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In this study, we explored older rural South African adults’ perceptions of organ donation. Twelve older Pedi adults (male = 50%; age range 51 to 78 years) completed in-depth interviews on their knowledge of organ donation, cultural views, and influences on their orientation to the medical practice. Four themes emerged from the data synthesis: (i) organ donation regarded as body part harvesting; (ii) organ donation as a taboo practice; (iii) organ donation interfering with closure and spirituality; and (iv) the centrality of family in the decision making on health and life matters. The cultural lens rooted in family and spiritual futures is central to older black Pedi adults’ understanding of organ donation. Organ donation education and awareness campaigns should engage community leaders in bridging the cultural divide that may discourage people from participating in this beneficial practice.

Older black rural South African adults’ perceptions on organ donation: An exploratory study