Entrepreneurship Despite Chronic Illness: Determinants of Business Success Among Renal Patients in a KwaZulu-Natal Municipality, South Africa

Abstract

Entrepreneurship has gained significant global attention as a pathway to employment creation, economic empowerment and socio-economic development. Various policies and programs have been developed to provide entrepreneurial support to diverse populations, including students, youths and women. However, little attention has been given to individuals living with chronic illnesses such as renal failure. These individuals must balance entrepreneurial demands and persistent health challenges. Despite a growing interest, entrepreneurial activity among individuals living with chronic illnesses has been largely underrepresented in entrepreneurship research. This study examines the factors influencing the success of renal patients’ owned businesses in uMhlathuze Municipality, KwaZulu-Natal, South Africa. The study adopted a quantitative research approach. 50 participants including 42 renal failure patients and 8 renal unit managers or nurses were selected using the census approach. Data was collected using a self-administered structured questionnaire. Key findings indicated that strong operational capabilities, health-compatible business structures and necessity-based motivations facilitate the success of entrepreneurial businesses owned by renal failure patients in uMhlathuze Municipality. Thus, the study underscores the need for inclusive entrepreneurial ecosystems that prioritize health-related constraints while providing targeted training, mentorship and infrastructural support. The study recommends collaborative efforts between key stakeholders including healthcare institutions, the government and entrepreneurship support organizations to develop programs that integrate healthcare support and economic participation of individuals with chronic illnesses.