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Poor state of kidney care for the poor in South Asia: Study

Published : Saturday, 12 January, 2019 at 12:00 AM  Count : 380

An international study report suggests that people mostly the poor in South Asian countries suffering from kidney are unable to receive adequate treatment facilities.
The article titled 'State of Nephrology in South Asia' was published on the Kidney International, the official journal of the International Society of Nephrology in January this year.
The researchers in the region found some facts for which people are unable to receive kidney treatment.
Insufficient number, irregular distribution of trained medical and paramedical professionals, lack of properly equipped facilities and absence of guideline-driven treatment are the major reasons as to why people are deprived of kidney treatment.
The study titled 'The State of Nephrology in South Asia' reveals that in South Asia the intraregional trafficking racket takes poor people from Bangladesh and Nepal to India, Pakistan and Sri Lanka for sale of kidneys.
And in this case the rich people from India are going to Pakistan and Sri Lanka to undergo transplantation.
Many private hospitals also provide care, especially kidney transplantation, to wealthy foreigners - especially those from Sub-Saharan Africa, the Middle East, and central Asia, it said.
Basic laboratory services are available in most urban areas in the South Asian region but specialised services such as renal pathology and transplant immunology are limited, it said.
Efforts to establish national end-stage kidney disease registries are underway in Bangladesh, India, and Sri Lanka, it said.
The study concludes that renal services in South Asia are characterized by increasing disease burden and a rapidly growing demand for service and research in the face of inadequate financial and manpower capacity.
The World Bank classifies Afghanistan and Nepal as low-income countries, Bangladesh, Bhutan, India, Pakistan, and Sri Lanka as low-middle-income countries and the Maldives as an upper middle-income country.
The study was conducted by Vivekanand Jha of George Institute for Global Health India, New Delhi and George Institute for Global Health, University of Oxford, Harun Ur-Rashid of Kidney Foundation Hospital and Research Institute, Dhaka, Syed Fazal Akhtar of Department of Nephrology, All India Institute of Medical Sciences, New Delhi, Rishi Kumar Kafle of Department of Nephrology, Sindh Institute of Urology and Transplantation, Karachi and Rezvi Sheriff of Department of Nephrology and National Hospital, Colombo.

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