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. 2017 May 9;317(18):1864–1919. doi: 10.1001/jama.2017.4046

Table 4. Funding for Acute Kidney Replacement Therapy Provision, Overall and by ISN Regions and World Bank Income Groups.

No. of Responding Countries No. (%) of Responding Countries
Publicly Funded by Government Free at the Point of Delivery Publicly Funded by Government But With Some Fees at the Point of Delivery Mix of Public and Private Funding Systems Solely Private and Out of Pocket Solely Private Through Health Insurance Providers Multiple Funding Systemsa
Acute Hemodialysis
Overall 116 45 (39) 22 (19) 41 (35) 1 (1) 0 7 (6)
ISN regions
Africa 32 10 (32) 9 (28) 9 (28) 1 (3) 0 3 (9)
Middle East 13 6 (46) 1 (8) 4 (31) 0 0 2 (15)
Latin America 15 2 (13) 0 13 (87) 0 0 0
North and East Asia 6 0 4 (66) 1 (17) 0 0 1 (17)
South Asia 5 0 1 (20) 4 (80) 0 0 0
OSEA 13 2 (15) 4 (31) 6 (46) 0 0 1 (8)
East and Central Europe 16 14 (88) 1 (6) 1 (6) 0 0 0
NIS and Russia 5 3 (60) 1 (20) 1 (20) 0 0 0
Western Europe 9 7 (78) 1 (11) 1 (11) 0 0 0
North America 2 1 (50) 0 1 (50) 0 0 0
World Bank income groups
Low 16 4 (25)b 5 (32) 5 (31) 1 (6) 0 1 (6)
Lower middle 32 5 (16) 10 (31) 14 (44) 0 0 3 (9)
Upper middle 30 16 (53) 1 (3) 11 (37) 0 0 2 (7)
High 38 20 (52) 6 (16) 11 (29) 0 0 1 (3)
Acute Peritoneal Dialysis
Overall 70 34 (49) 11 (16) 19 (27) 3 (4) 0 3 (4)
ISN regions
Africa 11 3 (27) 2 (18) 4 (37) 1 (9) 0 1 (9)
Middle East 7 5 (72) 1 (14) 0 0 0 1 (14)
Latin America 14 4 (29) 1 (7) 7 (50) 2 (14) 0 0
North and East Asia 4 0 4 (100) 0 0 0 0
South Asia 5 1 (20) 0 4 (80) 0 0 0
OSEA 6 1 (17) 2 (33) 2 (33) 0 0 1 (17)
East and Central Europe 11 10 (91) 1 (9) 0 0 0 0
NIS and Russia 4 4 (100) 0 0 0 0 0
Western Europe 6 5 (83) 0 1 (17) 0 0 0
North America 2 1 (50) 0 1 (50) 0 0 0
World Bank income groups
Low 4 0 0 3 (75) 1 (25) 0 0
Lower middle 17 7 (41) 3 (18) 5 (29) 0 0 2 (12)
Upper middle 22 13 (59) 2 (9) 6 (27) 1 (5) 0 0
High 27 14 (51) 6 (22) 5 (19) 1 (4) 0 1 (4)

Abbreviations: ISN, International Society of Nephrology; NIS, newly independent states; OSEA, Oceania and South East Asia.

a

Involving government, nongovernmental organizations, and communities.

b

Low-income countries offering acute hemodialysis free of cost were Chad, Gambia, Mozambique, and Tanzania.