Health Programmes in Low- and Middle-Income Countries

  • Maria Pallayova
  • Gopesh K. Modi
  • Indranil DasguptaEmail author


Increase in global population, improvements in cardiovascular survival and aging of the world population are some of the most remarkable global epidemiological changes occurring over the past 30 years. Concurrently, the prevalence and associated clinical and economic burden of diabetic kidney disease have risen worldwide, with the fastest growth occurring in low- and middle-income countries. Limited access to publicly available medical services, health insurance, specialist care, diagnostic tests and antidiabetic and other medications remains a significant challenge in healthcare in low- and middle-income countries.

In this chapter, we discuss how the population and epidemiological developments have influenced diabetic kidney disease programmes centred around chronic kidney disease (CKD) and may impact its future management across different populations and clinical settings in low- to middle-income countries. We also review the current health programmes in low- to middle-income countries and discuss multifactorial approaches based on collaborative efforts to optimize future management of diabetic kidney disease and associated cardio-metabolic risk factors with a view to reducing their sequelae.


Diabetes mellitus Chronic kidney disease Low- and middle-income countries Health programmes 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Maria Pallayova
    • 1
    • 2
  • Gopesh K. Modi
    • 3
  • Indranil Dasgupta
    • 4
    • 5
    Email author
  1. 1.Department of Medicine and Clinical Research CoreWeill Cornell Medicine in Qatar and New YorkNew YorkUSA
  2. 2.Department of Human PhysiologyPavol Jozef Safarik University Faculty of MedicineKosiceSlovak Republic
  3. 3.Samarpan-Noble Kidney CenterBhopalIndia
  4. 4.Renal UnitHeartlands HospitalBirminghamUK
  5. 5.University of BirminghamBirminghamUK

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