Status of Chronic Kidney Disease Patients Registered in National Kidney Center, Banasthali, Kathmandu

Abstract

Chronic kidney disease is a worldwide public health problem. In Nepal, Chronic kidney disease patients are increasing and the management of this disease is very expensive compared to other chronic diseases? We assessed the socioeconomic status of chronic kidney disease patients registered in National Kidney Centre, Banasthali, Kathmandu. The study used descriptive cross sectional design. Ninety six samples were collected between 15- 31 October, 2012.The mean age of the patients was 47 years, with almost half of the patients (46%) from 41-60 years age group. Among the patients, 65 % were male, 85% were married, 80% were literate, 57% were past smoker and 75% were drinker and 59% were from Kathmandu valley. Likewise, most of them were Newar, work as housewife as the main occupation. One third (37%) had to sell their property for the treatment. On an average patient spent Rs.240000 per year in dialysis. Similarly, medication cost was Rs.180000 and transplantation cost was Rs.500000 to 1000000. Preventive measures of the disease and subsidy in the treatment will be beneficial for the needy people. DOI: http://dx.doi.org/10.3126/jmmihs.v1i4.11997Journal of Manmohan Memorial Institute of Health Sciences Vol. 1, Issue 4, 2015Page : 19-23

Transthoracic echocardiography in patients with chronic kidney disease

“…In this prospective study of a small group of admitted 100 CKD patients attending NMCTH-echo lab during six years period, male to female ratio was 1.8:1. Similar male predominance in Nepalese population has been reported by several other authors as well 26,27 reporting approximately 65% male patients. In our male dominated society, males get more treatment especially when it is expensive 27 .…”

“…Similar male predominance in Nepalese population has been reported by several other authors as well 26,27 reporting approximately 65% male patients. In our male dominated society, males get more treatment especially when it is expensive 27 . In one study, one-third of the CKD patients (37%) had to sell their property for the treatment 27 .…”

Free dialysis in Nepal: Logistical challenges explored

“…It should be noted that the average cost of kidney transplant in Nepal ranges from US$4829 (or lower at some institutions) to US$9657 and associated medication costs are estimated at US$1738. 3 Therefore, 3 years of continuous dialysis (with an annual cost of approximately US$2300) is potentially more expensive than kidney transplant with associated medication cost. Given this cost difference, there appears to be a substantial financial benefit for the government to expand kidney transplantation.…”

“…Nepal's health care system is financed by a combination of government‐covered services and fee‐for‐service medical care. Health insurance is infrequently used, and for many patients, access to quality health care is met with financial barriers . Due to a modest health care budget, lack of transportation infrastructure and geographic barriers, Nepal's Ministry of Health is challenged to provide equitable health care services to its entire population.…”

“…Health insurance is infrequently used, and for many patients, access to quality health care is met with financial barriers. 3 Due to a modest health care budget, lack of transportation infrastructure and geographic barriers, Nepal's Ministry of Health is challenged to provide equitable health care services to its entire population. According to the Department of Health Services branch of Nepal's Ministry of Health, in 2014 the ministry began providing financial support to those diagnosed with one of 8 noninfectious diseases: Alzheimer's disease, cancer, head injury, heart disease, Parkinson's disease, sickle cell anemia, spinal injury, and kidney disease.…”