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.
Statistically, St. Benedict Ndanda Referral Hospital attends at least 2 to 3 new kidney disease patients every day. Hence a significant need exists for disease prevention and treatment.
A project of peritoneal dialysis was conducted at our facility in collaboration with Dr. Kajiru Kilonzo, nephrologist at KCMC and Mrs. Willina Mosha, dialysis nurse at KCMC in October 2018.
So far, 13 patients have been initiated with peritoneal dialysis. Several patients with acute kidney injury have been cured, two patients with chronic kidney disease continue with PD and one patient managed to get kidney transplant at MNH in July 2019.
Our renal clinic has been started on 22nd January 2020 with 13 patients and until now the clinic runs with 30 Chronic Kidney Disease (CKD) patients with different renal diseases. Usually, patients have appointment once per month. Patients with advanced stage of kidney disease are reviewed in shorter intervals. Patients with end stage kidney disease are offered dialysis – peritoneal or haemodialysis as a bridge to the renal transplant as a definite treatment.
Hemodialysis is a procedure that cleans and filters the blood of individuals whose kidneys have failed. It usually has to be done three times a week (usually four hours per session) on alternate days.
On the 3rd of September 2020, the first haemodialysis session has been performed in Ndanda. Our first patient was a 30 years old female with acute kidney injury due to eclampsia. After 5 sessions she has revocered completely.
Accreditation of our dialysis services has been granted by the Ministry of Health and by NHIF in October 2020.
Meanwhile, we have already provided haemodialysis sessions in 22 patients (December 2020). Two of these patients had acute kidney injury and have recovered completely. Two patients died for reasons not associated to dialysis. The other 18 patients continue with dialysis sessions.
16 patients of our kidney failure clinic have stage 4 or 5 kidney disease and are expected to start with dialysis during the next few months.
In our dialysis unit, 3 Fresenius 4008H machines and four brand new Fresenius 5008S machines are installed. In January 2021, we will get two additional Fresenius 5008S machines.