A new position paper by the African Association of Nephrology, co-authored by 13 experts, highlights the alarming rise of CKD across the continent. The paper, released in time for World Kidney Day (March 14th, 2024), emphasizes the urgent need for increased awareness and action to combat this “silent killer.”
CKD: A mounting burden on African healthcare systems
The paper estimates that CKD prevalence in Africa varies between 6% and 20% depending on the region, placing a significant strain on healthcare resources. Factors like the growing prevalence of diabetes, hypertension, and infections like HIV and hepatitis B/C are fueling this rise.
Unique challenges for Africa
The fight against CKD in Africa faces unique challenges. Socioeconomic disparities limit access to essential healthcare, amplifying the disease’s impact. Limited financial resources, low awareness, and inadequate healthcare reimbursement schemes are major hurdles. Additionally, the lack of comprehensive CKD registries hinders data collection and effective problem-solving.
Early diagnosis and treatment crucial
A worrying trend is the younger age of CKD diagnosis in Africa compared to developed nations. Resource constraints, poor access to primary care, and inadequate screening contribute to late diagnoses.
“Early detection is critical,” says Professor Abdou Niang, President-elect of the African Association of Nephrology. “CKD needs to be identified early for effective treatment and to avoid expensive dialysis, which is out of reach for most Africans.”
Hope for the future: Collaboration and innovation
The paper highlights the potential of Sodium-glucose cotransporter-2 inhibitors (SGLT2i) drugs to manage CKD and improve patient outcomes. However, the document stresses the importance of early detection and intervention to prevent end-stage renal disease and save lives.
The authors emphasize the need for a multi-pronged approach. Collaboration, innovation, and a commitment to equitable healthcare delivery are crucial to ensure a healthier future for all Africans. By scaling up quality kidney care, Africa can combat this growing threat and save lives.
ARD/te/fss/abj/APA