Jun 13, 2021

Mawazo Writing Africa

Writing about the main

MES dialysis kits offer respite as cases surge

From 700 sessions per month in 2015 to over 400,000 sessions in the same period in 2020, all 54 kidney units saw growing demand across the country.

In 2015 there were only six kidney units. It has been 54 since then, but experts say they are still overwhelmed.

The number started rising in 2016 after the Sh2.3 billion government funded Managed Equipment Services (MES) Kidney dialysis project) initiative.

In 2016, the country held 18,218 sessions per month, an increase of 100 percent compared to 2015. This increased to 30,155 sessions in 2017 and 60,100 in 2018. In There were 106,900 sessions in 2019

Last year the country had the highest number of sessions per month (128, 200).

From Sh 20,000 to 35,000 per month for dialysis at Rodgers Otieno, Jaramogi Oginga Odinga Teaching and Referral Hospital in 2010, now has a reason to smile.

“When I was diagnosed with kidney failure and on dialysis in 2010, I traveled to Kisumu every week. 70 kilometers away to be dialyzed, ”says Rodgers, who is from Gem Akala, Siaya County. Rodgers is one of 15 patients who feel some relief.

Dialysis program

Though The MES program launched in 2015 came into effect For various points of criticism – from the way in which it was contracted to the price-performance ratio for many devices – the dialysis program is the gold standard in this project and ultimately offers All 360 state-of-the-art dialysis machines in 47 counties.

Kenyatta National Hospital had the highest number of dialysis sessions (60,000), followed by Moi Teaching and Referral Hospital (46,200) and Nakuru Level Six Hospital (28,257).

The Coast General Teaching and Referral Hospital had the fourth highest sessions with 14,599, while the Machakos Level Five Hospital was fifth with 13,564 sessions.

The health facilities with the gerin The greatest number of sessions were Nyamache Sub-County Hospital with only 669 sessions, Hola County Hospital (682), Lodwar Hospital (756), Maralal County Hospital (1,346), and Lamu County Hospital (1,591).

Currently Approximately 1,458 kidney patients are registered for dialysis nationwide, with Moi Teaching and Referral Hospital at the top with 172 patients, followed by Kenyatta National Hospital (166), Nakuru Level Six Hospital (89), the teaching, referral and research hospital from Kenyatta University (72), Machakos Level Five Hospital (54) and Murang’a County Referral Hospital (59).

Chronic kidney disease is a growing cause of death and disability. A large number of cases lead to an end-stage failure unnoticed. It is estimated that around four million people, or 10 percent of the population, will likely develop kidney disease during their lifetime.

Electrolytes

Dialysis cleans a patient’s blood with a device. It helps balance body fluids and electrolytes when the kidneys are no longer working properly.

The procedure rebalances body fluids by removing waste, extra water, and salt and making sure they don’t on dangerous levels.

Nairobi County had the most dialysis sessions in the last half of 2018.

In Kakamega, the county general hospital has seen an increase in patients in the last two weeks reported who use dialysis services. The hospital has nine devices and can treat 18 patients a day. 8,937 sessions were performed for 39 patients.

In Nyanza, the kidney department of the Nyamira County Referral Hospital has eight machines that perform at least 40 dialysis sessions per week. 8,078 meetings were held. The kidney unit of the Kisii Teaching and Referral Hospital, with its 10 devices, performs almost 80 sessions per month, while the Jaramogi Odinga Oginga Teaching and Referral Hospital of Kisumu performed 9,800 sessions, about 200 per month.

The seven-year-old Project (2015-2022) comprised the construction and equipping of the kidney units with five dialysis machines, two dialysis beds, a reverse osmosis system and various pieces of furniture. Some of the counties have since received an additional machine upon request to cope with the high numbers.

“If there’s one project that has influenced the lives of Kenyans, it is it. We can vouch for it, ”a health department official told Sunday Nation, adding that the only fully functional component of the MES project is shortages and supplies of supplies, but most of the machines are operational.

Kidney Disease < / h2>

The history of kidney disease management in Kenya is fraught with missteps and total criminal neglect. For one, the country only had one dialysis machine at KNH between 1963 and 1978.

Between 2002 and 2013, four regional centers were set up in Nairobi, Kisumu, Nakuru and Mombasa. But these could not serve the tens of thousands of Kenyans who needed dialysis. Long queues and desperate faces were common in the waiting bays.

On average, a single dialysis session costs between Sh 9,500 and 16,000. Patients spend between Sh 20,000 and Sh 40,000 a week for two sessions, taking into account transportation and accommodation costs.

However, thanks to the National Health Insurance Fund (NHIF), patients don’t pay a dime to access the services, unless they exceed the required weekly sessions. NHIF has limited sessions to 10 per month with pre-authorization required for one additional session.

Dialysis is the largest health insurance claim, according to NHIF, with kidney failure treatment payouts increasing by 41 in 2019 Percent, and the agency released Sh 1.8 billion.

This was an increase of Sh 1.84 billion in the 2016/17 financial year, which clearly shows the cost burden of the procedure for insurance companies.

In the last half of 2018, NHIF paid a further Sh 64.7 million for kidney transplants, compared to Sh 21.7 million in 2017.

This makes the procedure one of the most important items of expenditure in the benefit package for healthcare.

NHIF paid Sh922.8 million for 73,757 dialysis sessions across the country.