Scholarly Peer-review Journal On Transplantation | Open Access Journals

Molecular Biology: Open Access

ISSN: 2168-9547

Open Access

Scholarly Peer-review Journal On Transplantation

renal transplantation spans 50 years. Today, renal transplantation in South Africa is hampered by poor donation rates, lack of governmental commitment to provide Renal Replacement Therapy (RRT), and functional inequalities in a 2-tiered, economically disparate health system. A floundering public health sector—serving approximately 75% of South African residents—struggles to meet basic population healthcare needs and appears to have regressed in its provision of RRT. In contrast, the private health sector has expanded considerably to achieve dialysis rates in-line with other middle-income countries. Consequences include very low renal transplant rates with severe limitations to access renal replacement treatment. South Africa has only 1 transplant program per 19 dialysis facilities. Six transplant programs (40%) are based in the state sector and are in the private sector. 

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