**4.7 Poverty and unemployment**

There is pervading poverty in SSA with US bureau of statistics reporting rates of 87.8%, 56.9%, 40.1%, 40% and 36.1% in Uganda, Ghana, Nigeria, Cameroun and Kenya respectively [94]. In Nigeria, 85% of ESKD patients earn between \$800–7333 annually making kidney transplantation unaffordable [27, 95]. Although unemployment rate in SSA averages 6.2%, many are underemployed and earn low income [96].
