Kidney diseases are the 4th most common cause of death in Suriname as indicated by the Pan American Health Organization (PAHO). Local Surinamese data reported an estimated number of predialysis patients of 45.000 and >850 dialysis in 2020. The estimated annual increase in dialysis patients is about 13%-25%, whereas the 20% of these dialysis patients perish annually. About 17,3 % of the dialysis patients are < 40 years.
From a patient- and public health perspective, this morbid observation is unacceptable, because the prognosis and quality of life of these patients is preventable severely impeded. In addition, the expenditures for dialysis are exploding.


The estimated expenditures for dialysis (n = 850; 156 dialyses / yr / patient; 550 SRD / dialysis) consumables, medication and equipment depreciation is 100-150 million SRD/ year at least 9.1 million Euro. Besides, there are hidden expenditures that have not been included in these calculations. The actual expenditures are likely to be about 1.5 times higher. This situation is unsustainable.
This project, combining a sustainable kidney transplantation program (NTx) with an extensive permanent “public health” prevention program (cardiovascular factors), fits in seamlessly within the government policy of the current Surinamese Administration of President H.E. Santokhi.

Indications for NTx Operation

We use living donors. This means a living person donates a kidney to the the patient. Based upon the scientific medical literature, the donating person will have an unobstructed life expectancy and quality of life.

The indications for donation are as follows:

  • Age older than 18 years

  • Normal blood glucose measurements

  • Mentally & physically well & fit

The patient’s indication to receive a kidney are:

  • Age older than 14 years

  • Mentally & physically fit

  • Good life prognosis

  • Bodyweight BMI below 35

  • Normal pelvis and leg arterial bloodvessels

  • A minimal residual kidney function of 12-16 %

Benefits for the Patients

  • Improved quality of life and life expectancy

  • Increased patient satisfaction due to the lack of dialysis (2-3 times / week)

  • Less emotional and physical burden

  • less additional personal financial expenses

  • Faster participation in economic activities

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