Goal: 17 - Amaçlar için Ortaklıklar
Amaçlar için Ortaklıklar Uygulama araçlarını güçlendirmek ve sürdürülebilir kalkınma için küresel ortaklığı canlandırmak. Hedefler, tüm hedefleri başarmak üzere ulusal planları desteklemek suretiyle Kuzey-Güney ve Güney-Güney işbirliğini artırma amacını güdüyor. Uluslararası ticaretin geliştirilmesi ve gelişmekte olan ülkelerin ihracatını artırmalarına destek verilmesi, adil ve açık, herkesin yararına olan, evrensel kurallara dayalı ve hakkaniyetli bir ticaret sistemini oluşturmanın unsurlarıdır.
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- PublicationOpen AccessGlobal capacity for clinical research in nephrology: a survey by the International Society of Nephrology(2018-02-01) Okpechi, Ikechi G.; Alrukhaimi, Mona; Ashuntantang, Gloria E.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Johnson, David W.; Kalantar-Zadeh, Kamyar; Kazancioglu, RÜMEYZA; Levin, Adeera; Lunney, Meaghan; Olanrewaju, Timothy Olusegun; Perkovic, Vlado; Perl, Jeffrey; Rashid, Harun Ur; Rondeau, Eric; Salako, Babatunde lawal; Samimi, Arian; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Bello, Aminu K.; KAZANCIOĞLU, RÜMEYZADue to the worldwide rising prevalence of chronic kidney disease (CKD), there is a need to develop strategies through well-designed clinical studies to guide decision making and improve delivery of care to CKD patients. A cross-sectional survey was conducted based on the International Society of Nephrology Global Kidney Health Atlas data. For this study, the survey assessed the capacity of various countries and world regions in participating in and conducting kidney research. Availability of national funding for clinical trials was low (27%, n = 31), with the lowest figures obtained from Africa (7%, n = 2) and South Asia (0%), whereas high-income countries in North America and Europe had the highest participation in clinical trials. Overall, formal training to conduct clinical trials was inadequate for physicians (46%, n = 53) and even lower for nonphysicians, research assistants, and associates in clinical trials (34%, n = 39). There was also diminished availability of workforce and funding to conduct observational cohort studies in nephrology, and participation in highly specialized transplant trials was low in many regions. Overall, the availability of infrastructure (bio-banking and facilities for storage of clinical trial medications) was low, and it was lowest in low-income and lower-middle-income countries. Ethics approval for study conduct was mandatory in 91% (n = 106) of countries and regions, and 62% (n = 66) were reported to have institutional committees. Challenges with obtaining timely approval for a study were reported in 53% (n = 61) of regions but the challenges were similar across these regions. A potential limitation is the possibility of over-reporting or under-reporting due to social desirability bias. This study highlights some of the major challenges for participating in and conducting kidney research and offers suggestions for improving global kidney research.
- PublicationOpen AccessGlobal nephrology workforce: gaps and opportunities toward a sustainable kidney care system(2018-02-01) Osman, Mohamed A.; Alrukhaimi, Mona; Ashuntantang, Gloria E.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Courtney, Mark; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Johnson, David W.; Kalantar-Zadeh, Kamyar; Kazancioglu, RÜMEYZA; Klarenbach, Scott; Levin, Adeera; Lunney, Meaghan; Okpechi, Ikechi G.; Olanrewaju, Timothy Olusegun; Perl, Jeffrey; Rashid, Harun Ur; Rondeau, Eric; Salako, Babatunde lawal; Samimi, Arian; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Bello, Aminu K.; KAZANCIOĞLU, RÜMEYZAThe health workforce is the cornerstone of any health care system. An adequately trained and sufficiently staffed workforce is essential to reach universal health coverage. In particular, a nephrology workforce is critical to meet the growing worldwide burden of kidney disease. Despite some attempts, the global nephrology workforce and training capacity remains widely unknown. This multinational cross-sectional survey was part of the Global Kidney Health Atlas project, a new initiative administered by the International Society of Nephrology (ISN). The objective of this study was to address the existing global nephrology workforce and training capacity. The questionnaire was administered online, and all data were analyzed and presented by ISN regions and World Bank country classification. Overall, 125 United Nations member states responded to the entire survey, with 121 countries responding to survey questions pertaining to the nephrology workforce. The global nephrologist density was 8.83 per million population (PMP); high-income countries reported a nephrologist density of 28.52 PMP compared with 0.31 PMP in low-income countries. Similarly, the global nephrologist trainee density was 1.87 PMP; high-income countries reported a 30 times greater nephrology trainee density than low-income countries (6.03 PMP vs. 0.18 PMP). Countries reported a shortage in all care providers in nephrology. A nephrology training program existed in 79% of countries, ranging from 97% in high-income countries to 41% in low-income countries. In countries with a training program, the majority (86%) of programs were 2 to 4 years, and the most common training structure (56%) was following general internal medicine. We found significant variation in the global density of nephrologists and nephrology trainees and shortages in all care providers in nephrology; the gap was more prominent in low-income countries, particularly in African and South Asian ISN regions. These findings point to significant gaps in the current nephrology workforce and opportunities for countries and regions to develop and maintain a sustainable workforce.
