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Capacity for the management of kidney failure in the International Society of Nephrology Africa region: report from
Elliot Koranteng Tannor1,2, Bianca Davidson3, Yannick Nlandu4
1Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kidney International Supplements
|April 15, 2024
Summary
Chronic kidney disease (CKD) is rising in Africa, with limited resources and workforce challenges hindering care. Improving CKD management requires prevention, early detection, and better access to treatment for kidney failure.
Area of Science:
- Nephrology
- Public Health
- Health Systems Research
Background:
- The prevalence of chronic kidney disease (CKD) and the risk of kidney failure are escalating across Africa.
- Existing health systems and infrastructure limitations present significant challenges in managing CKD patients.
Purpose of the Study:
- To assess the current state of kidney care in the International Society of Nephrology (ISN) Africa region.
- To identify key challenges and limitations within African health systems affecting kidney disease management.
Main Methods:
- Utilized data from the third iteration of the ISN Global Kidney Health Atlas.
- Applied the World Health Organization's health system building blocks framework for analysis.
Main Results:
- Identified inadequate government health spending, leading to high out-of-pocket expenses for patients.
- Noted a suboptimal healthcare workforce, exacerbated by emigration of trained professionals.
- Observed scarcity of essential medical products, technologies, and services due to infrastructure deficits and inequitable distribution.
- Found a lack of kidney registries and advocacy groups compared to global standards.
Conclusions:
- Effective strategies for improving kidney care in Africa include prioritizing CKD prevention and early detection.
- Enhancing healthcare workforce efficiency through multidisciplinary teams, task substitution, and telemedicine is crucial.
- Augmenting financing for kidney care, improving health data quality, and ensuring accessible, affordable, quality treatments are essential for all individuals with kidney failure.
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