*1.4.2.2 Personnel*

Some healthcare professionals have poor work ethics deriving from unsavory work environment and remunerations. Transplantation is a highly specialized service that entails full commitment of the workforce and long work hours. For a good transplant programme, the national health system and the hospitals have to commit to improving the skill set of the work force through adequate staff training and other development opportunities, incentivization of the programme and offering a very supportive work environment [25].

#### *1.4.2.3 Health seeking behaviour*

Traditions and cultures influence the mindset of a people; decision to access healthcare service is informed by many factors (accessibility, affordability, spirituality and religiosity, and knowledge of the disease condition) [26]. When ill, many people in LRCs seek alternative healthcare service including traditional health providers and religious institutions resulting in late presentation to hospitals [27].

#### **Figure 2.**

*World map of transplantation in 2019 showing total sum of transplants [from global Observatory of Donation and Transplantation].*
