Nephrology
The burden of renal disease in Tanzania is high and the prevalence of CKD is reported to range between 7% and 15% according to studies carried out in community settings.
There is a high need for prevention, detection and treatment of kidney diseases especially in the rural areas of Tanzania.
In 2018 the management of the hospital has therefore decided to establish a renal clinic and dialysis services at our facility in Ndanda.
Renal Clinic
Our renal clinic is provided monthly by a nephrologist from Dar Es Salaam.
Patients with acute kidney injury and patients with chronic kidney disease receive investigations and treatment according to guidelines.
Patients with end stage kidney disease are offered dialysis as a bridge to the renal transplant as a definite treatment.
Haemodialysis
Haemodialysis is available at our facility since September 2020. 8 modern machines (Fresenius 5008S) are installed in the main dialysis room, one machine in the infectious room and one machine on our ICU.
Our dialysis team comprises one physician (MMED), one MD, 6 dialysis nurses and one Medical Attendant. The department is supervised by nephrologist from Dar Es Salaam (Dr. Onesmo Kisanga), who visits our centre once per month.
Between 30 and 40 patients with end stage renal disease receive dialysis sessions regularly, most of them 3 times per week
Peritoneal Dialysis
A project of peritoneal dialysis was conducted at our facility in collaboration with a nephrologist and a dialysis nurse, both from Kilimanjaro (Dr. Kajiru Kilonzo, and Mrs. Willina Mosha) in October 2018.
Until end of 2023, 27 patients have been treated with peritoneal dialysis. Many of them were children with acute kidney injury and most of them have been cured.
Adult patients with chronic kidney disease have also been treated successfully and one patient managed to get kidney transplant at MNH in July 2019.
Vision
To be a centre of excellence in provision of nephrology services for the southern part of Tanzania.
Mission
To provide personalized and compassionate patient care through dedicated health care professionals.