The role of the WHO and perspective on transplantation in Africa
57.1 - The role of the WHO and perspective on transplantation in Africa
Presenter: Luc, Noël, Geneva, Switzerland
Authors: Luc Noël
Despite the current early stage of development of health systems in most African countries, the journey leading to a proper kidney donation and transplantation service should be initiated. It should start with a legal framework for cell, tissue and organ donation and transplantation on the basis of the WHO Guiding Principles. The objective of meeting patients’ needs with self-sufficiency requires to plan and start from the beginning of a stepwise journey:
- Centralized coordination and oversight,
- Integrated management of kidney diseases from the epidemiology of chronic kidney disease and prevention to renal replacement therapies,
- Management of kidney disease as part of the health system’s progress towards universal health coverage to strive towards equity,
- Early initiation of donation after death of corneas and kidneys,
- Inevitable in several countries, carefully monitored public-private partnership and,
- Often lacking but a sign of quality, transparency of organization, activities and outcomes for patients and donors.
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