Overview of Paediatric Renal Care Activities and Availability of Renal Replacement Therapy for Children at Mulago Hospital, Uganda

Odiit Amos*, 1, Kalyesubula Robert 2, Atukunda Peace 3, Nabacwa Oliver 3, Eyoku S.P4, Kiguli Sarah 1
1 Department of Paediatrics & Child Health, Faculty of Medicine, National University of Rwanda, P.O. BOX 117, Butare, Rwanda
2 Department of Internal Medicine Makerere University, College of Health Sciences, P.O. BOX 7072, Kampala, Uganda
3 Department of Nursing, Mulago National Referral and Teaching Hospital, P.O. BOX 7051, Kampala, Uganda
4 Department of Internal Medicine, Mulago National Referral and Teaching Hospital, P.O. BOX 7051, Kampala, Uganda

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Creative Commons License
© Amos et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Paediatrics & Child Health; Faculty of Medicine; National University of Rwanda, P.O. BOX 117, Butare, Rwanda; Tel: 256 025641 454 1589; E-mail:


Introduction :

The range of activities undertaken by any renal team will depend on many factors. One of the common challenges encountered in Mulago hospital is management of kidney failure in a child.

Objective :

to outline activities of the renal team with specific reference to RRT.


members of the renal team were interviewed for their activities, and ward records spanning a period of 3 years were reviewed, for information on children who had had RRT.


activities of the renal team included: training, sensitization of the public, research, and nursing care of patients on dialysis. Nineteen (19) children had had RRT, fourteen (14) had been put on PD; 4 on Haemodialysis (HD); and 1 child had a kidney transplant in India. All children with Acute Tubular Necrosis recovered normal kidney functions by the end of RRT; 3 out of the 4 children with rapidly progressive Glomerulonephritis progressed to CKD.

Conclusion :

Renal Replacement Therapy for children is happening at a very low level. The renal team is engaged predominantly in conservative management of kidney failure and in preventive activities.

Keywords: In a resource poor country, renal care for children..