Global Dialysis Perspective: Senegal

Niang, Abdou; Lemrabott, Ahmed Tall

doi:10.34067/kid.0000882020

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…Peritoneal dialysis is not widely available as the fluids are not manufactured locally and the cost of importation puts this beyond the reach of most patients as costs are often borne out-of-pocket by the patients themselves. 9 , 10 , 11 , 12 , 13 …”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic: Is Africa Different?

Bamgboye¹,

Omiye²,

Afolaranmi³

et al. 2021

Journal of the National Medical Association

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COVID-19 has now spread to all the continents of the world with the possible exception of Antarctica. However, Africa appears different when compared with all the other continents. The absence of exponential growth and the low mortality rates contrary to that experienced in other continents, and contrary to the projections for Africa by various agencies, including the World Health Organization (WHO) has been a puzzle to many. Although Africa is the second most populous continent with an estimated 17.2% of the world's population, the continent accounts for only 5% of the total cases and 3% of the mortality. Mortality for the whole of Africa remains at a reported 19,726 as at August 01, 2020. The onset of the pandemic was later, the rate of rise has been slower and the severity of illness and case fatality rates have been lower in comparison to other continents. In addition, contrary to what had been documented in other continents, the occurrence of the renal complications in these patients also appeared to be much lower. This report documents the striking differences between the continents and within the continent of Africa itself and then attempts to explain the reasons for these differences. It is hoped that information presented in this review will help policymakers in the fight to contain the pandemic, particularly within Africa with its resource-constrained health care systems.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic: Is Africa Different?

Bamgboye¹,

Omiye²,

Afolaranmi³

et al. 2021

Journal of the National Medical Association

Self Cite

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“…The Kidney360 Global Dialysis Perspective series launched in 2020 and showcases how dialysis is practiced, delivered, and financed in different countries across the world. To date, we have featured perspectives from 17 countries in 6 continents: Africa (Senegal, South Africa); Asia (India, Israel, Japan, Korea, Singapore, Thailand, Vietnam); Australia; Europe (Spain); North America (Canada, Mexico, United States); and South America (Argentina, Brazil, Guatemala) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] . Authors of each global perspective were asked to report standard information about their dialysis populations, including general characteristics of the dialysis system and its treatments such as percentage of patients by dialysis modality; dialysis unit financing (for profit vs. non-profit); reimbursement (public or private insurance, or self-pay); unit location (hospital vs. free standing); staffing (proportion of nurses vs. patient care technicians and nurse to patient ratios); hemodialysis frequency and session length; and frequency of nephrologist visits.…”

Section: Introductionmentioning

confidence: 99%

Dialysis Care around the World: A Global Perspectives Series

2021

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Worldwide, end stage kidney disease prevalence has steadily increased, with the greatest proportional increases occurring in lower- and middle-income countries. Although dialysis is a life-saving therapy, it is also extraordinarily expensive, so its use is limited in lower income countries with less resources available for healthcare. The Kidney360 Global Dialysis Perspective series launched in 2020 and showcases how dialysis is practiced, delivered, and financed in different countries across the world. To date, we have featured perspectives from 17 countries in 6 continents: Africa (Senegal, South Africa); Asia (India, Israel, Japan, Korea, Singapore, Thailand, Vietnam); Australia; Europe (Spain); North America (Canada, Mexico, United States); and South America (Argentina, Brazil, Guatemala).

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“…However, a paper release recently provided some insights into the progression of the disease. The country has experienced an improvement in dialysis center implementation (2 functioning centers in 2000, 13 in 2017, and 17 in 2019) [11,16]. Approximately 1092 patients had dialysis sessions in 2019, 590 patients had dialysis sessions in 2017 [16], and only 25 had dialysis sessions in 2014 [11,16].…”

Section: Methodsmentioning

confidence: 99%

“…The country has experienced an improvement in dialysis center implementation (2 functioning centers in 2000, 13 in 2017, and 17 in 2019) [11,16]. Approximately 1092 patients had dialysis sessions in 2019, 590 patients had dialysis sessions in 2017 [16], and only 25 had dialysis sessions in 2014 [11,16]. The average cost of one dialysis session was USD 108 in public centers before the exemption policy.…”

Section: Methodsmentioning

confidence: 99%

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Ethical principles of renal therapy rationing in Senegal

Faye

Audibert

2022

Ren Replace Ther

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Background Since 2012, Senegal has conducted a national program to cover renal therapy (dialysis) expenses in public hospitals and social security-approved centers. Given the increasing demand for dialysis, national guidelines recommend explicit rationing through waiting lists, and hospitals have committees to determine whom to enroll. While national recommendations are known, criteria applied in hospitals to register patients remain unclear. Our study analyzes social justice principles used to ration renal therapy in government-owned centers and highlights inequalities caused by low access to treatment. Methods We conduct a multivariate logit regression analysis using data collected from patients in public and private centers to identify which socioeconomic or sociodemographic factors determine enrollment. Based on the average marginal effects of these factors on program enrollment, we hypothesize the justice principles applied (or not) in hospitals. Results We find that the duration of illness, insurance distribution, age, education, and involvement in patient associations influence program access. The duration of illness is the most robust predictor regardless of socioeconomic factors, which suggests the predominant application of egalitarian principles, notably the first-come-first-served rule. However, our findings indicate that the most impoverished patients do not have access to free dialysis. Conclusions Although the national dialysis program aims to improve access to costly life-sustaining treatment, the first-come-first-served strategy is designed to suit patients who live longer, that is, those who can seek dialysis care in a private center. The program does not address inequalities in access, especially for the most impoverished patients recently diagnosed with end-stage kidney disease.

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Global Dialysis Perspective: Senegal

Cited by 9 publications

References 6 publications

COVID-19 Pandemic: Is Africa Different?

COVID-19 Pandemic: Is Africa Different?

Dialysis Care around the World: A Global Perspectives Series

Ethical principles of renal therapy rationing in Senegal

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