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The need for dialysis in Haiti: dream or reality?

Judith Exantus1, Florence Desrosiers, Alexandra Ternier

  • 1Pediatrics Unit, State University Hospital, Port-au-Prince, Haïti.

Blood Purification
|February 13, 2015
PubMed

Insights

Chronic kidney diseases (CKD) pose a significant global health burden, particularly in low-middle income countries like Haiti. This paper examines the past, present, and challenges of dialysis as a life-saving renal replacement therapy in Haiti.

Area of Science:

  • Nephrology
  • Public Health
  • Global Health

Background:

  • The global burden of chronic kidney diseases (CKD) is increasing, driven by noncommunicable diseases (NCDs) like hypertension and diabetes.
  • Low-middle income countries (LMIC), including Haiti, face a dual burden of NCDs and infectious diseases that can impair kidney function.
  • Existing public health challenges in Haiti, such as diarrheal infections and AIDS, can exacerbate kidney impairment.

Purpose of the Study:

  • To discuss the historical context, current status, and challenges of dialysis as a renal replacement therapy (RRT) in Haiti.
  • To highlight the scarcity of data regarding dialysis provision and management in Haiti.
  • To provide recommendations for improving dialysis access and care in Haiti.

Main Methods:

  • This paper presents a discussion based on available data and expert knowledge.
  • It reviews the past and present landscape of RRT in Haiti.
  • It identifies challenges and proposes recommendations for the future.

Main Results:

  • Access to dialysis and RRT in Haiti is limited, with significant financial barriers for patients.
  • The high prevalence of poverty in Haiti (72% living on less than $2/day) makes affording life-saving dialysis extremely difficult.
  • There is a scarcity of comprehensive data on the weight and management of dialysis in Haiti.

Conclusions:

  • Addressing the need for dialysis in Haiti is crucial for public health planning and decision-making.
  • Improving access to dialysis is essential for improving survival rates for patients with end-stage renal disease (ESRD) in Haiti.
  • Further research and investment are needed to overcome the challenges of providing RRT in resource-limited settings like Haiti.

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