According to the report, the nephrology service in the country should provide specialized care for both adults and children with kidney diseases at all stages—from prevention to dialysis and transplantation treatment.
Currently, there are only 19 nephrologists working in Kyrgyzstan, of which 7 are pediatric specialists and 12 are adult specialists.
- The availability of adult nephrologists is 0.26 doctors per 100,000 residents (with the recommended WHO level being ≥1.0).
To address the issue, 46 doctors are needed, which means a shortage of 34 specialists (the required number should increase by 4 times).
- The availability of pediatric nephrologists is 0.30 per 100,000 population (with the recommended level being ≥1.0).
For children, 23 doctors are required, which means a shortage of 16 specialists (the number needs to increase by 3.3 times).Furthermore, the report notes that the average age of nephrologists is 47 years, with 38% being over 55 years old and 14% under 35 years old.
"The shortage of personnel is particularly acute in the Naryn, Batken, Issyk-Kul, and Talas regions, where either there are no nephrologist positions or they are combined with other specialties," the document states.
"To address the shortage issue, more targeted training or retraining of doctors in the specialty of 'nephrology' is necessary. Currently, the training of nephrologists and hemodialysis specialists is conducted by KGMI and PK. Additionally, among outpatient nephrologists, only 5 out of 19 have been trained to work with patients who have undergone kidney transplantation," the report states.
Health Ministry expert doctors emphasize that given the growing number of patients with transplanted kidneys who require constant monitoring, there is a significant shortage of trained specialists for both dynamic monitoring of immunosuppression and for managing the kidney transplantation waiting list.
Photo on the main page is illustrative: niicm.ru.
