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Monday, 02 May 2016 10:50

Dedicated in-patient renal ward opens in Blantyre, Malawi

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Blantyre renal hospital 1A study undertaken during 2015 at Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi demonstrated that 20% of general medical admissions over a three-month period had evidence of kidney disease. Outcome (hospital mortality) in these patients was significantly worse than those with normal renal function.

Blantyre renal hospital 2In response to this, and in line with the Ministry of Health’s commitment to developing specialist services within Malawi, a dedicated renal ward was opened at the end of 2015. The ward was renovated and staff training provided with the help and generosity of the Royal Free Hospital Renal Transplant Patient Association. Dedicated renal nurses and clinical officers staff the ward. Its aim is to provide excellence in clinical care and improve both patient outcome and patient experience in those suffering from kidney disease in one of the poorest areas of the world.

The ward has been fully operational now for over three months. It manages patients with Acute Kidney Injury (AKI) and advanced CKD. All adult patients with AKI that require renal replacement therapy (RRT) undergo hemodialysis (HD) in the adjacent HD unit (free at the point of delivery). We have a limited cohort of patients on chronic HD. We provide a dedicated palliative care service for the many patients with ESRD for whom resources are not available to provide RRT. We plan to report on patient outcomes and experience of the unit later in the year.

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Rhys Evans

Rhys Evans did his undergraduate training at Trinity Hall College, Cambridge and University College and Royal Free Hospital, London. After foundation and core medical training in London and Melbourne, Australia,  he started Renal and General Medicine registrar training on the North Thames rotation, part of the London Deanery. After 3 years in London, in September 2014,  he moved to Blantyre, to take up a position as clinical lecturer at the College of Medicine, Malawi. As well as teaching and general medical commitments, he runs a renal service, which provides tertiary nephrology care for the entire southern region of Malawi.

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