Kidney Res Clin Pract.  2022 Jan;41(1):22-30. 10.23876/j.krcp.21.236.

Global Kidney Health Atlas: a spotlight on the Asia-Pacific sector

  • 1Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • 2The George Institute for Global Health, New Delhi, India
  • 3School of Public Health, Imperial College, London, United Kingdom
  • 4Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India


Chronic kidney disease (CKD) is a unique public health problem in terms of high expenses required for its management and its increasing worldwide incidence. Understanding the existing structure of CKD treatment and its epidemiology is pivotal for equitable kidney care globally. The Global Kidney Health Atlas (GKHA) was launched by the International Society of Nephrology (ISN) in 2017 as a part of its “Bridging the Gaps” strategy with a vision to understand the global kidney care capacity. Two rounds of GKHA surveys were conducted and published in 2017 and 2019, respectively. The GKHA surveys showed significant variability in kidney care among global regions. Asia is the largest of all continents and distinct for its heterogeneity. The Asia-Pacific sector comprises four main regional constructs of the ISN; North and East Asia, Oceania and South East Asia, South Asia, and the Middle East. Kidney care capacity varies among these regions in terms of government spending, epidemiology of kidney diseases, and workforce availability. In this narrative review, we highlight the differences in kidney care delivery among the regions of the Asia-Pacific sector based on information from GKHA and emphasize the priority areas on which stakeholders should concentrate their efforts.


Asia; Chronic kidney disease; Global goals; Global Kidney Health Atlas
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