ABSTRACT
Worldwide, the majority of patients with end-stage renal disease (ESRD) live in a few developed countries with economies able to meet the growing cost of renal replacement therapy (RRT) (Chapter Levin). Developing countries are often unable to meet the growing challenge of ESRD due to limited financial resources. Also, developing countries have limited manpower trained in the field of nephrology to meet the challenge of chronic kidney disease (CKD). These limitations and difficulties are highlighted by the contribution of Naicker and Barsoum that details the shortcomings in manpower and training in nephrology in sub-Saharan Africa. It also identifies new training objectives including more emphasis on preventive medicine and nephrology.
