Heartiest congratulations to Hon’ble Prime Minister Narendra Modi ji on the historic India-UK Free Trade Agreement (FTA) and the Double Contribution Convention, a landmark achievement amid global trade uncertainties. At AIMED, we applaud this much-awaited ambitious trade deal that is set to significantly strengthen economic ties between India and the UK, unlocking new opportunities for the medical devices sector through enhanced collaboration, innovation, and streamlined trade processes.

The FTA addresses key challenges in the MedTech sector by reducing customs tariffs on critical medical devices, such as consumables, implants, and diagnostic equipment. It also harmonizes non-tariff barriers, including prolonged regulatory approval processes in the UK, which have historically limited India’s medical device exports.

The agreement fosters innovation by promoting joint R&D initiatives and facilitates technology transfer and the establishment of Centres of Excellence in India, enabling the development of affordable, high-quality medical devices tailored to both markets.

By easing bilateral trade barriers, the deal empowers businesses to export, import, and invest in a more diverse and affordable range of healthcare products.

Indian MedTech exports, valued at $3.8 billion in 2023-24, particularly to the UK, are poised for growth, while UK firms gain improved access to India’s $12 billion medical devices market, projected to reach $50 billion by 2030. 

This FTA not only strengthens the MedTech ecosystem but also sets a template for India’s trade negotiations with other developed nations, driving economic growth and healthcare accessibility.

Dr Rajiv Chhibber, Joint Cordinator AIMED
 

A healthy heart is essential for a healthy life, acting as the engine of our circulatory system. This vital organ pumps blood throughout our body, delivering the oxygen and nutrients we need while removing waste. It also helps maintain healthy blood pressure and keeps our body functioning smoothly. Unfortunately, many people face heart and blood vessel issues, known as cardiovascular diseases (CVDs), which can be treated through various surgeries depending on the specific condition.

Cardiac surgery, also known as heart surgery, involves procedures on the heart or its associated blood vessels. These surgeries become necessary for individuals dealing with heart disease, heart attacks, strokes, blood clots, or those at high risk of developing these conditions. The type of surgery can range from minor procedures like implanting a pacemaker to major open-heart surgeries like bypass grafts. The types of operations vary greatly. Millions of people undergo cardiac surgery each year. However, many patients have misconceptions surrounding these critical procedures which often leads to unnecessary worry and hesitation in patients. It's important to understand the facts and clear up these misconceptions to make informed decisions about our heart health and treatment options.

Myth 1: Cardiac surgery can cause a stroke or affect brain function.

Fact: While there is a potential risk of neurological complications following cardiac surgery, advancements in surgical techniques, intraoperative monitoring, and postoperative care have significantly reduced this risk. Surgeons take meticulous precautions to minimize the possibility of stroke or cognitive impairment. The benefits of addressing severe cardiac conditions often outweigh this potential risk.

Myth 2: Cardiac surgery is only for elderly people.

Fact: Cardiac surgery is performed on individuals of all ages, including infants, children, and young adults. While the incidence of certain cardiac conditions may increase with age, surgical intervention is determined by the specific diagnosis and the patient's overall health status, not solely by age.

Myth 3: You can’t lead a normal life after heart surgery.

Fact: For most patients, cardiac surgery aims to improve their quality of life and enable them to return to their normal activities. Following a period of rehabilitation and adherence to medical advice, most individuals experience significant symptom relief and can resume their usual routines, often with increased energy levels and improved functional capacity.

Myth 4: Cardiac surgery is the last resort.

Fact: While cardiac surgery is often considered for significant heart conditions, it is not always the absolute last option. The decision to proceed with surgery depends on various factors, including the specific diagnosis, the severity of the condition, the patient's overall health, and the potential benefits versus risks compared to other treatment modalities, such as medical management or interventional procedures.

Myth 5: Cardiac surgery is mostly fatal.

