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Recruiting the Community for Supporting End‐Stage Renal Disease Management in the Developing World
Author(s) -
Rizvi A.,
Aziz R.,
Ahmed E.,
Naqvi R.,
Akhtar F.,
Naqvi A.
Publication year - 2002
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.2002.07071.x
Subject(s) - economic shortage , medicine , renal replacement therapy , transplantation , end stage renal disease , dialysis , intensive care medicine , peritoneal dialysis , incidence (geometry) , government (linguistics) , disease , linguistics , philosophy , physics , optics
Although the incidence of new end‐stage renal disease (ESRD) patients in Pakistan is estimated at 100 patients per million (ppm), the prevalence of those alive on renal replacement therapy (RRT) is around 40 ppm, reflecting the severe shortage of facilities. A national program was launched in 1998 to provide free RRT, but the funds were extremely limited, leading to the flourishing of suboptimal treatment in private dialysis and transplant centers. The Sindh Institute of Urology and Transplantation (SIUT), started as a small unit in 1975, took the lead in recruiting nongovernmental funds for RRT. Through the devotion of several groups, it was possible to raise funds from individuals, pharmaceutical firms, and other organizations, which permitted the development of SIUT into an independent, large, and fully equipped institution that provides free RRT including dialysis and transplantation to many thousands of patients. This prompted the government to increase its contributions to encourage SIUT to pursue its unique path.