Capacity for the management of kidney failure in the International Society of Nephrology Africa region: report from the 2023 ISN Global Kidney Atlas (ISN-GKHA)

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Tannor E.K.; Davidson B.; Nlandu Y.; Bagasha P.; Bilchut W.H.; Davids M.R.; Diongole H.M.; Ekrikpo U.E.; Hafiz E.O.A.; Ibrahim K.S.; Kalyesubula R.; Nalado A.M.; Olanrewaju T.O.; Onu U.C.; Pereira-Kamath N.; Sakajiki A.M.; Salah M.; Vincent L.; Arruebo S.; Bello A.K.; Caskey F.J.; Damster S.; Donner J.-A.; Jha V.; Johnson D.W.; Levin A.; Malik C.; Nangaku M.; Okpechi I.G.; Tonelli M.; Ye F.; Ashuntantang G.E.; Arogundade F.A.; Gawad M.A.; Abderrahim E.; Akl A.; Amekoudi E.M.Y.; Amouzegar A.; Awobusuyi J.O.; Bakoush O.; Chissico E.R.; Cho Y.; Coker J.; Cullis B.; Dahwa R.; Darwish R.A.; Davison S.N.; Divyaveer S.; Ethier I.; Fagoonee K.; Fofana A.S.; Freercks R.; Wing-Shing Fung W.; Gandzali-Ngabe P.E.; Ghimire A.; Gouda Z.E.; Habyarimana O.; Htay H.; Wan D.I.M.; Irish G.; Ismail W.; Jagne A.; Jarraya F.; Jindal K.; Kabllo B.G.; Kalebi A.Y.; Kaze Folefack F.F.; Kelly D.M.; Lalji R.; Lomatayo B.; Mah S.M.; Zalba Mahamat Abderraman G.; McCulloch M.; Mengistu Y.T.; Moloi M.W.; Mwaba C.; Neuen B.L.; Ngigi J.; Niang A.; Nyandwi J.; Odeh E.; Osman M.A.; Le Grand Ouanekpone C.P.; Petrova A.; Ranivoharisoa E.M.; Riaz P.; Saad S.; See E.; Sokwala A.; Solarin A.U.; Sozio S.M.; Houssani T.S.; Kiswaya E.S.; Tia W.M.; Tiv S.; Ts'enoli T.; Tungsanga S.; Ulasi I.I.; Vanglist S.J.; Viecelli A.; Wadee S.; Wainstein M.; Wearne N.; Yeung E.K.; Zaidi D.

Journal: Kidney International Supplements

Publisher: Elsevier B.V.

