Currently, we are facing a situation where many people in the world are suffering from kidney-related diseases. In fact, according to the National Kidney Foundation, at least 10% of the global population suffers from chronic kidney disease, and at least two million people receive dialysis treatment nowadays. Sadly, most of the patients who actually have access to dialysis treatment are those who live in developed countries. Those who live in developing countries not always have access to the treatment, and when they do it is often unsatisfying.
It is not a secret that for those patients who have end stage renal disease or ESRD, dialysis becomes the only alternative to survive before actually thinking about getting a kidney transplant. However, if you are living in a developing country and don’t have the resources to pay for private treatment, your chances of being properly treated can run really low.
Poverty, ignorance and the lack of medical resources are some of the most common elements that affect the possibilities patients have to access dialysis. Even sometimes, when patients have the chance to pay for a better treatment, this is not available in their region and there is little or nothing they can do about it once they are sick.
So, why all this happens? In this article, we will explore the main factors related to the way dialysis treatment takes place in developing countries. All this keeping in mind that many of the patients who need dialysis in these countries actually don’t know about it. This happens either because they cannot afford to go to the doctor, their healthcare systems are also poor, their records are not properly kept, or simply because they lack the will or intention to go to the doctor under these unpleasant circumstances.
Let’s take a look to some of the most important issues that affect the way patients who need dialysis treatment are actually treated in developing countries.
This is the most obvious and common factor related to many things that don’t operate properly in developing countries. When it comes to treating ESRD patients, healthcare providers face a critical situation because their ethics tells them they should treat the patients properly. However, the financial capacity keeps them away from actually doing so.
Setting and running a dialysis unit is rather expensive. Even though every country in the world has patients with kidney disease among its population, not many institutions have the needed resources to start a dialysis unit. Besides, when these dialysis units are actually set, they will need to keep on growing and being properly maintained. This also implies expenses related to the unit’s operation that many institutions can’t afford.
Let’s say that the dialysis unit was created. All the machines in it will need to be properly taken care of in order for it to be sustainable. Most times, the machines that are kept in good shape remain in the cities, where technicians and medical equipment companies are located at. This leaves the poorest areas of developing countries aside. Therefore, people who live in the areas (which also happen to be the poorest) has little or no chances to access the dialysis services.
Another problem related to dialysis machines is that they are not always enough to treat all the patients. In addition, the available machines are not often functioning and present multiple problems like breakdowns, missing parts, or obsolete systems. All this is being considered also keeping in mind that in some low-income areas power can also be off.
Problems related to machines are not the only ones to come. We also need to keep in mind that in order to use one of these dialysis machines, we need to count on the help of a prepared staff member, who knows how to use the machine.
Here we face bigger problems because sometimes there are not properly educated individuals who know how to operate the dialysis machines and when there are, wages are usually not enough for them to make a living out of it.
All this crisis happens because many of the dialysis units depend on the state. Public hospitals and public health care facilities are often poorly financed in developing countries, which makes it hard for the ideal staff to work at these places and operate dialysis units. As a consequence of this, many units need to close because they don’t have the required staff to work at them, and once they are restructured, they can be opened again.
It is important to keep in mind, that matter how poor a country is, the motivation of people to work is usually directly related to the amount of money that is being paid to them. If there are no resources to cover up for the staff expenses, then there won’t be enough or well-prepared people to work at dialysis units.
Related: The Most Common Questions Patients Have About Dialysis by Joe Cosgrove
* Featured Image courtesy of Albert González Farran, UNAMID at Flickr.com