According to this document, the country's nephrology service plays a key role in providing specialized care to both adults and children with kidney diseases, covering all stages from prevention to transplantation.
Currently, there are only 19 nephrologists in the country (including 12 for adults and 7 for children).
- For adult patients, the availability of doctors is only 0.26 per 100,000 people, which is significantly lower than the WHO recommended level of ≥1.0 for developing countries.
To achieve the necessary number, 46 doctors are required, indicating a shortage of 34 specialists (the number of specialists needs to be increased by 4 times).
- The availability of pediatric nephrologists is 0.30 per 100,000 population, also insufficient compared to the recommended minimum of ≥1.0.
To reach the required number of doctors, 23 specialists are needed, indicating a shortage of 16 doctors (the number needs to be increased by 3.3 times).The report also states that the average age of nephrologists is 47 years, with 38% of them over 55 years old, and only 14% under 35 years old.
The staffing problem is particularly acute in the Naryn, Batken, Issyk-Kul, and Talas regions, where either there are no nephrologist positions or these functions are performed by other specialists, the document states.
To address the personnel shortage, more targeted training and retraining of doctors in the specialty of "nephrology" is necessary. Currently, specialists are being trained at KGMI and PK. Additionally, among outpatient nephrologists, only 5 out of 19 doctors have undergone training in treating patients with transplanted kidneys, which is 30%.
Health Ministry specialists emphasize that considering the number of patients with transplanted kidneys requiring constant monitoring, there is a significant shortage of trained doctors not only for quality control of immunosuppression but also for working with the kidney transplantation waiting list.
Photo on the main page is illustrative: niicm.ru.
