Abstract
The current status of end-stage renal disease treatment in the Philippines, Thailand and Bangladesh was surveyed in the 4th Training Programme for Experts in International Health 1993.
The treatment of end-stage renal disease was kidney transplantation in the Philippines. A total of 95 kidney transplants were performed by the National Kidney Institute in the year 1991. Hemodialysis and peritoneal dialysis were only performed in connection with transplantation. Maintenance hemodialysis was generally not performed.
In Thailand, maintenance hemodialysis was being performed to treat ten to twenty renal failure outpatients at 2 private hospitals in Bangkok.
In Bangladesh, the Institute of Post-Graduate Medicine and Research had a hemodialysis sector and six mashines were in working order, but it seemed difficult to supply safe water.
The medical care of end-stage renal disease consisted of kidney transplantation in all three countries, the Philippines, Thailand and Bangladesh. The main reason was economic.
The strategy behind Japanese international medical cooperation depends on the degree of development in these foreign countries. Generally, the following three projects were considered: (1) improving the survey system for renal diseases, (2) a urine screening programme, (3) education to prevent renal diseases.
It is important that Japanese medical cooperation should be adapted to the actual situation in developing countries.
