Hyderabad: Without even having full strength of nephrologists in teaching hospitals, the state health department has in a surprising move decided to set up dialysis units in 20 district hospitals, community health centres and area hospitals in nine districts under private public partnership (PPP) mode.
In a recent government order, the permission to set up these dialysis units has been given to Telangana Vaidya Vidhana Parishad with the aim of helping serious kidney patients get treatment locally without the need of visiting teaching hospitals in Hyderabad and Warangal.
The move has raised eyebrows with Telangana Private Hospitals and Nursing Homes’ Association (THANA) office-bearers and city experts questioning the move at a time when Osmania General Hospital, Gandhi Hospital and Kakatiya Medical College are facing severe shortage of nephrologists.
“The move to set up dialysis units in rural health centres in nine districts will help only vested interests to benefit financially through PPP mode as no nephrologist from city will ever go to work in remote places. These hospitals do not even have ICUs,” said an office bearer of THANA, on condition of anonymity.
They expressed fears that monitoring the dialysis patients in these 20 government hospitals across the state can not be done as these community health centres, district hospitals and area hospitals in nine districts do not have superspecialists like nephrologists of their own.
After kidneys fail, a dialysis machine (costing around Rs 5 lakh) used under the supervision of a nephrologist helps keep an end stage patient’s body in balance by removing waste, salt and extra water.
What’s worse is that in Kakatiya medical college -the government-run medical college catering to patients in four districts of Adilabad, Nizamabad, Warangal and Karimnagar -there is not even a permanent nephrologist.
“Even in both Gandhi and Osmania medical colleges, posts of four nephrologists are lying vacant since a long time. So, what happens to a dialysis patient in these 20 centres the event of any adverse complications,” questioned a senior nephrologist from Nims hospital.