International Society of Nephrology

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Seventy-second World Health Assembly (A72/1)
Agenda Item: 
- Preparation for the high-level meeting of the United Nations General Assembly on universal health coverage

Honorable chair, distinguished delegates,
We welcome the WHO current efforts to promote UHC, in preparation for the HLM of
September 2019.
Kidney diseases are major contributors to the high morbidity and mortality attributable to
non-transmissible conditions including cardiovascular disease, diabetes and hypertension;
endemic infections such as HIV, malaria, TB, diarrheal diseases and hepatitis; social and
economic factors such as poverty and discrimination; and environmental factors driven by
climate change. In the absence of UHC, more patients with kidney disease experience
catastrophic health expenditure in LMIC compared to any other health condition. Successful
management of kidney health requires a robust society where inequity is minimized across all
sectors - from prevention to tertiary care and effectiveness is maximized through integrated
In order to successfully achieve UHC, the International Society of Nephrology calls on
member states to prioritise the following key measures:
1. Promote the development of innovative public and/or private funding strategies
and increase efforts to deliver affordable and equitable treatments.
2. Develop and strengthen comprehensive integrated healthcare services in a
continuum of care spanning from health promotion, education and prevention, to
screening, diagnosis, treatment, rehabilitation and palliative care, and implementation
of management programs that address co-morbidities.
3. Focus on disease prevention utilizing population-based approaches and
implementation of the WHO Best Buys and screening of at-risk populations including
for kidney disease.
4. Implement ‘whole of government, whole of society health in all policy approaches,
such as multisectoral actions involving elaboration of high-level policies across
environmental, agriculture, finance, trade, transport, urban planning, education, and
sport government departments
Thank you