Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026

Nouakchott Declaration: Promoting Organ Donation and Transplantation in Africa.

СтатьяНазвание и аннотация: Перевод в очереди

Обработка статьи · этапы, ошибки и управление

Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Haddiya Intissar, Aly Abdellatif Sidi, El Mehdi Allama, Saadi Gamal, Shebani Abdulhafid, Van Hougenhouck-Tulleken Wesley, Davies Malcolm, Hamouda Mouna, Atuhe David Martin, Khadhar Meriam, Mah Sidi Mohammed, Cherif Tehir Mohamed, Lemrabott Mohamed, Saghrouni Awatef, Mohameden Meyine, Ka El Hadji Fary, Elmouna El Moctar Salem, Azzabi Awatef, Atigh Aminetou, Awa Jemal, Tondi Zeinabou Maïga Moussa, Camara Boubou, Izidbih El Maaloum Ahmed Allah, Habchi Khadidja, Gawad Mohammed Abdel, Seifu Lissane, Mbodj Khoury, Boye Khaled, Jarraya Fayçal, Darwish Rasha, Soki Khalida, Hafez Mohamed Hany, Niang Abdou, Bamgboye Ebun, Bacha Mohamed Mongi, AFRAN Transplant Committee

Аннотация

BACKGROUND AND HYPOTHESIS: Africa faces a growing crisis of end-stage organ failure driven by the rising burden of non-communicable diseases and fragile health systems. Behind these figures are preventable deaths, disrupted families, and widening inequities in access to lifesaving care, an inequity that organ transplantation could address. However, access to transplantation remains extremely limited across the continent. According to the 2024 Global Observatory on Donation and Transplantation (GODT) report, only 544 kidney transplants were performed in Africa, representing approximately 0.5% of global transplant activity. These procedures occurred in 36 transplant centers, corresponding to roughly one center per 13.2 million inhabitants, illustrating the structural gap in transplantation services.

METHODS: This work synthesizes a continent-wide expert initiative. In May 2025, the first African Forum on Organ Donation and Transplantation was held in Nouakchott, Mauritania, bringing together more than 300 experts from 12 countries. A Delphi consensus process was conducted to develop a unified framework addressing transplantation challenges in Africa.

RESULTS: The Delphi process led to the adoption of the Nouakchott Declaration, a strategic framework aimed at accelerating transplantation system development, reducing preventable mortality, and promoting ethical organ donation. The Declaration outlines eight core principles addressing governance, public awareness, financing, and regional cooperation. It integrates recommendations from the World Health Organization and the Declaration of Istanbul, while adapting them to Africa-specific challenges such as workforce shortages and limited resources.

CONCLUSIONS: The Nouakchott Declaration provides a structured and context-sensitive roadmap to strengthen organ donation and transplantation systems across Africa. Its implementation could reduce inequities in access to transplantation and improve survival outcomes, while promoting ethical and sustainable healthcare development on the continent.

Nouakchott Declaration: Promoting Organ Donation and Transplantation in Africa.

Ошибки и ограничения

Аннотация