Fact: Modern cardiac surgery has become increasingly safe, with survival rates improving significantly over the years due to advancements in surgical techniques, anesthesia, and postoperative care. The risk of mortality varies depending on the complexity of the procedure, the patient's pre-existing conditions, and other individual factors. However, for many serious cardiac conditions, surgery offers a substantial chance of survival and improved long-term outcomes.

Myth 6: Angioplasty is safer than bypass surgery.

Fact: The perceived safety of angioplasty versus bypass surgery depends on the specific cardiac condition, the extent and location of coronary artery disease, and other patient-related factors. While angioplasty is less invasive, bypass surgery may be the more appropriate and effective treatment for certain complex cases of coronary artery disease. The optimal approach is determined by a comprehensive evaluation and discussion with a cardiologist and cardiac surgeon.

Conclusion

Cardiac surgeries are known to be a complex procedure and are associated with their own set of risks and challenges. However, it is critical to manage cardiovascular conditions through surgeries.  Misconceptions surrounding these procedures can pose a significant threat to cardiac health by deterring individuals from seeking timely and necessary treatment. Understanding the realities of cardiac surgery is crucial for enabling individuals to make confident and informed choices about their heart care. By dispelling these myths, patients can approach treatment options with greater clarity and confidence, ultimately leading to improved outcomes and an enhanced quality of life.

Authored by Dr. Harish Vaja, Cardiothoracic & Vascular Surgeon, HCG Hospitals, Rajkot

On World Malaria Day, April 25, 2025, India renews its fight against mosquito-borne diseases like malaria, dengue, chikungunya, and Zika. The diseases are still a cause of concern for public health, with more than 1.7 million cases of malaria reported in 2022, WHO figures reveal. Being these in rural and slum urban areas, they are a serious public health risk. In this backdrop, here is an in-practice guide specific to India's varied situations to keep the people safe and updated.

Understanding the Threat

Mosquitoes are the main vectors responsible for the majority of life-threatening diseases. Anopheles transmits malaria, dengue, and Zika is transmitted by Aedes, and Culex transmits other viral diseases. These mosquitoes thrive in India's climate, particularly in the monsoon. Stagnant water, poor sanitation, and sudden urbanization create perfect breeding sites. Symptoms include fever and joint pains to major complications like organ failure. High-risk populations are children, pregnant women, people living in tribal regions, and slum residents in cities.

Personal Protection

Prevention begins at the personal level. Use of mosquito repellents with DEET, picaridin, or natural oils such as citronella at dawn and dusk is effective, though babies under two months should not use chemical-based repellents. Use of long-sleeved, light-colored clothes and making sure children's uniforms are full-sleeved during monsoons is also useful. Sleeping under bed nets treated with insecticides, particularly those donated by the government, is one of the safest means of prevention. Moreover, putting mesh screens on windows of both rural and urban houses will help minimize mosquitoes entering the household.

Environmental Management

Eliminating breeding grounds is essential. Citizens are urged to drain containers such as flowerpots and tires that hold water regularly. Building sites, especially in urban areas such as Ahmedabad, Baroda, Rajkot, and Surat, need to be checked regularly. Clean-up drives conducted by the community, like the ones observed in Odisha, have been successful in eliminating mosquitoes. Wherever standing water cannot be avoided, NVBDCP-approved larvicides should be used.

Leveraging Technology

Current solutions are assuming a growing significance. Maharashtra has tested drone-based surveillance to identify breeding places in inaccessible regions. The NVBDCP's "India Against Mosquitoes" mobile application offers users real-time advice and notifications. Wearable repellents such as bands and patches are gaining traction in urban areas. In addition, Tamil Nadu is investigating genetic solutions by releasing genetically modified Aedes mosquitoes to suppress disease spread.