Publication Date: April 2024

Volume / Issue: Volume 13 / Issue 1

Pages: 12–28

ISSN: 21571724

DOI: 10.1016/j.kisu.2024.01.002

Scopus: View on Scopus

Document Type: Review

Access: All Open Access; Bronze Open Access; Green Open Access

Authors and Affiliations

Tannor E.K., Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Renal Unit, Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana; Davidson B., Division of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa; Nlandu Y., Nephrology Unit, Kinshasa University Hospital, Kinshasa, Democratic Republic Congo; Bagasha P., Department of Internal Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda, Directorate of Internal Medicine, Mulago National Referral Hospital, Kampala, Uganda; Bilchut W.H., Department of Internal Medicine/CMHS, University of Gondar, Gondar, Ethiopia; Davids M.R., Division of Nephrology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa; Diongole H.M., Division of Nephrology, Department of Medicine, National Hospital Zinder, Zinder, Niger, Faculty of Health Sciences, University of Zinder, Zinder, Niger; Ekrikpo U.E., Department of Medicine, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria; Hafiz E.O.A., Electron Microscopy Department, Clinical Laboratory Division, Theodor Bilharz Research Institute, Giza, Egypt; Ibrahim K.S., Nephrology Unit, Department of Medicine, Wuse District Hospital, Abuja, Nigeria, Department of Internal Medicine, College of Health Sciences, Nile University, Federal Capital Territory, Abuja, Nigeria; Kalyesubula R., Department of Physiology, Makerere University College of Health Sciences, Kampala, Uganda; Nalado A.M., Department of Medicine, Bayero University Kano, Kano, Nigeria; Olanrewaju T.O., Division of Nephrology, Department of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria, Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands; Onu U.C., Renal Unit, Department of Medicine, University of Nigeria Teaching Hospital, ItukuOzalla, Enugu State, Nigeria; Pereira-Kamath N., Africa Healthcare Network Tanzania Limited, Dar es Salaam, Tanzania; Sakajiki A.M., Department of Medicine, Usmanu Danfodiyo University and Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria; Salah M., National Institute of Urology & Nephrology, Cairo, Egypt; Vincent L., Africa Healthcare Network, Port Louis, Mauritius; Arruebo S., The International Society of Nephrology, Brussels, Belgium; Bello A.K., Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; Caskey F.J., Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom; Damster S., The International Society of Nephrology, Brussels, Belgium; Donner J.-A., The International Society of Nephrology, Brussels, Belgium; Jha V., George Institute for Global Health, University of New South Wales (UNSW), New Delhi, India, School of Public Health, Imperial College, London, United Kingdom, Manipal Academy of Higher Education, Manipal, India; Johnson D.W., Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, QLD, Australia, Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, QLD, Australia, Translational Research Institute, Brisbane, QLD, Australia, Australasian Kidney Trials Network at the University of Queensland, Brisbane, QLD, Australia; Levin A., Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada; Malik C., The International Society of Nephrology, Brussels, Belgium; Nangaku M., Division of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine, Tokyo, Japan; Okpechi I.G., Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada, Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa, Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa; Tonelli M., Department of Medicine, University of Calgary, Calgary, AB, Canada, Canada and Pan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, AB, Canada; Ye F., Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; Ashuntantang G.E., Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon; Arogundade F.A., Renal Unit, Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Osun State, Ile-Ife, Nigeria; Gawad M.A.; Abderrahim E.; Akl A.; Amekoudi E.M.Y.; Amouzegar A.; Awobusuyi J.O.; Bakoush O.; Chissico E.R.; Cho Y.; Coker J.; Cullis B.; Dahwa R.; Darwish R.A.; Davison S.N.; Divyaveer S.; Ethier I.; Fagoonee K.; Fofana A.S.; Freercks R.; Wing-Shing Fung W.; Gandzali-Ngabe P.E.; Ghimire A.; Gouda Z.E.; Habyarimana O.; Htay H.; Wan D.I.M.; Irish G.; Ismail W.; Jagne A.; Jarraya F.; Jindal K.; Kabllo B.G.; Kalebi A.Y.; Kaze Folefack F.F.; Kelly D.M.; Lalji R.; Lomatayo B.; Mah S.M.; Zalba Mahamat Abderraman G.; McCulloch M.; Mengistu Y.T.; Moloi M.W.; Mwaba C.; Neuen B.L.; Ngigi J.; Niang A.; Nyandwi J.; Odeh E.; Osman M.A.; Le Grand Ouanekpone C.P.; Petrova A.; Ranivoharisoa E.M.; Riaz P.; Saad S.; See E.; Sokwala A.; Solarin A.U.; Sozio S.M.; Houssani T.S.; Kiswaya E.S.; Tia W.M.; Tiv S.; Ts'enoli T.; Tungsanga S.; Ulasi I.I.; Vanglist S.J.; Viecelli A.; Wadee S.; Wainstein M.; Wearne N.; Yeung E.K.; Zaidi D.

Abstract

The burden of chronic kidney disease and associated risk of kidney failure are increasing in Africa. The management of people with chronic kidney disease is fraught with numerous challenges because of limitations in health systems and infrastructures for care delivery. From the third iteration of the International Society of Nephrology Global Kidney Health Atlas, we describe the status of kidney care in the ISN Africa region using the World Health Organization building blocks for health systems. We identified limited government health spending, which in turn led to increased out-of-pocket costs for people with kidney disease at the point of service delivery. The health care workforce across Africa was suboptimal and further challenged by the exodus of trained health care workers out of the continent. Medical products, technologies, and services for the management of people with nondialysis chronic kidney disease and for kidney replacement therapy were scarce due to limitations in health infrastructure, which was inequitably distributed. There were few kidney registries and advocacy groups championing kidney disease management in Africa compared with the rest of the world. Strategies for ensuring improved kidney care in Africa include focusing on chronic kidney disease prevention and early detection, improving the effectiveness of the available health care workforce (e.g., multidisciplinary teams, task substitution, and telemedicine), augmenting kidney care financing, providing quality, up-to-date health information data, and improving the accessibility, affordability, and delivery of quality treatment (kidney replacement therapy or conservative kidney management) for all people living with kidney failure. © 2024 International Society of Nephrology

Keywords

Africa; chronic kidney disease; kidney failure; kidney replacement therapy; nephrology workforce; out-of-pocket spending; advocacy group; chronic kidney failure; conservative treatment; demographics; disease burden; funding; government; health care access; health care cost; health care delivery; health care policy; health care quality; health workforce; hemodialysis patient; human; medical care; medical information system; medical society; multidisciplinary team; nephrology; outcome assessment; renal replacement therapy; Review; risk factor; statistics; telemedicine

Citation Information

Scopus Citations: 16

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