How to make peritoneal dialysis affordable in developing countries

Georgi Abraham, Pallavi Khanna, Milly Mathew, Poorna Pushpkala, Anurag Mehrotra, Aswin Sairam, Asik Ali Mohamed Ali

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Citations (Scopus)

Abstract

Peritoneal dialysis (PD) is an underutilized renal replacement therapy in the developing world. It offers advantages of simplicity, reduced need of training, lack of dependence on infrastructure and location. The population is extremely underserved by healthcare and means to achieve it. PD is unavailable in many African nations. We explore the logistics of PD, domestic manufacture of PD fluid and accessories and ways to sustain it. Realization of local factors, ways to reduce peritonitis, reduced dosage in patients with residual renal function and use of generics to treat anemia that help improve the logistics. The role of national government especially in countries where dialysis is rationed and its lack of involvement leaving the billions to fetch for themselves is discussed. Innovative schemes by private insurers have improved PD outcome locally. These include subsidized once-in-a-lifetime PD treatment payment and industry sponsored nurse and technician visits to patients. Finally, the factors preventing nephrologists in delivering PD such as lack of training, reimbursement, infrastructure and affordability are discussed.

Original languageEnglish (US)
Title of host publicationPeritoneal Dialysis - From Basic Concepts to Clinical Excellence
Pages243-249
Number of pages7
DOIs
StatePublished - Jul 31 2009
Externally publishedYes

Publication series

NameContributions to Nephrology
Volume163
ISSN (Print)0302-5144

Fingerprint

Peritoneal Dialysis
Developing Countries
Insurance Carriers
Federal Government
Renal Replacement Therapy
Ascitic Fluid
Peritonitis
Anemia
Dialysis
Industry
Nurses
Delivery of Health Care
Kidney
Population

All Science Journal Classification (ASJC) codes

  • Nephrology

Cite this

Abraham, G., Khanna, P., Mathew, M., Pushpkala, P., Mehrotra, A., Sairam, A., & Mohamed Ali, A. A. (2009). How to make peritoneal dialysis affordable in developing countries. In Peritoneal Dialysis - From Basic Concepts to Clinical Excellence (pp. 243-249). (Contributions to Nephrology; Vol. 163). https://doi.org/10.1159/000223805

How to make peritoneal dialysis affordable in developing countries. / Abraham, Georgi; Khanna, Pallavi; Mathew, Milly; Pushpkala, Poorna; Mehrotra, Anurag; Sairam, Aswin; Mohamed Ali, Asik Ali.

Peritoneal Dialysis - From Basic Concepts to Clinical Excellence. 2009. p. 243-249 (Contributions to Nephrology; Vol. 163).

Research output: Chapter in Book/Report/Conference proceedingChapter

Abraham, G, Khanna, P, Mathew, M, Pushpkala, P, Mehrotra, A, Sairam, A & Mohamed Ali, AA 2009, How to make peritoneal dialysis affordable in developing countries. in Peritoneal Dialysis - From Basic Concepts to Clinical Excellence. Contributions to Nephrology, vol. 163, pp. 243-249. https://doi.org/10.1159/000223805
Abraham G, Khanna P, Mathew M, Pushpkala P, Mehrotra A, Sairam A et al. How to make peritoneal dialysis affordable in developing countries. In Peritoneal Dialysis - From Basic Concepts to Clinical Excellence. 2009. p. 243-249. (Contributions to Nephrology). https://doi.org/10.1159/000223805
Abraham, Georgi ; Khanna, Pallavi ; Mathew, Milly ; Pushpkala, Poorna ; Mehrotra, Anurag ; Sairam, Aswin ; Mohamed Ali, Asik Ali. / How to make peritoneal dialysis affordable in developing countries. Peritoneal Dialysis - From Basic Concepts to Clinical Excellence. 2009. pp. 243-249 (Contributions to Nephrology).
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