Similar to Anwar Naqvi Pakistan - Monday 28 - Management and organization models for donation and transplantation A challenge for healthcare systems (20)
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Anwar Naqvi Pakistan - Monday 28 - Management and organization models for donation and transplantation A challenge for healthcare systems
1. Management and organization models for donation and transplantation: A challenge for healthcare systems Eastern Mediterranean Sindh Institute of Urology and Transplantation Karachi, Pakistan
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3. Kidney Transplantation Liver Transplantation Global Observatory on Donation and Transplantation Global Transplant Activity in 2010 (pmp)
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6. Public Health Expenditure (% GDP) and Transplant Activity (pmp) Health Exp (% GDP) 26 13 17 30 5 20 5 32 34 26 49 9 12 3 Tx (pmp) Human Development Report 2010 Global Observatory on Donation and Transplantation, 2010
7. Literacy Rate and Transplant Activity (pmp) Literacy rate (%) Human Development Report 2010 Tx (pmp) Global Observatory on Donation and Transplantation, 2010
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13. Living & Deceased Transplantation (SCOT Data) Deceased (n=2227) Living (n=4395) Deceased (n=571) Living (n=358) Kidney Liver
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15. Renal Transplantation in Iran Living related = 15.2% Living unrelated = 79.6% Deceased = 5.2% - 16% Socioeconomic class Donor Recipient Poor 84% 51% Middle 16% 36% Rich - 13% Ghods A, Clin, JASN 2006 Einollahi B, Ann Transplant, 2008
16. Pakistan: SIUT’s Initiative A programme for disfranchised Doctor Community Government Patient * 25 years, 2.5 million patients * 60,000 patients dialysed * 3,300 kidney transplants with life long follow-up and immunosuppression Concept of free with dignity Pakistan: Health expenditure = 0.8% Literacy rate = 54% Poverty ($2/day) = 74% Exorbitant cost of RRT in private sector Community government partnership
19. Shoring up transplantation activity after legislation: SIUT’s effort Pre legislation Post legislation Local Foreigners HOTA Data (2007-2009): 29 transplant centres performed 1721 renal transplants SIUT’s contribution – 1022 (59%) SIUT Transplant Activity ??
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23. Poverty and Transplant Activity (pmp) People live on $2/day (%) 26 20 30 5 12 9 13 5 17 3 49 34 32 Tx (pmp) Human Development Report 2010 Global Observatory on Donation and Transplantation, 2010
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