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Renal replacement therapy in yemen.
A K Sheiban1, A Yehia, Y A Mohamed
1Sana′a University, Faculty of Medicine, Yemen.
Summary
Yemen faces a significant shortage of renal services, with limited dialysis machines and no established kidney transplantation program. This report details the current state of end-stage renal disease (ESRD) care in Yemen.
Area of Science:
- Nephrology
- Public Health
- Healthcare Management
Background:
- End-stage renal disease (ESRD) presents a growing challenge globally.
- Yemen, with an estimated population of 16 million, faces unique healthcare access issues.
- Limited data exists on the current status of renal replacement therapy in Yemen.
Purpose of the Study:
- To provide a comprehensive overview of dialysis and transplantation services in Yemen.
- To highlight the challenges and limitations in current renal care provision.
- To suggest potential strategies for improving kidney disease management in Yemen.
Main Methods:
- Review of available data on dialysis and transplantation in Yemen.
- Estimation of end-stage renal disease (ESRD) incidence.
- Analysis of the current infrastructure for renal replacement therapy.
Main Results:
- Estimated ESRD incidence of 385 per million population per year in one region.
- Approximately 36 hemodialysis machines are available across major Yemeni cities.
- Peritoneal dialysis is utilized, but continuous ambulatory peritoneal dialysis is not practiced.
- Renal transplantation services are not yet established in Yemen.
- 327 patients are undergoing follow-up for transplants performed abroad, often with high complication rates.
Conclusions:
- Yemen experiences a critical deficit in renal services, impacting a large population.
- The lack of local transplantation and limited dialysis infrastructure necessitates urgent attention.
- Establishing a National Kidney Foundation is proposed to better organize and enhance renal care services.
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