Recruiting the community for supporting end-stage renal disease management in the developing world

摘要: Although the incidence of new end-stage renal disease (ESRD) patients in Pakistan is estimated at 100 per million (ppm), prevalence those alive on replacement therapy (RRT) around 40 ppm, reflecting severe shortage facilities. A national program was launched 1998 to provide free RRT, but funds were extremely limited, leading flourishing suboptimal treatment private dialysis and transplant centers. The Sindh Institute Urology Transplantation (SIUT), started as a small unit 1975, took lead recruiting nongovernmental for RRT. Through devotion several groups, it possible raise from individuals, pharmaceutical firms, other organizations, which permitted development SIUT into an independent, large, fully equipped institution that provides RRT including transplantation many thousands patients. This prompted government increase its contributions encourage pursue unique path.