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
– Registration No:- 1837/2020 dated 10/04/2007
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 )
Activities in Pakistan.
• Relieve activities
–
–
–
–
Earth quake.
Flood.
Eid gift distribution and qurbani meat.
( read more )
– Now
Pakistan Kidney Centre (PKC)
KIDNEY FAILURE.
• What's Kidney failure ?
– Acute
• Mostly reversible
– Chronic –silent epidemic
• Irreversible
• Causes
– DM= 40%
– HTN, Kidney stone, GN, Drugs, infections, Malignancy
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
Available
Not Available
DEATH within hours to days
NEAR NORMAL LIFE with reduced survival
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
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.
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
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.
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
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.
Mobile clinic for screening
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
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
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.
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
Site
Site
Site
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
DESIGN- BASEMENT
DESIGN- GROUND FLOOR
GF
GF
GF
OPD
GF
GF
GF
GF
GF
DESIGN- FIRST FLOOR
FF
FF
FF
CEO/ Conference room
FF
ULTRASOUND AND
LITHOTRIPSY
ROOM
FF
FF
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)
RUNNING COST FOR FIRST MONTH
General Staff
100 Thousand
Nurses & Technician
150 Thousand
GP
50 Thousand
Specialist
200 Thousand
Dialysis (5 machine, 10 patients @ 3000
per dialysis)
1.8 Million
Overhead
300 Thousand
Lab, X Ray, Ultrasound
100 Thousand
Other Medical expenses
200 Thousand
TOTAL
2.9 Million
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
TARGET DATES
• Foundation stone : - November 2012
• Completion of structure 1 year
• Functioning start : March 23, 2014
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
FUTURE PLANS
• Expansion of PKC
– ICU, Kidney transplant
– Chain of Kidneys centres in other areas of
Pakistan.