Overcoming barriers and building a strong peritoneal dialysis programme - Experience from three South Asian countries
The development of peritoneal dialysis (PD) programmes in lower-resource countries is challenging. 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis - 41(2021), 5 vom: 01. Sept., Seite 480-483 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Paudel, Klara [VerfasserIn] |
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| Links: |
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| Themen: |
Barrier |
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| Anmerkungen: |
Date Completed 24.11.2021 Date Revised 24.11.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/08968608211019986 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM326242945 |
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| 520 | |a The development of peritoneal dialysis (PD) programmes in lower-resource countries is challenging. 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 | ||
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| 700 | 1 | |a Sharma, Sanjib K |e verfasserin |4 aut | |
| 700 | 1 | |a Shrestha, Kalpana |e verfasserin |4 aut | |
| 700 | 1 | |a Fan, Stanley |e verfasserin |4 aut | |
| 700 | 1 | |a Haris, Agnes |e verfasserin |4 aut | |
| 700 | 1 | |a Finkelstein, Fredric O |e verfasserin |4 aut | |
| 700 | 1 | |a Nanayakkara, Nishanthe |e verfasserin |4 aut | |
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