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, 8 patients have been initiated with peritoneal dialysis 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. Part of them will need hemodialysis as a bridge to the renal transplant as a definite treatment. No death has been reported from patients attending our clinic so far.
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.
We are closest to start this service as we have already well trained nurses, doctor and technician on dialysis. Since 25/6/2020, 7 dialysis machines are installed and connected to reverse osmosis water treatment system. These include 3 machines Fresenius 4008H (second hand) and four machines Fresenius 5008S (brand new!). For now we are waiting for the accreditation by the Ministry of Health.