The impact of renal failure on the South African black and his attitude towards haemodialysis.

Four years' experience with haemodialysis in South African Blacks has afforded an insight into their beliefs and superstitions about kidney function and kidney disease, the role of the extended family and the influence of traditional healers on the pattern of management of patients with chronic renal failure. Despite a vastly different cultural background and basic ignorance of biology, their reactions and adaptations to maintenance haemodialysis are closely similar to those reported from modern Western societies.