Community and Policy Actions

Public outreach and policy support are essential. Anganwadis and schools must organize awareness workshops in local and tribal languages, followed by radio announcements and street plays. Free malaria testing and artemisinin-based combination therapy (ACT) at primary health centers are crucial for timely treatment. Funding programs like indoor residual spraying and distribution of ITNs under the NVBDCP's "Malaria Elimination by 2030" program is important. Strengthening health at the grassroots level through better-trained ASHA workers also needs long-term investment.

Protecting the Vulnerable

Some groups must be given extra care. Pregnant women need to use ITNs and are given IPTp to prevent complications. Tribal areas such as Dang in Gujarat require mobile vans and telemedicine, as those areas contribute almost 80% of the cases in the state. Slum areas in the cities require heightened fogging and larvicide operations because they are densely populated.

Call to Action

This World Malaria Day, each one of us has a role to play. Whether one applies repellent, sleeps with a mosquito net, or joins a community clean-up drive, every little bit helps. Together, through individual action, community effort, and policy action, we can make our way towards an India free from malaria by 2030.

Authored By -  Dr.  Yogesh Gupta, MD Internal medicine, Head of Geriatrics, Sterling Hospital, Ahmedabad.

Kerala’s public health system stands as a shining example of excellence in India, setting a national benchmark through its innovative practices, inclusive policies, and commitment to healthcare equity.

Crisis Management Excellence

Kerala has consistently demonstrated its strength in managing public health emergencies. The state’s swift containment of outbreaks such as Nipah and Zika has been made possible by its highly trained medical teams and robust disease surveillance systems. A notable example is its remarkable performance during the national 100-day Tuberculosis (TB) Elimination Campaign held from December 7, 2024, to March 7, 2025. Kerala was recognized as the top-performing state, receiving a national award and a certificate of appreciation from the Union Ministry of Health and Family Welfare. The state screened 87,330 individuals, with 82% undergoing advanced molecular diagnostics like CB-NAAT and TrueNat, enabling the early detection and treatment of 5,588 TB cases. This intensified effort reflects Kerala’s ability to scale up responses quickly and efficiently when the situation demands.

Preventive Health and Community Outreach

Kerala’s approach goes beyond reactive measures—it actively focuses on prevention. During the TB campaign, the state mapped over 8.16 million high-risk individuals and conducted detailed testing for nearly 2 lakh symptomatic cases. It also increased the preventive TB examination rate from 1,500 to 2,201 per 100,000 population, underscoring the impact of strong public awareness campaigns. These efforts align with broader strategies under the Aardram Mission, which aims to transform primary health centres into family health centres, strengthening preventive and community-based care across the state.

Strategic Healthcare Investment

Reinforcing its long-term commitment to public health, Kerala’s 2025–26 budget allocates ₹10,431.73 crore to the health sector, including ₹2,915.49 crore for medical and public health—a ₹97.96 crore increase from the previous year. Over the past two and a half years, more than ₹6,788 crore in free medical care has benefited over 25 lakh people through initiatives like the Karunya Aarogya Suraksha Padhathi (KASP). Looking ahead, the state is investing ₹50 crore to promote wellness and health tourism, along with major allocations for strengthening infrastructure: ₹80 crore for ambulance operations, ₹45 crore for cath labs, ₹13.98 crore for complete dialysis coverage, and ₹152.5 crore for cancer treatment. The state has also prioritized manpower development by expanding nursing education and supporting national health programs such as the NHM and PM-ABHIM.

A Model for Public Health Success

Kerala’s healthcare success is deeply rooted in real-time data monitoring, community engagement, and forward-thinking governance. With high life expectancy, low maternal and infant mortality rates, and a strong public health network, the state has created a sustainable and inclusive healthcare ecosystem. Its holistic model continues to inspire other regions in India, proving that with the right mix of vision, policy, and execution, quality healthcare for all is not just aspirational—it’s achievable.