- PublicationOpen AccessIncreasing access to integrated ESKD care as part of universal health coverage(2019-04-01) Harris, David C. H.; DAVIES, Simon J.; Finkelstein, Fredric O.; JHA, Vivekanand; DONNER, Jo-Ann; ABRAHAM, Georgi; Bello, Aminu K.; CASKEY, Fergus J.; GARCIA GARCIA, Guillermo; HARDEN, Paul; KAZANCIOĞLU, RÜMEYZA TURAN; Hemmelgarn, Brenda; JOHNSON, David W.; LEVIN, Nathan W.; Luyckx, Valerie A.; MARTIN, Dominique E.; McCulloch, Mignon I.; MOOSA, Mohammed Rafique; O'Connell, Philip J.; Okpechi, Ikechi G.; PECOITS FILHO, Roberto; SHAH, Kamal D.; SOLA, Laura; Swanepoel, Charles; Tonelli, Marcello; TWAHIR, Ahmed; VAN BIESEN, Wim; VARGHESE, Cherian; Yang, Chih-Wei; ZUNIGA, Carlos; ABU ALFA, Ali K.; ALJUBORI, Harith M.; ALRUKHAIMI, Mona N.; ANDREOLI, Sharon P.; ASHUNTANTANG, Gloria; Bellorin-Font, Ezequiel; BERNIEH, Bassam; IBHAIS, Fuad M.; BLAKE, Peter G.; BROWN, Mark; BROWN, Edwina; BUNNAG, Sakarn; CHAN, Tak Mao; CHEN, Yuqing; CLAURE-DEL GRANADO, Rolando; CLAUS, Stefaan; COLLINS, Allan; COPPO, Rosanna; COUCHOUD, Cecile; CUETO-MANZANO, Alfonso; CULLIS, Brett; DOUTHAT, Walter; DREYER, Gavin; EIAM-ONG, Somchai; EKE, Felicia U.; Feehally, John; GHNAIMAT, Mohammad A.; LEONG, Bak; HASSAN, Mohamed H.; HOU, Fan Fan; JAGER, Kitty; KALANTAR-ZADEH, Kamyar; Levin, Adeera; LIEW, Adrian; McKnight, Marla; TADESSE, Yewondwassesn; Morton, Rachael L.; Muller, Elmi; Murtagh, Fliss E. M.; Naicker, Saraladevi; Nangaku, Masaomi; NIANG, Abdou; OBRADOR, Gregorio T.; OSSAREH, Shahrzad; Perl, Jeffrey; RAHMAN, Muhibur; RASHID, Harun Ur; RICHARDS, Marie; RONDEAU, Eric; SAHAY, Manisha; SALEH, Abdulkarim; SCHNEDITZ, Daniel; TCHOKHONELIDZE, Irma; TESAR, Vladimir; Trask, Michele; TUNGSANGA, Kriang; VACHHARAJANI, Tushar; WALKER, Rachael C.; WALKER, Robert; WERE, Anthony J. O.; YAO, Qiang; YEATES, Karen; YU, Xueqing; ZAKHAROVA, Elena; ZEMCHENKOV, Alexander; Turan Kazancıoğlu, Rümeyza; Zhao, Ming-Hui; KAZANCIOĞLU, RÜMEYZAThe global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle-income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide.
- PublicationOpen AccessGlobal coverage of health information systems for kidney disease: availability, challenges, and opportunities for development(2018-02-01) See , Emily J.; Alrukhaimi , Mona; Ashuntantang, Gloria E.; Bello, Aminu K.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Kalantar-Zadeh , Kamyar; Kazancioglu, RÜMEYZA; Levin, Adeera; Lunney, Meaghan; Okpechi, Ikechi G.; Olanrewaju , Timothy Olusegun; Osman, Mohamed A.; Perl, Jeffrey; Qarni, Bilal; Rashid, Harun Ur; Rateb, Ahmed; Rondeau, Eric; Samimi, Arian; Sikosana, Majid L. N.; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Johnson, David W.; KAZANCIOĞLU, RÜMEYZADevelopment and planning of health care services requires robust health information systems to define the burden of disease, inform policy development, and identify opportunities to improve service provision. The global coverage of kidney disease health information systems has not been well reported, despite their potential to enhance care. As part of the Global Kidney Health Atlas, a cross-sectional survey conducted by the International Society of Nephrology, data were collected from 117 United Nations member states on the coverage and scope of kidney disease health information systems and surveillance practices. Dialysis and transplant registries were more common in high-income countries. Few countries reported having nondialysis chronic kidney disease and acute kidney injury registries. Although 62% of countries overall could estimate their prevalence of chronic kidney disease, less than 24% of low-income countries had access to the same data. Almost all countries offered chronic kidney disease testing to patients with diabetes and hypertension, but few to high-risk ethnic groups. Two-thirds of countries were unable to determine their burden of acute kidney injury. Given the substantial heterogeneity in the availability of health information systems, especially in low-income countries and across nondialysis chronic kidney disease and acute kidney injury, a global framework for prioritizing development of these systems in areas of greatest need is warranted.