Disparities in access to care are greatly amplified in a developing country like Nepal due to social factors such as gender, ethnicity, and socioeconomic background.
creator
Shrestha, Prakriti
Title
Access to Living Donor Kidney Transplantation in Nepal
advisor
Ferguson,Susan J.
supporting host
Grinnell College. Sociology Department.
supporting host
American Transplant Congress (May 2017)
Index Date
2017
Publisher
Grinnell College
Type of Resource
text
Genre
poster
Digital Origin
reformated digital
Digital Extent
1 sheet
Media Type
application/pdf
note
A paper was written for a Mentored Advanced Project working with Professor Susan Ferguson in Sociology and this poster was created to be presented at the American Transplant Congress in May '17
description
Kidney transplantation is a relatively new and rapidly growing treatment modality in Nepal. Disparities in access to care are greatly amplified in a developing country like Nepal due to social factors such as gender, ethnicity, and socioeconomic background; however, disparities in access to living donor kidney transplantation (LDKT) have not been reported since its establishment in Nepal. We analyzed retrospective data from one of the two active transplant centers in Nepal to assess factors that affect access to LDKT. Demographics of 137 kidney transplant recipients and their donors were compared to demographics for the general population of Nepal as ascertained from the Demographic and Health Surveys (DHS). Men comprised 82% of the recipients but only 30% of the donors. There is a higher proportion of 'higher castes' (Chhetris and Newars) in the transplant cohort compared to the general population. The central region and adjoining regions are disproportionately represented among recipients. Socially marginalized groups such as women and lower caste groups are underrepresented in the transplant cohort. Similarly, patients farther from the transplant centers, both of which are in central Nepal, are also underrepresented in the transplant cohort.
Language
English
Topic
Kidney transplantation
Topic
Health services accessibility
Topic
Organ donors
Topic
Transplantation of organs, tissues, etc.
Geographic
Nepal
Temporal
Two thousand tens
Classification
HC79.P6
Related Item
Digital Grinnell
Related Item
Mentored Advanced Project
Related Item
Student Scholarship
Identifier (local)
grinnell:18504
Access Condition
Copyright to this work is held by the author(s), in accordance with United States copyright law (USC 17). Readers of this work have certain rights as defined by the law, including but not limited to fair use (17 USC 107 et seq.).