Challenges in the management of a child with end stage renal disease: a case report of an indigent Nigerian child

Abstract

End stage renal disease (ESRD) is on the rise among children in Nigeria. The cost of its management with renal replacement therapy is quite enormous for the average Nigerian family. There is no support yet from the Nigerian government or the National Health Insurance Scheme to cushion the burden of this disease. Victims essentially depend on family support and support from well meaning individuals. The case of an unfortunate poor Nigerian girl who was recently a victim of ESRD is highlighted to bring to the fore the challenges encountered in the management of children with ESRD.

Key words: End stage renal disease. Children. Challenges. Renal replacement therapy