ntroduction:

The burden of kidney diseases is reported to be higher inlower- and middle-income countries as compared to developed coun-tries, and countries in sub-Saharan Africa are reported to be mostaffected. Health systems in most sub-Sahara African countries havelimited capacity in the form of trained and skilled health care providers,diagnostic support, equipment and policies to provide nephrologyservices. Several initiatives have been implemented to support estab-lishment of these services.

Methods:

This is a situation analysis to examine the nephrology ser-vices in Tanzania. It was conducted by interviewing key personnel ininstitutions providing nephrology services aiming at describing avail-able services and international collaborators supporting nephrologyservices.

Results:

Tanzania is a low-income country in Sub-Saharan Africa with apopulation of more than 55 million that has seen remarkableimprovement in the provision of nephrology services and these includeincrease in the number of nephrologists to 14 in 2018 from one in 2006,increase in number of dialysis units from one unit (0.03 unit permillion) before 2007 to 28 units (0.5 units per million) in 2018 andimproved diagnostic services with introduction of nephropathologyservices. Government of Tanzania has been providing kidney trans-plantation services by funding referral of donor and recipients abroadand has now introduced local transplantation services in two hospitals.There have been strong international collaborators who have supportednephrology services and establishment of nephrology training inTanzania.

Conclusions:

Tanzania has seen remarkable achievement in provision ofnephrology services and provides an interesting model to be used insupporting nephrology services in low income countries.