Challenges to establishing and maintaining kidney transplantation programs in developing countries: What are the coping strategies?

• DOI: 10.5662/wjm.v14.i2.91626
• Publication Date: 2024-06-14T00:29:34Z
• Authors: Rabea Ahmed Gadel...; Amr Mostafa Abdel...; Nasreldin Mohammed; Mohammed Ali Zarzour; Mahmoud Khalil; Ahmed Reda; Hisham Mokhtar Ha...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Review

Kidney transplantation (KT) is the optimal form of renal replacement therapy for patients with end-stage diseases. However, this health service not available to all patients, especially in developing countries. The deceased donor KT programs are mostly absent, and living centers scarce. Single-center studies presenting experiences from countries usually report a variety challenges. This review addresses these challenges opposing strategies by reviewing single-center financial hamper infrastructural material availability, coverage transplant costs, qualification medical personnel. sociocultural influence organ donation, equity beneficence, regular follow-up work. Low interests motives may result high medicolegal responsibilities practice, intense potential psychosocial burdens, complex protocols, low productivity or compensation practice. literacy about advantages prevalent among clinicians, public. inefficient organizational regulatory oversight translated into healthcare systems, absent national registries, uncoordinated job descriptions on-site investigations constraints, prevalence commercial practices. These resulted noticeable differences between services developed coping can be summarized two main mechanisms: first mechanism maximizing resources increasing rates kidney promoting expertise personnel, reducing consumption, supporting establishment maintenance programs. latter warrants expansion public sector elimination non-ethical second recruiting external resources, including financial, experience, training agreements.