Rashad S. Barsoum|Soha S. Khalil|Fatiu Arogundade
Fifty Years of Dialysis in Africa: Challenges and Progress
Obafemi Awolowo University
review addresses development dialysis services africa face past contemporary challenges maintenance dialysis treatment programs developed 29 countries past 50 years usually many years independence end subsequent territorial civil wars eight countries resources launch national dialysis programs conventionally defined accommodating least 100 patients per million population additionally based information obtained international local publications conference proceedings personal communications appears limited shortterm dialysis therapy currently available african countries currently prevalence outcomes associated dialysis africa influenced significantly following 1 local health indexes including prevalence undernutrition chronic infections 2 per capita gross domestic product 3 national expenditures health growth expenditures incremental demand 4 availability adequate training health care providers 5 literacy attempt reduce socioeconomic burden maintenance dialysis treatment 12 countries adopted active transplantation programs 5 striving develop screening prevention programs recommendations based observations include optimizing dialysis treatment initiatives integrating health strategies well training motivating local health care providers steps taken collaboration regulatory authorities public