Public health in India remains widely misunderstood, even among the educated. In my experience, many outside the healthcare field have little knowledge of how the system functions. If awareness is lacking among the educated, how can we expect the uneducated to be well-informed? This gap leads to delays in seeking care and inefficiencies in public health programs. While urban areas have improved, rural communities still struggle with cultural beliefs, mistrust in modern medicine, and a lack of structured health education, widening healthcare disparities.

India has historically hesitated in embracing modern healthcare, but awareness programs have gradually changed this. The National Malaria Eradication Program, Expanded Program on Immunization, and Pulse Polio Program all faced scepticism but succeeded through trust-building and outreach. These efforts highlight a crucial lesson—acceptability is just as important as accessibility in healthcare interventions.

While infrastructure gaps and workforce shortages hinder healthcare, I believe an overlooked challenge is acceptability. Dr. Raj Shankar, in his podcast Badlav for Better, described public health as a “SAD” system—Supply, Access, and Demand. Yet, even when all three are addressed, reluctance driven by fear and misconceptions still blocks progress. There is much evidence of how distrust hinders public health efforts, making community engagement essential.

Programs like Dastak Abhiyan and Mission Indradhanush have shown that shifting perceptions is key to success. As India battles rising non-communicable diseases, ensuring the acceptability of preventive healthcare will be as vital as improving access. Public health isn’t just about hospitals or healthcare workers—it’s about changing mindsets, breaking misconceptions, and building trust. If acceptability isn’t addressed, we risk a system where care exists but isn’t effectively used. By bridging the awareness gap, we can create a healthcare system that is not only accessible but truly embraced.

Mental health is no longer a secondary issue—it is a growing public health emergency. Conditions like anxiety, depression, and substance abuse are rising, yet India’s fragile mental health infrastructure struggles to keep pace. Financial instability, isolation, and societal pressures have fuelled unprecedented stress levels, making this crisis an imminent risk.

With a population of over 1.4 billion, India is deeply affected. The National Mental Health Survey reports that 14% of the population suffers from mental health issues, yet less than a third receive care. Vulnerable groups, including migrant workers and marginalized communities, face additional barriers of stigma and exclusion. As per many studies, nearly 40% of Indian youth show signs of anxiety and depression, exacerbated by uncertainty and social pressures.

A major challenge is that many individuals don’t recognize that they need help or fear social stigma. Families often misunderstand the severity of mental health conditions, and even when they do, the high cost of therapy and medication remains a significant barrier. Despite the Mental Healthcare Act (2017) recognizing mental health as a fundamental right, the gap between policy and implementation leaves millions without essential care. The misconception that mental healthcare is a privilege for the wealthy further isolates those in need.

While anxiety and depression receive increasing attention, severe conditions like schizophrenia and bipolar disorder remain poorly understood. Bipolar disorder, with its extreme mood swings, carries a high suicide risk, yet awareness remains low. Families face emotional and financial burdens, often avoiding discussions due to stigma. I believe early intervention is the key, as evidence suggests a genetic component in these disorders.

India’s mental healthcare system needs urgent strengthening. More professionals, affordable services, and integration into primary healthcare are critical—especially in rural areas. Expanding telehealth services like MANAS, incorporating mental health screenings in routine check-ups, and training community health workers can improve accessibility. Public campaigns must normalize mental healthcare, and schools, workplaces, and community centres should foster mental health literacy.

The time to act is now. Without immediate intervention, the consequences will be harmful. Governments, healthcare providers, and communities must work together to make mental healthcare accessible, affordable, and a priority. Addressing this crisis is an investment in societal well-being and future generations.

In a world battling pandemics, antimicrobial resistance, and the rising burden of non-communicable diseases, global cooperation is more critical than ever. The recent decision of United States to withdraw from the World Health Organization (WHO) raises deep concerns, jeopardizing global health security and threatening crucial programs, especially in countries like India, where WHO-backed initiatives are vital for disease control, vaccination, and maternal and child health.

