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World J Transplant. Jun 18, 2026; 16(2): 117585
Published online Jun 18, 2026. doi: 10.5500/wjt.v16.i2.117585
Published online Jun 18, 2026. doi: 10.5500/wjt.v16.i2.117585
Informing national policy: Healthcare workers’ readiness for a deceased donor kidney transplant program in Brunei Darussalam
Nor Islya Emma Othman, Chiao Yuen Lim, Musuriani Yusuf, Dalinatul Ahmed, Jackson Tan, Department of Renal Services, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1712, Brunei Darussalam
Lubna Razak, Department of Policy Planning, Ministry of Health, Bandar Seri Begawan BB3910, Brunei Darussalam
Fazean Idris, UBD PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan BE1410, Brunei Darussalam
Nayan Joshi, Department of Ophthalmology, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam
Muhammad Abdul Mabood Khalil, Center of Renal Diseases and Transplantation, King Fahad Armed Forces Hospital, Jeddah 23311, Makkah Al Mukarramah, Saudi Arabia
Minh Cuong Duong, School of Population Health, University of New South Wales, Sydney 2033, New South Wales, Australia
Author contributions: Othman NIE, Lim CY, Razak L, Yusuf M, Ahmed D, Idris F, Joshi N, Khalil MAM, Duong MC, and Tan J conceptualized the study; Authors Othman NIE, Lim CY, Razak L, Yusuf M, Ahmed D, Idris F, and Joshi N were involved in data collection; Tan J performed the statistical analysis and wrote the initial manuscript. All authors confirmed the final edition.
AI contribution statement: ChatGPT was used for language polishing and to improve readability.
Institutional review board statement: This study was approved by the Medical and Health Research Ethic Committee of Raja Isteri Pengiran Anak Saleha Hospital (Approval No. MHREC/MOH/2025/28).
Informed consent statement: Informed consent was obtained from all participants prior to enrolment in the study. Participants were provided with written information outlining the study purpose, procedures, potential risks, and their rights, including the voluntary nature of participation and the ability to withdraw at any time without penalty. All responses were anonymized to ensure confidentiality.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: All data pertaining to this research can be shared through the corresponding author, if required.
Corresponding author: Jackson Tan, Department of Renal Services, Raja Isteri Pengiran Anak Saleha Hospital, Jalan Putera Al-Muhtadee Billah, Bandar Seri Begawan BA1712, Brunei Darussalam. drjacksontan74@gmail.com
Received: December 11, 2025
Revised: February 10, 2026
Accepted: March 13, 2026
Published online: June 18, 2026
Processing time: 170 Days and 0.9 Hours
Revised: February 10, 2026
Accepted: March 13, 2026
Published online: June 18, 2026
Processing time: 170 Days and 0.9 Hours
Core Tip
Core Tip: This study explored the views of 370 healthcare workers in Brunei Darussalam on establishing a deceased donor kidney transplant (DDKT) program. Most were female (76%) and included doctors, nurses and allied health staff. Overall, 61% showed high knowledge. Support for DDKT (44%) exceeded opposition (12%), though 45% were undecided. An opt-in donor card system was favored by 54%, while attitudes toward transplant commercialization were mixed, with 21% accepting it. Disapproval of DDKT and donor cards was associated with Islamic religion, Malay ethnicity, nursing pro