TY  - JOUR
AU  - Shrestha, Bijaya
AU  - Adhikari, Bipin
AU  - Shrestha, Manash
AU  - Sringernyuang, Luechai
PY  - 2022
DA  - 2022/2/24
TI  - Kidney Sellers From a Village in Nepal: Protocol for an Ethnographic Study
JO  - JMIR Res Protoc
SP  - e29364
VL  - 11
IS  - 2
KW  - ethnography
KW  - kidney selling
KW  - Nepal
KW  - qualitative methods
KW  - study protocol
KW  - bioethics
KW  - medical ethics
KW  - kidney transplantation
KW  - living donors
KW  - tissue donors
KW  - tissue and organ procurement
KW  - transplantation
KW  - organ transplant
AB  - Background: Kidney selling is a global phenomenon, with higher-income countries functioning as recipients and lower-income countries as donors, reflecting the gaps due to poverty and vulnerability. In recent years, an increasing number of residents in a village near the capital city of Nepal have been selling their kidneys; however, the factors embedded in the local social, cultural, political, and individual context driving kidney selling are poorly understood. Objective: The aim of this study is to explore the drivers of kidney selling and its consequences in Hokse village in central Nepal, using ethnographic methods and multistakeholder consultations. Methods: An ethnographic approach will be adopted along with in-depth interviews and key informant interviews among the residents and kidney sellers in the village. Relevant participants in the village will be selected purposively using a snowball approach. The number of participants will be predicated on the principles of data saturation. In addition, consultations with relevant stakeholders will be conducted at various levels, which will include authorities within and outside the village, and policymakers. All interviews will be conducted face to face, audio-recorded for transcription, and subjected to a thematic analysis. Results: This study was approved by Mahidol University Central Institutional Review Board (MU-CIRB 2020/217.1808) in September 2020 and by Nepal Health Research Council (NHRC 716/2020 PhD) in January 2021. The fieldwork started in February 2021 and the data analysis was completed in September 2021. Conclusions: This study is expected to provide insight into the reasons underlying the practice of kidney selling based on the example of Hokse village, along with the perspectives of multiple stakeholders. International Registered Report Identifier (IRRID): DERR1-10.2196/29364 
SN  - 1929-0748
UR  - https://www.researchprotocols.org/2022/2/e29364
UR  - https://doi.org/10.2196/29364
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35200146
DO  - 10.2196/29364
ID  - info:doi/10.2196/29364
ER  -