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Abstract: SA-PO052

Assessment of Dialysis Operations in Conflict-Affected Areas: Insights from Survey Results from Northwest Syria

Session Information

Category: Diversity and Equity in Kidney Health

  • 900 Diversity and Equity in Kidney Health


  • Alasfar, Sami, Mayo Clinic Arizona, Scottsdale, Arizona, United States
  • Alashawi, Hani Subhi, The Health Cluster, Gaziantep, Turkey
  • Murad, Lina, Metropolitan Access Center, Bretnwood, Maryland, United States
  • Burnham, Gilbert M., Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States

In areas affected by armed conflict, the opertions of hemodilayis (HD) are hindered by the lack of required infrastructure. Despite the growing prevalence of kidney disease, humanitarian agencies have given little attention to HD in such situations. Northwest (NW) Syria is an example of such a conflict-affected region where approximately 800 patients rely on HD provided by non-governmental agencies (NGOs).


We conducted a survey conisting of 346 questions to assess HD operations in NW Syria. Onsite visits were made to interview HD facilities managers and technicians, and the data was collected during these visits. The survey covered various areas related to HD operations, including current infection and prevention and control practices, medical protocols, built environment, health care worker competencies, equipment maintenance, dialysis unit management and leadership, and record keeping.


Answers to selected questions of the survey are in tables 1&2.


In regions affected by conflict, there are significant deviations from the standards of HD operations, highlighting the need for an action plan that involves NGOs responsible for administering HD, in order to implement and maintain minimal standards for HD.