Hemodialysis service in the Azerbaijan Republic

Aim. To study the organizational aspects of hemodialysis aid to the population of Azerbaijan.

Methods. The structure of patients requiring hemodialysis was studied using personal data and statistical reporting of the hemodialysis service of the Azerbaijan Republic using historical, analytical, statistical research methods.

Results. The trend for increased numbers of patients receiving a hemodialysis is shown. It is specified that Azerbaijan is the endemic area for nephrolithiasis. 950-970 patients per million have a renal disease. In 2011, 211,306 procedures of hemodialysis were performed, compared to 291,852 procedures in 2013, including 823 primary patients. The total number of patients requiring hemodialysis in 2013 was 913 patients in Baku and 898 patients in regions (1811 patients in total). The understaffing of dialysis departments with nephrologists is presented, the number of available specialists is almost 4 times less than required. Thus, it is shown that dialysis departments of the republican medical setting have 119 doctors and 294 nursing staff, the staffing rate is 1.1-1.2 nephrologist per 100,000 population, while the standard is 4-4.5.

Conclusion. The need for additional management measures to improve the service in this group of patients, as well as new training programs on hemodialysis therapy in universities and medical colleges is explained.