Milestones of kidney transplantation in Indonesia
Abstract: Although kidney
transplantation in Indonesia has started since 1977, it has only covered less
than 3% ESRD treatment methods. This indicates that the development of kidney
transplantation program in Indonesia is still stagnant. Based on observation,
the growth of kidney transplantation in Indonesia can be divided into several
eras, which are: the birth of new treatment for ESRD era, the expected growth
era, the first downfall, the stable period, the unstable period, the rebirth of
kidney transplant era, and the explosive growth era. Many factors contribute to
this issue including the government policy, the funding problems, the limited
donor pool, the dissenting cultural views, the number of human resources, the
need for multi-disciplinary approach, and the life-after-graft care. However,
many improvements have been made to increase kidney transplantation i.e. the
government support for opening new kidney transplant centers, the use of
minimally invasive techniques, the development of pediatric kidney transplant,
and National Insurance coverage for transplantation. These conditions are
expected to improve the number of kidney transplantation in Indonesia.
Keywords: Indonesia; kidney;
transplantation
Author: Chaidir A. Mochtar,
Fekhaza Alfarissi, Adhitama A. Soeroto, Agus Rizal A.H. Hamid, Irfan Wahyudi,
Maruhum B.H. Marbun, Arry Rodjani, Endang Susalit, Nur Rasyid
Journal Code: jpkedokterangg170222
