Prevention of Kidney Diseases

Introduction: Since its inception in 1977 as a 200-bed community hospital for women and children, Fatima Memorial Hospital (FMH) has evolved into a 500+ bedded multi-specialty tertiary care teaching hospital. With a steadfast belief in service excellence and quality healthcare, FMH is dedicated to alleviating the suffering of humanity. Our core philosophy of cross-subsidization ensures that funds generated from paying patients benefit the underprivileged and indigent.

Our Commitment: FMH is committed to providing quality healthcare services to all patients, regardless of their ability to pay. Our hospital serves as a hub for patient care and a teaching base for human health resources, including FMH College of Medicine and Dentistry, FCPS, MCPS, MD & MRCGP training, and the Saida Waheed FMH College of Nursing. Additionally, FMH acts as a referral center for patients treated by our mobile health service.

The Kidney Disease Crisis: In Pakistan, the prevalence of chronic kidney disease (CKD) ranges from 12.5% to 31.2%, making it a significant public health issue. The incidence and prevalence of end-stage kidney disease (ESKD) have steadily increased over the last three decades. CKD not only impacts individual health but also contributes to the global burden of morbidity and mortality due to its effect on cardiovascular risk and ESKD. Projections indicate that by 2050, between 4.902 and 7.083 million people worldwide will require renal replacement treatment.

FMH's Ongoing Initiatives:

Outpatient Clinics:

• Conducting two weekly outpatient clinics, providing care to over 500 patients each month at a nominal fee.

In-Patient Services:

• Offering round-the-clock in-patient care and emergency services to more than 900 patients monthly, ensuring prompt treatment for kidney-related issues.

Procedures:

• Performing various procedures, including kidney biopsies, catheter insertions, and dialysis, to address the diverse needs of patients.

Hemodialysis Unit:

• Catering to approximately 40 permanently enrolled patients, delivering vital dialysis services.

Affordability:

• Most procedures and services are provided free of cost or at a nominal fee to enhance accessibility.

Addressing Challenges:

Despite our relentless efforts, challenges persist due to the overwhelming demand for dialysis services. To mitigate these challenges, FMH has initiated a Peritoneal Dialysis (home dialysis) program aimed at:

Reducing Waiting Times:

• Offering an alternative dialysis method to alleviate the burden on patients awaiting hemodialysis.

Education and Training:

• Conducting workshops and training sessions to enhance healthcare professionals' expertise in peritoneal dialysis, ensuring widespread adoption.

Technology Advancements:

• Collaborating to acquire automated peritoneal dialysis machines, enhancing convenience and accessibility for patients.

The Need for Support:

At FMH, most hemodialysis units are working at maximum capacity, yet many patients still struggle to find a permanent hemodialysis center due to non-availability of slots. Tragically, these patients often go from emergency to emergency in search of hemodialysis sessions, with some succumbing to their conditions.

Links:

• Awareness of Chronic Kidney Disease, Medication, and Laboratory
• Fatima Memorial Hospital