Moreover, there are limited studies in Rwanda about adherence to hemodialysis among ESRD.Yet, the health profile of Rwanda 2014 (WHO update) reveals that renal diseases were the fourteenth leading cause of death among 50 top causes of death in Rwanda .There are four (4) dialysis units in Rwanda for which three are in the city center of Kigali and one in the rural setting in the southern province.
Participants were recruited using a purposive sampling technique.
Demographic and adherence to hemodialysis data were collected with the use of structured interview schedules.
Similarly, a study conducted on Zimbabweans showed that more than 50% of patients were not adhering to the scheduled hemodialysis plan.
In fact, 93% of the respondents had missed at least one session of HD with 61% missing most of the scheduled sessions.
Numerous studies have also revealed that nonadherence is the cause of mortality, frequent hospitals visits, and hospital admissions [12, 13]. , missed and shortened dialysis treatment time resulted in physical problems such as hypotension, cramps, fatigue, and clots in access site.
Informal observations and clinical experience in Rwandan renal units reveal poor adherence to hemodialysis among ESRD patients.
The increase of ESRD patients necessitates management on dialysis for better outcomes, thus making adherence to prescribed treatment essential .
Although kidney transplantation is the best choice of treatment of renal failure, resource constraints and shortage of kidney donations remain an issue .
This was a descriptive cross-sectional design in which the researcher collected and analysed quantitative data to determine the level of adherence to hemodialysis and associated factors among End Stage Renal Disease patients.
The study was conducted in three (3) selected referral dialysis centers in the city center of Kigali, Rwanda.