Feedback from an ISN fellow: Improving accessibility to dialysis care in the DRC

 

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Feedback from an ISN fellow: Improving accessibility to dialysis care in the DRC

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Mack
KAZADI BUKSA KABONGO
Mack KAZADI BUKSA KABONGO mackkabongo2008@yahoo.fr centre hospitalier moulins yzeure allier Moulins France *
armelle Pamela ONDELE IPONGO medecined@yahoo.fr centre hospitalier moulins Yzeure allier Moulins France -
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Accessibility to care, in general, and dialysis, in particular, is a major problem in the management of patients suffering from Chronic Renal Failure (CRF) in developing countries. Chronic kidney disease, recognized as a priority by the World Health Organization (WHO), affects millions of people around the world, requiring appropriate medical interventions. This trial proposes a medical-economic study based on the different dialysis strategies to evaluate the best approach in terms of cost-effectiveness. We argue that the creation of a kidney disease registry and a health guarantee fund could significantly improve patients' accessibility to care.

We conducted a mixed study, combining retrospective and prospective aspects, focused on a population of clinical patients suffering from CKD in the L'shi region in the Democratic Republic of Congo (DRC). The patients included in the study were those for whom hemodialysis treatment was recommended. A representative sample was created to ensure relevant results. We used the EasyMedStat software to perform the analysis of statistical variables, thus facilitating the processing of the collected data.

The results clearly show that a health guarantee fund, combined with a kidney disease registry, makes it possible to target people with kidney disease more effectively. By proceeding in this way, we were able to offer optimized care, contributing to the improvement of accessibility to care. More than 75% of affected patients benefited from better medical follow-up and improved access to necessary treatments, which also reduced the morbidity associated with CRI.

Comparing our results to those found in the literature, it is interesting to note that other studies, such as the one conducted by Locatelli et al. (2013), have also found a significant improvement in accessibility to care with dedicated registry systems. This work highlights the importance of early patient identification and regular follow-up. In addition, the establishment of diversified financing mechanisms, as illustrated by the work of Golan and Cohen (2015), reinforces our proposal for a health guarantee fund, allowing patients to benefit from a better quality of life.

Our preliminary results show the efficiency of a health guarantee fund and a kidney disease registry in improving accessibility to dialysis care in the DRC. However, it is essential to evaluate the effectiveness of these solutions in other regions and contexts. We therefore plan to initiate a larger study in order to include a greater number of patients, which will allow us to validate our results and broaden our understanding of the various impacts of these strategies on the management of patients suffering from CFI.

Kewords