New guidelines for peritoneal dialysis services

Aim to serve a comprehensive manual to states that intend to set up peritoneal dialysis services and for providers of peritoneal dialysis as a ‘best practice’ document 

By Sunderarajan Padmanabhan
Published: Monday 21 October 2019

The Union Ministry of Health and Family Welfare has come out with a set of guidelines for establishing peritoneal dialysis services under the Pradhan Mantri National Dialysis Programme. 

The guidelines aim to serve as a comprehensive manual to states that intend to set up peritoneal dialysis services and for providers of peritoneal dialysis as a ‘best practice’ document to ensure delivery of high quality and cost-effective services.

It also aims to achieve equity in patient access to home-based peritoneal dialysis, reduce the overall cost of care to the system by focusing on efficient leveraging of resources, and bring in consistency of practice, pricing and a full range of product availability.

The guidelines are a result of a consultative process coordinated by the National Health Systems Resource Centre and an experts’ committee chaired by Vivekanand Jha, executive director of the George Institute for Global Health, India and consisting of nephrologists from around the country, as well as health systems and policy experts.

“This is good news for about two lakh Indians who develop end-stage kidney failure every year in India. They now have another treatment option that allows them to perform dialysis at home with potential flexibility in lifestyle. Mass-based peritoneal dialysis programmes also have the potential to substantially bring down the cost of treatment,” said Jha, also the president of the International Society of Nephrology.

The government had announced the National Dialysis Program in 2016. Its first phase envisaged setting up of haemodialysis centres in all districts. Now, it has been expanded to include peritoneal dialysis considering that it offers patient autonomy and would help reduce the demand on healthcare system and avoid substantial costs on infrastructure, maintenance and staffing.

The new guidelines, among other things, envisage providing training to community health workers to provide support to persons on peritoneal dialysis at home or in primary health care settings.

“Our evaluation of the implementation of the haemodialysis programme in Andhra Pradesh shows that it is critical to make quality dialysis services affordable for people living in rural areas. Establishing peritoneal dialysis services under proper supervision of trained manpower can go a long way in making this a reality,” Jha said.

India Science Wire

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