The document emphasizes that the nephrology service in the country should provide specialized assistance to both adults and children with kidney diseases at all stages—from prevention to dialysis treatment and transplantation.
Currently, there are only 19 nephrologists in the country, of which 7 are pediatricians and 12 are adult specialists.
- There is only 0.26 nephrologists per 100,000 adult population, while according to WHO recommendations for developing countries, this figure should be at least 1.0.
It is estimated that 46 doctors are needed, which means a shortage of 34 specialists (the number needs to increase by 4 times).
- As for pediatric nephrologists, the availability is 0.30 per 100,000 population (with a recommended level of ≥1.0).
23 doctors are required, with a shortage of 16 specialists (an increase of 3.3 times is needed).The report also mentions that the average age of nephrologists is 47 years, and 38% of them are over 55 years old, while only 14% are younger than 35 years.
The personnel shortage is particularly noticeable in the Naryn, Batken, Issyk-Kul, and Talas regions, where nephrologist positions are either absent or combined with the duties of other specialists.
To address the problem, it is necessary to actively train or retrain doctors in the specialty of "nephrology." Currently, nephrologists and hemodialysis doctors are trained at KGMI and PK. Additionally, among outpatient nephrologists, only 5 out of 19 specialists (30%) have received training in treating patients with transplanted kidneys.
Freelance experts from the Ministry of Health note that, considering the number of patients with transplanted kidneys who require constant monitoring, there is a significant shortage of qualified doctors needed to manage immunosuppression and transplant function, as well as to work with the kidney transplant waiting list.
Photo on the main page is illustrative: niicm.ru.
