Towards SDG3: Empowering Non-Nephrologists to Perform Peritoneal Dialysis in District Settings

Authors

  • Anima Sarfo Komfo Anokye Teaching Hospital, Kumasi-Ghana
  • Nana Akua Bakoma Agyeman Appiah Komfo Anokye Teaching Hospital, Kumasi-Ghana
  • Abigail Amoah Komfo Anokye Teaching Hospital, Kumasi-Ghana
  • Esther Obeng Komfo Anokye Teaching Hospital, Kumasi-Ghana
  • Sampson Antwi Kwame Nkrumah University of Science and Technology & Komfo Anokye Teaching Hospital, Kumasi-Ghana

DOI:

https://doi.org/10.31191/afrijcmr.v5i1.85

Keywords:

Acute Kidney Injury (AKI), Peritoneal Dialysis (PD), SDG 3, Non-Nephrologists, District Hospitals

Abstract

Background
SDG3 stipulates good health and well-being for all. Dialysis has remained a specialized skill for nephrologists. In settings without nephrologists, many die from Acute Kidney Injury (AKI).  In 2014, the International Society of Nephrology (ISN) launched the 0by25 initiative for zero death from AKI globally. In this paper, we report on training of district health practitioners in the performance of PD for AKI using improvised means.

Methods

 PD training workshops with hands-on experienced were organized in 7 regional capitals in Ghana. Topics taught included:

  1. Recognition of a child with AKI
  2. Principles of PD
  3. Indications for dialysis therapy and writing of PD prescription
  4. Technique in insertion of PD catheter plus video exhibit
  5. Catheters suitable for use as PD catheters
  6. Fluids suitable for use as dialysate
  7. Performing the PD exchanges
  8. Complications related to PD
  9. Infection prevention in PD.

Results

A total of 150 health workers made up of 131 Doctors or Physician Assistants and 19 nurses were trained across Ghana. Feedback from trainees indicates that 42 PDs have been carried out in 7 district hospitals. 25 (59.5%) of the 42 dialyzed children survived and recovered renal function.

Conclusion

 It is possible to build the capacity of non-nephrologists to identify AKI and institute PD in district level hospitals so SDG3 could be realized. Such achievement will also help to realize the ISN 0by25 initiative especially in resource-limited settings where nephrology expertise is lacking.

References

N/A

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Published

26-01-2022

How to Cite

Sarfo, A., Agyeman Appiah, N. A. B., Amoah, A., Obeng, E., & Antwi, S. (2022). Towards SDG3: Empowering Non-Nephrologists to Perform Peritoneal Dialysis in District Settings. African Journal of Current Medical Research, 5(1). https://doi.org/10.31191/afrijcmr.v5i1.85

Issue

Vol. 5 No. 1 (2022): Directorate of Child Health-Komfo Anokye Teaching Hospital Research Dissemination Conference Abstracts

Section

Conference Abstracts

License

Copyright (c) 2022 Anima Sarfo, Nana Akua Bakoma Agyeman Appiah, Abigail Amoah, Esther Obeng, Sampson Antwi

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