Table 2.
Availability of kidney replacement therapy and workforce for kidney care in the ISN Africa region15,35, 36, 37, 38, 39
| Country | World Bank income level | Treated KF (PMP) | Prevalence of long-term dialysis |
Long-term dialysis centers (PMP)a |
Kidney transplantation (PMP) |
Nephrology workforcea |
Health care professional per 10,000 population |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HD | PD | Total (HD + PD) | HD | PD | Incidence | Centersa | Nephrologist(PMP) | Nephrology trainees (PMP) | Female nephrologist (%) | Medical doctors | Specialist physicians | Nurse | |||
| Global | – | 822.8 | 322.7 | 21.0 | 396.6 | 5.1 | 1.6 | 12.2 | 0.5 | 11.8 | 1.2 | 35.0 | – | – | – |
| Africa | – | 541.0 | 12.2 | 0.2 | 15.4 | 0.8 | 0.1 | 2.1 | 0.1 | 1.1 | 0.2 | 25.0 | – | – | – |
| Algeria | LMIC | – | 240.3 | 11.1 | 251.4 | – | – | 2.1 | – | – | – | – | 17.2 | 17.2 | 15.5 |
| Angola | LMIC | – | 23.6 | 0.0 | 23.6 | 0.4 | 0.0 | – | – | 1.5 | 0.5 | 71.5 | 2.1 | 2.2 | 4.1 |
| Benin | LMIC | – | 30.2 | 0.0 | 30.2 | 0.3 | – | – | – | 1.1 | 0.0 | 20.0 | 0.7 | 0.8 | 3.0 |
| Botswana | UMIC | – | – | 18.3 | 18.3 | 2.1 | 2.1 | – | – | 2.1 | 1.3 | 25.0 | 3.8 | 5.3 | 54.6 |
| Burkina Faso | LIC | – | – | – | – | 0.3 | – | – | – | 1.4 | 1.2 | 29.0 | 0.9 | 0.9 | 9.3 |
| Burundi | LIC | – | – | – | – | 0.4 | – | – | – | 0.2 | 0.2 | 0.0 | 0.7 | 1.0 | 6.5 |
| Cabo Verde | LMIC | – | – | – | – | 3.4 | – | – | – | 3.4 | 0.0 | 50.0 | 8.3 | 7.8 | 13.0 |
| Cameroon | LMIC | – | 12.2 | 0.0 | 23.6 | 0.2 | – | – | – | 0.5 | 0.2 | 37.5 | 1.3 | 0.9 | 3.6 |
| Chad | LIC | – | – | – | – | 0.1 | – | – | – | 0.2 | 0.0 | 0.0 | 0.6 | 0.4 | 2.0 |
| Congo, Democratic Republic | LIC | – | 0.3 | 0.3 | 0.6 | 0.2 | 0.0 | – | – | 0.3 | 0.1 | 18.0 | 3.8 | 0.7 | 11.1 |
| Congo, Republic | LMIC | – | 0.4 | 0.3 | 8.5 | 1.3 | 0.2 | – | – | 1.8 | 0.7 | 20.0 | 1.0 | 1.7 | 9.7 |
| Cote d'Ivoire | LMIC | – | 23.3 | 0.0 | 23.3 | 0.3 | – | 0.0 | 1.2 | 0.3 | 33.0 | 1.6 | 2.3 | 6.6 | |
| Djibouti | LMIC | – | – | – | – | – | – | – | – | – | – | – | 2.2 | 2.2 | 7.3 |
| Egypt | LMIC | 624.0 | 517.7 | 0.1 | 610.0 | 5.5 | 0.0 | 15.5 | 0.3 | 32.9 | 3.7 | 25.0 | 7.5 | 4.5 | 19.3 |
| Eritrea | LIC | – | – | – | – | – | – | – | – | – | – | – | 0.8 | 0.6 | 14.4 |
| Ethiopia | LIC | – | 5.8 | 0.0 | 5.8 | 0.2 | – | 0.1 | 0.0 | 0.2 | 0.1 | 21.0 | 1.1 | 0.8 | 7.8 |
| Gabon | UMIC | – | 103.0 | 0.0 | 103.0 | 3.8 | – | – | – | 6.8 | 6.4 | 53.0 | 6.5 | 6.8 | 21.1 |
| Gambia | LIC | – | – | – | – | 0.8 | – | – | – | 2.1 | 0.0 | 2.0 | 0.8 | 1.0 | 9.5 |
| Ghana | LMIC | – | 4.4 | 0.0 | 4.4 | 0.9 | – | 0.1 | – | 0.4 | 0.1 | 36.4 | 1.7 | 1.4 | 36.2 |
| Guinea | LIC | – | – | – | – | 0.4 | – | – | – | 1.1 | 0.6 | 1.0 | 2.3 | 0.8 | 5.8 |
