*1.5.2 West Africa*

**Ghana** started a kidney transplant programme in 2008 at Korle Bu Teaching Hospital, Accra in collaboration with a hospital and a charity organization in UK. Between 2008 and 2014, the programme performed 17 transplants and in 2015, they established a national registry [42].

**Ivory Coast** implemented the law authorizing organ donation in 2012 [43] and between 2013 and 2015, ten living-related kidney transplantations had been done [44].

**Nigeria** commenced organ transplantation activity in 2000 in a privatelyowned hospital [45]. Currently, there are 15 centres (public 9, private 6) and over 770 transplants had been performed between 2000 and 2019 [Personal Communication].

## *1.5.3 East Africa*

**Ethiopia** commenced its transplant programme in collaboration with an American hospital in September 2015 and by February 2018, had done 70 living donor kidney transplants at their only transplant centre [46].

**Kenya** started kidney transplantation in 2009 and by 2019 had performed 200 transplants. Their government augmented the existing infrastructures to support 10 transplants per month [47].

**Mauritius** began kidney transplantation in 1980 and discontinued in 1982 following poor outcomes but resumed in 1993 [48]. Although the "Human Tissue (Removal, Preservation and Transplant) Act" was promulgated in 2006 and amended in 2013, a new legislation was enacted in 2018 [49].

**Sudan**, according to the African Union belongs to East African sub-region even though the United Nations categorized her as North Africa. Sudan had her first kidney transplant in 1974 and for the subsequent 25 years performed very few transplants. However, in 2000, the program was reactivated; and 222 transplants were performed in 2016 [50].

**Tanzania** started kidney transplantation services locally in collaboration with hospitals in India and Japan in November 2017 [51]. Earlier, her program consisted of government-sponsored transplantation overseas. Recipients and donors received
