Overcoming Barriers to Renal Transplantation in Afghanistan: Challenges and Opportunities


Ehsan Shayan, Basira Bek, Ghulam Haider Jamalzada


Abstract

Background: Renal transplantation has become a crucial treatment for end-stage renal disease (ESRD), significantly improving patient quality of life and longevity. Initially confined to high-income countries, it has expanded to include developing regions like Afghanistan, where access remains limited. In Afghanistan, barriers such as economic constraints, cultural and religious stigmas, and a shortage of healthcare professionals pose significant challenges. Political instability further complicates the ability to deliver and access this life-saving treatment, creating a complex landscape for patients and healthcare Objective.

Methodology: This review explores the challenges and opportunities surrounding renal transplantation in Afghanistan through a qualitative approach. A comprehensive literature review was conducted using peer-reviewed articles, health organization reports, and governmental documents. Interviews and surveys from health organizations provided additional insights into patient experiences and healthcare provider challenges. Data validation was achieved by cross-referencing findings from multiple sources, presenting a balanced view of the current state of renal transplantation in Afghanistan Findings: Renal transplantation in Afghanistan faces significant challenges, including high costs, cultural and religious stigmas, a severe shortage of trained healthcare professionals, and inadequate infrastructure. Political instability disrupts the supply chain for essential medical resources, exacerbating these issues. Addressing these challenges requires a coordinated effort to improve access, promote cultural awareness, and ensure affordable healthcare services, supported by international cooperation.

Conclusion: Improving renal transplantation in Afghanistan necessitates overcoming economic, cultural, and healthcare workforce barriers. Strengthening healthcare infrastructure, ensuring affordable access to post-transplant medications, and fostering international cooperation are crucial steps. Addressing these challenges could significantly improve patient outcomes, providing hope for those suffering from ESRD and contributing to a more equitable healthcare system in the region.

 

 Keywords: Renal transplantation, ESRD, healthcare access, cultural barriers, economic barriers, Afghanistan, organ donation



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