Renforcement de la prise en charge des maladies rénales pédiatriques en Afrique subsaharienne : défis et réponses politiques régionales

Corresponding Author

Pépé Mfutu Ekulu MD, PhD

Courriel: drmfutu@yahoo.fr

Service of Nephrology, Department of Pediatric, Kinshasa University Hospital, Faculty of Medicine, University of Kinshasa, Kinshasa, Lemba Mont-Amba, Democratic Republic of the Congo

Received February 20, 2026

Accepted March 5, 2026

https://dx.doi.org/10.4314/aamed.v19i2.1

Introduction

Pediatric kidney disease remains a significant yet insufficiently prioritized contributor to child morbidity and mortality in Sub-Saharan Africa (SSA). The 2023 ISN Global Kidney Health Atlas highlights persistent inequities in kidney care capacity across the African region, including limited availability of dialysis services, workforce shortages, and gaps in financing mechanisms (1). While global discourse increasingly recognizes kidney disease as a major public health challenge, the realities faced by SSA countries demand region-specific, system-oriented responses grounded in collaboration and sustainability.

Unlike high-income settings, pediatric kidney disease in SSA is frequently driven by infection-related acute kidney injury (AKI), delayed health-seeking behavior, and constrained referral systems (2). These structural determinants compound the impact of limited access to kidney replacement therapy (KRT) and specialist care.

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