Evidence map›Paper›PMID 31623570›Full record

ArticleBMC nephrology2019

Developing nephrology services in low income countries: a case of Tanzania.

Francis F Furia, Jacqueline Shoo, Paschal J Ruggajo, Kajiru Kilonzo, Gopal Basu, Karen Yeates, Santosh Varughese, Einar Svarstad, Onesmo Kisanga

Abstract read
In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  13. Inequities in kidney health and kidney care.Nature reviews. Nephrology · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Paediatric Nephrology in Africa.Current pediatrics reports · 2021
    Review
  19. Observational
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Francis F FuriaSchool of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania. fredrick.francis78@gmail.com.ORCID 0000-0003-2668-3041
Jacqueline ShooSchool of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania.
Paschal J RuggajoSchool of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania.
Kajiru KilonzoDepartment of Internal Medicine, Kilimanjaro Christian Medical Centre (KCMC), Moshi, Tanzania.
Gopal BasuDepartment of Renal Medicine, The Alfred Hospital, Melbourne, Australia.
Karen YeatesDepartment of Medicine, Division of Nephrology, Queen's University, Kingston, Ontario, Canada.
Santosh VarugheseDepartment of Nephrology, Christian Medical College-Vellore, Vellore, Tamil Nadu, India.
Einar SvarstadDepartment of Medicine, Haukeland University Hospital and Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Onesmo KisangaSchool of Medicine, Muhimbili University of Health Sciences (MUHAS), P. O. Box 65001, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of kidney diseases is reported to be higher in lower- and middle-income countries as compared to developed countries, and countries in sub-Saharan Africa are reported to be most affected. Health systems in most sub-Sahara African countries have limited capacity in the form of trained and skilled health care providers, diagnostic support, equipment and policies to provide nephrology services. Several initiatives have been implemented to support establishment of these services.

methodsThis is a situation analysis to examine the nephrology services in Tanzania. It was conducted by interviewing key personnel in institutions providing nephrology services aiming at describing available services and international collaborators supporting nephrology services.

resultsTanzania is a low-income country in Sub-Saharan Africa with a population of more than 55 million that has seen remarkable improvement in the provision of nephrology services and these include increase in the number of nephrologists to 14 in 2018 from one in 2006, increase in number of dialysis units from one unit (0.03 unit per million) before 2007 to 28 units (0.5 units per million) in 2018 and improved diagnostic services with introduction of nephropathology services. Government of Tanzania has been providing kidney transplantation services by funding referral of donor and recipients abroad and has now introduced local transplantation services in two hospitals. There have been strong international collaborators who have supported nephrology services and establishment of nephrology training in Tanzania.

conclusionTanzania has seen remarkable achievement in provision of nephrology services and provides an interesting model to be used in supporting nephrology services in low income countries.

Indexed as

BiopsyDelivery of Health CareDeveloping CountriesHumansInternational CooperationKidneyKidneys, ArtificialKidney TransplantationNephrologistsNephrologyPeritoneal DialysisRenal DialysisRenal Insufficiency, ChronicTanzaniaNephrology in sub-Saharan AfricaNephrology in TanzaniaNephrology training

Identifiers

PMID31623570
PMCPMC6798480

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.