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Pakistan Kidney centre, Abbottabad Pakistan. Introduction

Pakistan Kidney centre, Abbottabad Pakistan. Introduction. By Dr. Khalil Ur Rehman FCPS (Internal Medicine), MRCP, FCPS ( Nephrology). OUR INTRODUCTION. Pakistan Welfare Society (PWS) established in Jeddah KSA, 2006 Registered in 2007 in Islamabad As non profitable & Charitable NGO

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Pakistan Kidney centre, Abbottabad Pakistan. Introduction

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  1. Pakistan Kidney centre, Abbottabad Pakistan.Introduction By Dr. Khalil Ur Rehman FCPS (Internal Medicine), MRCP, FCPS ( Nephrology)

  2. OUR INTRODUCTION • Pakistan Welfare Society (PWS) established in Jeddah KSA, 2006 • Registered in 2007 in Islamabad • As non profitable & Charitable NGO • Registration No:- 1837/2020 dated 10/04/2007

  3. PWS activities in KSA • Fortnightly Free medical Camp under the supervision of Pakistan Consulate, Jeddah since 2006. • Health awareness seminar on various topics. • Educational Activities & others • ( read more )

  4. Activities in Pakistan. • Relieve activities • Earth quake. • Flood. • Eid gift distribution and qurbani meat. • ( read more ) • Now Pakistan Kidney Centre (PKC)

  5. KIDNEY FAILURE. • What's Kidney failure ? • Acute • Mostly reversible • Chronic –silent epidemic • Irreversible • Causes • DM= 40% • HTN, Kidney stone, GN, Drugs, infections, Malignancy

  6. CONSEQUENCE OF CHRONIC KIDNEY FAILURE (CKD) Progression toward end stage renal disease Stage (I  II  III  IV  V) Deterioration of General health ESRD Requiring Dialysis/ Kidney Transplant Not Available Available DEATH within hours to days NEAR NORMAL LIFE with reduced survival

  7. RENAL DATA • Number of patient with CKD in Pakistan = not established • Number of patients on haemodialysis worldwide=20 million ( 2010) • Number of patients with CKD world wide =50 million

  8. KIDNEY FUNCTION • Body Fluid maintenance • Body Electrolytes maintenance • Removal of toxins ( filter) • Provide support for Haemoglobin and Vitamin D • Normally 2 kidneys. • Single kidney • Congenital . • Transplant.

  9. PKC IN ABBOTTABAD • Why ? • Poverty in Pakistan from North to South • Lack of awareness of common disease affecting kidneys due illiteracy. • Poor screening at Primary Health Care level (BHU). • Only 8 dialysis machines available in Public sector in Hazara Division (Ayub Medical Complex, Abbottabad) • No evaluation for Kidney Transplant • Estimated population of catchment area is 10 million

  10. COST OF HAEMODIALYSIS. • In Public sector • Haemodialysis per session Rs 2,000- 3,000 • In Private sector • Haemodialysis per session: Rs 5,000- 6,000 • Ideally 3 session per week.

  11. LOCATION OF DIALYSIS CENTER • Ideally near to a tertiary care health facility • Cardiac issues • ICU Care • Surgery procedures • Access issues • Transplant • Our PKC is close to Ayub Medical Complex

  12. SERVICES OF PKC • Out reach programme • Screening at door step for DM, HTN, CKD • Through periodic medical team visits at BHU levels • Referral/acceptance for treatment at PKC for those with CKD.

  13. Mobile clinic for screening Rs= 50,00,000

  14. TREATMENT AT PKC • Adult patients with Kidney disease • Out patient’s clinic (OPD) • GP’s & specialist (Urologist & Nephrologists) • Dialysis treatment • 10 machines • 2 shifts 8.00 PM to 4.00 PM • If required and feasible a third shift from 5.00 to 8.00 PM

  15. SURGICAL TREATMENT AND PROCEDURES • Treatment for Kidney stones including lithotripsy • Access creation for dialysis patients • Kidney biopsy • Diagnostic facilities • X rays, ECG, ultrasound, laboratory , Blood bank. • Liaison with other hospital AMC, SIUT, PIKD at SHIFA hospital Islamabad & others

  16. Eligibility for treatment. • Outreach screening free for every body. • Centre based treatment will be free for deserving patients. • To off set the running cost, treatment will be available on payment.

  17. STAFFING • Permanent staff • Physicians • 2-3 GP • 1 urologist and 1 nephrologist • Part time Radiologist, Pathologist, Anaesthetist. • Para-medical staff • 5-7 nurses • Technician for X ray, Lab & OT, pharmacist • Administrative staff • 7-8 in number • Visiting- honorary • Nephrologist • Surgeons • Instructors

  18. Site

  19. Site

  20. Site

  21. PKC Site • Acquired 11,084 sq. feet ( 2. 7 kanal) • Purchased and donated to PWS trust worth of 6. 5 million Rupees. • Covered area • Basement= 7,000 sq. feet (option ) • Ground floor= 10,000 sq. feet • First floor = 7,000 sq. feet

  22. DESIGN- BASEMENT

  23. DESIGN- GROUND FLOOR

  24. GF

  25. GF

  26. GF OPD Women waiting

  27. GF

  28. GF

  29. GF

  30. GF

  31. GF

  32. DESIGN- FIRST FLOOR

  33. FF

  34. FF

  35. FF CEO/ Conference room

  36. FF ULTRASOUND AND LITHOTRIPSY ROOM

  37. FF

  38. FF

  39. EQUIPMENT & FINISHING COST • 1 mobile field hospital= 50,00,000.(5 Million) • 2 Ambulance= 20,00,000 (2 Million) • X ray plant=10,00,000 (1 Million) • Laboratory=75,00,000 (7.5 Million) • Ultrasound =50,00,000 (5 Million) • Lithotripsy=1,50,00,000 (15 Million) • Haemodialysis machines=10,00,000 per machine (1 Million) • Over head miscellaneous= 5,00,000 (0.5 Million) • Pharmacy= 30,00,000 ( 3 Million) • Total: 4,90,00,000 (49 Million)

  40. RUNNING COST FOR FIRST MONTH

  41. CONSTRUCTION COST • Basement parking Rs= 14,000,000 (14 million) • Ground Floor Rs=18,500,000 (18.5 million) • First Floor Rs=10.43 Million • Total 42.93 million

  42. TARGET DATES • Foundation stone : - November 2012 • Completion of structure 1 year • Functioning start : March 23, 2014

  43. BOARD OF MANAGEMENT • Dr. Khalil ur Rehman • Dr. Farooq Ahmed Farooqi • Dr. Ayaz Khan • Engr. Khalid Zia • Engr. Mohammad Mansha • Mr. Sharif Zaman • Prof. Dr. Muzamil Hussain • Justice retd Sardar Raza ( expected) • Mr. Ghazi Khan • Mr. Saleem Advocate • Mr. Anas Khalil

  44. FUTURE PLANS • Expansion of PKC • ICU, Kidney transplant • Chain of Kidneys centres in other areas of Pakistan.

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