Taslim BB *
About 1.9 million people worldwide have end-stage renal disease, a stage of chronic kidney disease where affected individuals require long-term renal replacement therapy of which 75% are on maintenance hemodialysis. Africa has the lowest dialysis uptake rates in the world despite chronic kidney disease being three to four times more common in Africa than it is in the developed world. Several factors are responsible for this low rate of dialysis uptake in sub-Saharan Africa. These include inadequacy of dialysis infrastructure, lack of reimbursements or government subsidies for dialysis and severe shortage of trained nephrology personnel. In addition, there is no regulation governing dialysis practice in most countries in the region, and no renal data on basis of which plans to tackle these issues can be developed. Increased financial commitments on the part of governments in sub-Saharan Africa are essential not only to improve patient access to dialysis, but also to fund research needed to provide epidemiologic data on kidney disease, train and retain nephrology personnel and develop effective, safe and affordable dialysis modalities for patients with ESRD in the region
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Journal of Nephrology & Therapeutics received 784 citations as per Google Scholar report
