title: Challenges of kidney care in a resource poor nation: A study of private kidney care centre in Nigeria.
abstract: BACKGROUND
  Resource poor nations are froth with various confounding challenges in their social, political, financial, physical and healthcare needs. Care of patients with health problems', including those with kidney related disorders is associated with many challenges. This study is aimed to highlight the challenges of kidney care in a resource poor nation.
  
  
  METHODS
  The activity of a private kidney care centre in Nigeria was reviewed from establishment to 6 months of operation. The details were documented and analysed.
  
  
  RESULTS
  The commencement of the kidney care centre was delayed as a result of financial and bureaucratic challenges. A total of 64 patients were seen during the period studied, 59.4% were male and the mean age was 48.2±5.5 years. 40.3% of the patients had chronic kidney disease. Twenty patients had haemodialysis however only 2 patients sustained the dialysis for the period studied. Most patients were unable to adhere to medication. The centre still depend on the parent hospital financially.
  
  
  CONCLUSIONS
  The challenges of kidney care in resource poor nation are numerous and multifactorial.
authors.affiliation: Department of Medicine, Enugu State University Teaching Hospital, Parklane, Enugu, Nigeria.
authors.forename: Umezurike H
authors.initials: UH
authors.lastname: Okafor
authors.forename: I
authors.initials: I
authors.lastname: Ekwem
authors.forename: F S
authors.initials: FS
authors.lastname: Wokoma