The state of renal replacement therapy for children in South Africa: Data from the first report of the re‐established National Renal Registry
Since 1994, with the advent of the new democratic South Africa, the national budget allocation for RRT has not been increased in line with the increased demand.2 There are nine provincial Departments of Health (DOH) in SA which are responsible for funding RRT in the public sector, but not all provide such treatment. Public sector dialysis units have been forced to ration RRT, which has resulted in many patients being turned down for dialysis.1 Private sector RRT is provided through health insurance schemes. ESRF is readily treated in this system because its treatment, including RRT, is classified by legislation as a “primary minimum benefit”. There have been few advocates for children requiring RRT in SA, especially in the public sector. No dialysis registry reports on the state of RRT for children in Africa have been published previously. This study describes the extent and outcome of RRT in children in SA as reported in SARR 2012.