Patient reported barriers and facilitators of chronic kidney disease care in Sub-Saharan Africa: a mixed methods systematic review using the COM-B model.

ABSTRACT:

Background

In Sub-Saharan Africa (SSA), the prevalence of chronic kidney disease (CKD) is on the rise. Treatment for CKD in SSA is characterized by delayed initiation, early discontinuation, inadequate duration of therapy, and suboptimal follow-up. To our level of understanding, evidence on the barriers and facilitators of CKD care in SSA has not been comprehensively reported and is the focus of this mixed methods systematic review.

Methods

This convergent integrated Joanna Briggs Institute (JBI) methodology for mixed systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 guidelines. Six databases were utilized and included Medline, Ovid, Cumulative Nursing and Allied Health Literature (CINAHL), EMBASE, Web of Science,

SUBMITTER: Areri HA 

PROVIDER: S-EPMC12659525 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature