alexa Identifying the Barriers to Achieving Sustainable Dialy
ISSN: 2161-0959

Journal of Nephrology & Therapeutics
Open Access

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Research Article

Identifying the Barriers to Achieving Sustainable Dialysis Programs in Sub-Saharan Africa: Nigeria as a Reference Point

Taslim BB*

Department of Medicine, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria

*Corresponding Author:
Taslim BB
Department of Medicine, College of Medicine
University of Lagos; Idi-Araba, Lagos, Nigeria
Tel: +2348023120993
E-mail: [email protected]

Received Date: June 24, 2014; Accepted Date: October 13, 2014; Published Date: October 28,2014

Citation: Taslim BB (2014) Identifying the Barriers to Achieving Sustainable Dialysis Programs in Sub-Saharan Africa: Nigeria as a Reference Point. J Nephrol Ther 4:186. doi:10.4172/2161-0959.1000186

Copyright: © 2014 Taslim BB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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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