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Tuesday, 07 June 2016 12:09

Sister Transplant Center Level C: NEPAL - AUSTRALIA

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picture Nepal AustraliaEC Institute: Tribhuwan University Teaching Hospital,Institute of Medicine

EC Liaison officer: Dibya Singh Shah

SC Institute: Monash Medical Center

SC Liaison officer: John Kanellis


Name of STC-TTS Pair: Nepal - Australia

Pair Level: level C


Short description of the project or abstract

Prior to 2008, hemodialysis was the only form of renal replacement therapy available in Nepal. The availability was limited to only a few major cities. For a country like Nepal, renal transplantation was seen as a much better modality of renal replacement therapy as it promised to be more economical and give a better quality of life while also saving lives. The first renal transplantation program in Nepal was started in Tribhuwan University Teaching hospital in 2008 which has so far, performed more than 370 renal transplant procedures. As it is a strictly living related donor transplant program, there is a significant shortage of donors. Recipients who do not have relatives as donors are deprived of having renal transplantation in Nepal as the law strictly prohibits unrelated donations.

In order to improve this situation it is time to upgrade and expand the National renal transplantation service by including ABO incompatible transplantation, paired kidney exchange donation, domino exchange and finally starting a deceased donor transplant program in Nepal. As the educational support and contact with Monash Medical center has been of great help in establishing renal transplantation in Nepal, further collaboration through the ISN renal sister program would provide a substantial opportunity for Tribhuwan University teaching hospital in achieving these goals. Further collaboration and support would not only improve the service in our own hospital but would provide a further stimulus to improve transplant services in Nepal as whole.


Learning objectives:

  • To establish an ABO incompatible renal transplant service in Nepal.
  • To identify and start assembling the human and physical resources required to establish a deceased donor transplant service in Nepal
  • To facilitate the achievement of these objectives, collaboration with Monash Medical Centre is seen as essential. The exchange of medical staff between the two institutes for teaching and learning activities as well as for research projects would significantly enhance the ability to achieve these objectives.


Summary of Planned Activities For 2016:

  • The Department of Nephrology Tribhuvan University teaching hospital has already organized a kidney disease awareness and free health camp. This was held at the Bhanu Bhakta secondary school on the 10th March 2016 on the occasion of World Kidney day. 890 students, teachers and other staff members were screened for kidney disease.
  • Visit by medical staff from Monash to Nepal in September 2016 for an opportunity to critically assess, advise and help plan for Nepal’s future transplant program requirements.
  • To organize a seminar aiming to increase awareness regarding the value of deceased donation. Invitees and participants would include doctors, other medical staff, bureaucrats, politicians, media personnel and civilians. 
  • The preparation of protocols for ABO incompatible transplantation and deceased donor transplantation in Nepal.
  • Further training of transplant coordinators in Nepal.


picture Nepal Australia 2picture Nepal Australia 3

Additional Info

  • Year: 2016
  • Status: In progress
  • SRC Level: C
  • Region: South Asia
  • Country: Nepal
Read 5525 times Last modified on Tuesday, 02 August 2016 12:23

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