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Bulanov N, Alshamsi I, Cambier A, Chávez-Iñiguez JS, Gallardo M, Malik C, Qayyum A, Shah A, Wainstein M, Hocine A, Montomoli M, Nimmo A, Rowlandson M, Tannor EK, Soki K, Davidson B, Karam S. Toolkit on Creating a Young Nephrologists Committee: An ISN Young Nephrologists Committee Project to Empower Young Nephrologists Worldwide. Kidney Int Rep 2024; 9:1553-1556. [PMID: 38899196 PMCID: PMC11184309 DOI: 10.1016/j.ekir.2024.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024] Open
Affiliation(s)
- Nikolay Bulanov
- Department of Internal, Occupational Diseases and Rheumatology, Tareev Clinic of Internal Diseases, Sechenov First Moscow State Medical University, Moscow, Russia
| | | | - Alexandra Cambier
- Service de Néphrologie pédiatrique-hémodialyse, Centre de recherche CHU Sainte Justine, Montréal, Quebec, Canada
| | - Jonathan S. Chávez-Iñiguez
- Servicio de Nefrología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico
| | - Miguel Gallardo
- International Society of Nephrology, Global Operations Center, Brussels, Belgium
| | - Charu Malik
- International Society of Nephrology, Global Operations Center, Brussels, Belgium
| | - Ahad Qayyum
- Department of Nephrology and Transplantation, Bahria Town International Hospital, Lahore, Pakistan
| | - Anim Shah
- Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia
| | - Marina Wainstein
- Centre for Health Services Research, University of Queensland, Brisbane, Australia
| | - Aldjia Hocine
- Service de Néphrologie, Clinique du Landy, Saint-Ouen, France
- Service de Néphrologie, Hôpital Bichat Claude Bernard, AP-HP, Paris, France
| | - Marco Montomoli
- Nephrology Service, Hospital Universitari Clínic de Valencia, Valencia, Spain
| | - Ailish Nimmo
- Department of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK
- Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
| | - Matthew Rowlandson
- Nephrology and Transplant Department, John Hunter Hospital, New Lambton Heights, New South Wales, Australia
| | - Elliot K. Tannor
- Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Renal Unit, Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Khalida Soki
- Department of Internal Medicine, The Nairobi Hospital, Nairobi, Kenya
| | - Bianca Davidson
- Department of Medicine, Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa
| | - Sabine Karam
- Department of Medicine, Division of Nephrology and Hypertension, University of Minnesota, Minneapolis, Minnesota, USA
- Department of Internal Medicine, Division of Nephrology and Hypertension, American University of Beirut, Beirut, Lebanon
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Furia FF, Shoo J, Ruggajo PJ, Kilonzo K, Basu G, Yeates K, Varughese S, Svarstad E, Kisanga O. Developing nephrology services in low income countries: a case of Tanzania. BMC Nephrol 2019; 20:378. [PMID: 31623570 PMCID: PMC6798480 DOI: 10.1186/s12882-019-1568-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 09/27/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The burden of kidney diseases is reported to be higher in lower- and middle-income countries as compared to developed countries, and countries in sub-Saharan Africa are reported to be most affected. Health systems in most sub-Sahara African countries have limited capacity in the form of trained and skilled health care providers, diagnostic support, equipment and policies to provide nephrology services. Several initiatives have been implemented to support establishment of these services. METHODS This is a situation analysis to examine the nephrology services in Tanzania. It was conducted by interviewing key personnel in institutions providing nephrology services aiming at describing available services and international collaborators supporting nephrology services. RESULTS Tanzania is a low-income country in Sub-Saharan Africa with a population of more than 55 million that has seen remarkable improvement in the provision of nephrology services and these include increase in the number of nephrologists to 14 in 2018 from one in 2006, increase in number of dialysis units from one unit (0.03 unit per million) before 2007 to 28 units (0.5 units per million) in 2018 and improved diagnostic services with introduction of nephropathology services. Government of Tanzania has been providing kidney transplantation services by funding referral of donor and recipients abroad and has now introduced local transplantation services in two hospitals. There have been strong international collaborators who have supported nephrology services and establishment of nephrology training in Tanzania. CONCLUSION Tanzania has seen remarkable achievement in provision of nephrology services and provides an interesting model to be used in supporting nephrology services in low income countries.
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Affiliation(s)
- Francis F. Furia
- School of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania
- Renal Unit, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania
| | - Jacqueline Shoo
- School of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania
- Renal Unit, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania
| | - Paschal J. Ruggajo
- School of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania
- Renal Unit, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania
| | - Kajiru Kilonzo
- Department of Internal Medicine, Kilimanjaro Christian Medical Centre (KCMC), Moshi, Tanzania
| | - Gopal Basu
- Department of Renal Medicine, The Alfred Hospital, Melbourne, Australia
- Previously Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu India
| | - Karen Yeates
- Department of Medicine, Division of Nephrology, Queen’s University, Kingston, Ontario Canada
| | - Santosh Varughese
- Department of Nephrology, Christian Medical College-Vellore, Vellore, Tamil Nadu India
| | - Einar Svarstad
- Department of Medicine, Haukeland University Hospital and Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Onesmo Kisanga
- School of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania
- Renal Unit, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania
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