| Kenya | LMIC | – | 9.2 | 1.1 | 10.3 | 3.8 | 0.1 | 2.9 | 0.1 | 0.9 | 0.1 | 7.8 | 1.6 | 1.6 | 11.7 |
| Liberia | LIC | – | – | – | – | – | – | – | – | – | – | – | 0.5 | 0.4 | 19.5 |
| Libya | UMIC | – | 347.1 | 8.3 | 360.1 | – | – | 0.8 | – | – | – | – | 20.9 | 20.9 | 65.3 |
| Madagascar | LIC | – | 5.1 | 0.0 | 5.1 | 0.4 | – | – | – | 0.1 | 0.2 | 33.3 | 2.0 | 1.8 | 3.0 |
| Malawi | LIC | – | – | – | – | 0.2 | – | – | – | 0.0 | 0.0 | 0.0 | 0.5 | 0.4 | 7.1 |
| Mali | LIC | – | 3.9 | 0.0 | 3.9 | 0.6 | – | – | – | 1.8 | 0.2 | 8.0 | 1.3 | 1.3 | 4.4 |
| Mauritania | LMIC | – | 80.5 | 0.0 | 80.5 | 3.8 | – | – | – | 2.6 | 0.7 | 1.0 | 1.9 | 1.9 | 9.3 |
| Mauritius | UMIC | – | 648.8 | 0.0 | 648.8 | 11.5 | 3.8 | 10.8 | – | 7.6 | 2.3 | 0.0 | – | – | – |
| Morocco | LMIC | 541.0 | 185.0 | 0.6 | 185.6 | 11.4 | 0.2 | 0.4 | 0.2 | 15.2 | 2.7 | 65.0 | 7.3 | 7.3 | 13.9 |
| Mozambique | LIC | – | 0.9 | 0.9 | 0.9 | 0.1 | – | – | – | 0.1 | 0.0 | 100.0 | 0.9 | 0.8 | 4.9 |
| Namibia | UMIC | – | 16.8 | 9.6 | 16.8 | 5.1 | – | – | 0.4 | 1.1 | 0.0 | 100.0 | 5.9 | 4.2 | 19.5 |
| Niger | LIC | – | – | – | – | 0.2 | – | – | – | 0.3 | 0.0 | 8.0 | 0.4 | 0.4 | 2.2 |
| Nigeria | LMIC | – | 7.4 | 0.0 | 7.4 | 0.8 | 0.0 | 0.8 | 0.1 | 1.6 | 0.2 | 40.0 | 3.8 | 3.8 | 15.0 |
| Rwanda | LIC | 4.4 | – | – | 2.8 | – | – | – | – | – | – | – | 1.2 | 1.3 | 9.5 |
| Senegal | LMIC | – | 9.7 | 1.6 | 11.3 | 1.5 | 0.3 | – | – | 2.3 | 3.1 | 30.0 | 0.9 | 0.7 | 5.4 |
| Sierra Leone | LIC | – | – | – | – | – | – | – | – | – | – | – | 0.7 | 0.3 | 7.5 |
| Somalia | LIC | – | – | – | – | – | – | – | – | – | – | – | 0.2 | 0.2 | 1.1 |
| South Africa | UMIC | 169.0 | 134.3 | 23.3 | 156.0 | 5.2 | – | 15.0 | 0.1 | 2.6 | 0.2 | – | 7.9 | 9.1 | 49.7 |
| Sudan | LIC | – | 67.9 | 2.5 | 70.4 | 1.9 | 0.1 | 3.2 | 0.1 | 1.0 | 0.2 | 45.0 | 2.6 | 2.6 | 11.5 |
| Swaziland | LMIC | – | 15.4 | 0.0 | 15.4 | 3.6 | 0.9 | – | – | 1.8 | 0.0 | 50.0 | 1.4 | 3.3 | 25.1 |
| Tanzania | LMIC | – | 0.5 | 0.0 | 0.5 | 0.7 | 0.1 | 0.1 | 0.0 | 0.5 | 0.1 | 42.0 | 0.5 | 0.1 | 5.7 |
| Togo | LIC | – | 8.3 | 0.0 | 8.3 | 1.1 | – | – | – | 0.4 | 1.2 | – | 0.8 | 0.8 | 5.1 |
| Tunisia | LMIC | 1018.0 | 722.8 | 36.8 | 759.6 | 15.9 | 0.8 | 11.1 | 0.5 | 18.5 | 5.5 | 66.0 | 13.0 | 13.0 | 25.1 |
| Uganda | LIC | – | 1.2 | 0.7 | 1.2 | 0.3 | – | – | – | 0.3 | 0.0 | 28.6 | 1.5 | 1.7 | 16.4 |
| Zambia | LIC | – | 1.7 | 1.7 | 2.9 | 0.5 | 0.1 | – | 0.1 | 0.3 | 0.0 | 16.0 | 1.2 | 11.9 | 10.2 |
| Zimbabwe | LMIC | – | 2.8 | 2.8 | 2.8 | 1.3 | 0.1 | – | – | 0.4 | 0.1 | 4.0 | 2.0 | 2.1 | 21.4 |
–, data not reported or unavailable; HD, hemodialysis; ISN, International Society of Nephrology; KF, kidney failure; LIC, low-income country; LMIC, lower-middle-income country; PD, peritoneal dialysis; PMP, per million population; UMIC, upper-middle-income country.
a
Survey response data.