Overcoming barriers and building a strong peritoneal dialysis programme - Experience from three South Asian countries

This article describes the learning points of establishing PD programmes in three countries in South Asia (Nepal, Sri Lanka and Pakistan). The key barriers identified were government support (financial), maintaining stable supply of PD fluids, lack of nephrologist and nurse expertise, nephrology community bias against PD, lack of nephrology trainee awareness and exposure to this modality. To overcome these barriers, a well-trained PD lead nephrologist (PD champion) is needed, who can advocate for this modality at government, professional and community levels. Ongoing educational programmes for doctors, nurses and patients are needed to sustain the PD programmes. Support from well-established PD centres and international organisations (International Society of Peritoneal Dialysis (ISPD), International Society of Nephrology (ISN), International Pediatric Nephrology Association (IPNA) are essential.PMID:34075818 | DOI:10.1177/08968608211019986

Source: Peritoneal Dialysis International - June 2, 2021 Category: Urology & Nephrology Authors: Klara Paudel Ahad Qayyum Abdul Wm Wazil Sanjib K Sharma Kalpana Shrestha Stanley Fan Agnes Haris Fredric O Finkelstein Nishanthe Nanayakkara Source Type: research