Table 1.
Cameroon | Democratic Republic of Congo | Egypt | Ghana | India | Nigeria | Pakistan | Somalia | Zambia | Zimbabwe | |
---|---|---|---|---|---|---|---|---|---|---|
Registry | n/a | reports | reports | n/a | available | reports | n/a | n/a | n/a | n/a |
Nephrologyworkforce (pmp) | 1.1 | 0.3 | 21.6 | 0.47 | 1.86 | 0.75 | 2.2 | 0.32 | 0.52 | 0.33 |
Routine diagnostic tools | Available | Not routinely available | Available | available in major cities | Available | Available | Available | Available in tertiary hospitals | Available at tertiary, secondary and first level | Available at tertiary centers |
Biopsy | LM only, but rare | LM only | Available | Available | Available in all urban areas, restricted in rural areas | In areas with available nephrologists | Available | Not available | Not available | Available in private centers |
KRT | HD available, in 8/10 regions (9 public centers, 4 private centers) | HD, PD available but costly and unevenly distributed | HD only | HD in 9/16 regions (strictly out of pocket). PD available but infrequent | HD is the primary modality available in all urban and few rural areas; PD acceptance is scarce due to financial constraints | HD available in urban only and costly; Acute PD is available in some tertiary centers but rarely used for PR-AKI | HD available majorly in urban areas; PD available but infrequent | HD only | HD available in 7/10 regions; PD available in 2 regions | HD only |
Abbreviations: KRT, Kidney replacement therapy; HD, hemodialysis; PD, peritoneal dialysis; LM, light microscopy; PR-AKI, pregnancy-related acute kidney injury; pmp, per million population; n/a, not available