 101, Notice No. 208. Sections 51-55.
18. Eze BI, Okoye O, Eze JN. Knowledge and attitudes regarding eye donation and corneal transplantation: medical versus non-medical university students in a developing African country. Exp Clin Transplant. 2014;12(5):454-461.
19. Canova D, De Bona M, Ruminati R, Ermani M, Naccarato R, Burra P. Understanding of and attitudes to organ donation and transplantation among Italian university students. Clin Transplant. 2006;20(3):307-312.
20. Tam WW, Suen LK, Chan HY. Knowledge, attitudes and commitment toward organ donation among nursing students in Hong Kong. Transplant Proc. 2012;44(5):1196-1200.
21. Kumar S, Shukla US, Agarwal P. Awareness and knowledge of eye donation among students in Bhopal. Natl J Community Med. 2012;3:685-689.
22. Khalid F, Khalid AB, Muneeb D, Shabir A, Fayyaz D, Khan M. Level of knowledge and attitude regarding organ donation: a community-based study from Karachi, Pakistan. BMC Res Notes. 2019;12:309.
23. Alanazi LF, Aldossari SH, Gogandy MA, Althubaiti GA, Alanazi BF, Alfawaz AM. Attitude, beliefs and awareness toward corneal donation in Saudi Arabia. Saudi J Ophthalmol. 2019;33(2):121-129.
24. Pedro C, Bell HI. Organ donation and transplantation in Port Harcourt: awareness, knowledge and willingness to donate an organ. Am J Clin Med Res. 2020;8(1):13-17.
25. Gessesse G, Tilahun Y. Willingness to donate eyes and associated factors among adults in a rural community in central Ethiopia. J Ophthalmol East Cent South Afr. 2013;17:20-24.
26. McGlade D, Pierscionek B. Can education alter attitudes, behaviour and knowledge about organ donation? A pretest-post-test study. BMJ Open. 2013;3(12):e003961.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Western Nigeria Journal of Medical Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.