As we look at India’s healthcare system, WHO has been instrumental in providing funding, technical expertise, and global best practices. With the U.S. historically funding 18% of WHO’s budget, its exit creates a massive financial gap, compromising essential health programs worldwide. Experts like Dr. K. Srinath Reddy and former Union Health Secretary CK Mishra warn of severe setbacks in vaccine development and disease control. India's tuberculosis (TB) burden which is 26% of the global total relies heavily on WHO support for the DOTS strategy and multi-drug-resistant TB management. A funding cut could slow research, restrict access to medicines, and undo hard-won progress. Similarly, WHO’s role in India’s immunization efforts, including the introduction of the HPV vaccine for cervical cancer, could face delays, leaving millions vulnerable.

Beyond infectious diseases, WHO has been instrumental in combating non-communicable diseases (NCDs) like diabetes and heart disease through tobacco control, hypertension screening, and mental health awareness. Reduced funding could exacerbate these growing health threats. WHO’s emergency response capacity is critical in handling disease outbreaks and natural disasters—would also be severely weakened.

I am not alone in my concerns, Global health leaders, including Dr. Tom Frieden (President and CEO of Resolve to Save Lives), warn that this move weakens global pandemic preparedness and diminishes the U.S.'s influence on health policy. Partners In Health (PIH) has also raised alarms, highlighting the threat to millions of lives worldwide. WHO has already stated that $1.5 billion is urgently needed in 2025 to address 42 ongoing health emergencies. Without U.S. funding, other donors, many of whom are already stretched thin, will be burdened.

History proves the power of global health cooperation; the eradication of smallpox was achieved through U.S.-Soviet collaboration under WHO’s leadership. Walking away now threatens to dismantle this foundation. As India navigates an evolving health landscape, strengthening domestic funding, forging new collaborations, and ensuring WHO remains a strong technical ally are critical. The U.S. withdrawal is a stark reminder of the fragility of global health partnerships. The world cannot afford to weaken WHO as protecting public health must remain a global priority.

When it comes to dental health, India has its own problems. More than half of Indians who have dental problems turn to unreliable sources or general guidance rather than seeking a licensed dentist, according to the Ministry of Health and Family Welfare. In rural areas, access to quality dental treatment remains an acute issue, where there is only one dentist for every 50,000 to 2,50,000, depending on the specific region. Initiatives like the National Oral Health Program are being implemented to increase accessibility and raise awareness in order to close this gap.

The increasing percentage of people with dental problems is one of the main drivers for the growth of the Dental Industry. Around 2 billion individuals worldwide have cavities in their permanent teeth, and 514 million children have cavities in their primary teeth, according to the March 2023 World Health Organization (WHO) report. Furthermore, dental misalignment or other oral health issues affect 60–80% of children. As a result, the market has advanced immensely due to the rise in demand for necessary dental supplies.

In addition to the health risks, untreated dental issues have a significant financial cost. Untreated oral diseases result in productivity loss, multiple work and school hours are lost due to emergency dental appointments. In order to mitigate these economic and societal effects, governments everywhere, including India—are now prioritizing preventative measures and advanced dental treatment.

Expanding Dental Consumables Market

The global dental consumables market is a massive industry and is experiencing steady growth at a rate of 8.0%. This rise is driven by increasing awareness of oral health, advancements in dental technology, and a growing demand for cosmetic and restorative procedures. In India, the dental consumables market is experiencing significant growth, estimated at USD 190 Million  in 2024 and expected to reach USD 350 Million by 2030. This rapid expansion is fueled by a rising patient base, improved accessibility to dental care, and increasing adoption of modern dental materials and techniques.

Group Practices Are Expanding While Solo Practices Decline

Dental practices are changing as a result of the transition from solo to group practices. In many regions, independent dental clinics are giving way to organized group practices, driven by economic and operational advantages. This trend is particularly evident in the United States, where increased awareness of oral health and changing patient expectations are fueling the growth of structured dental networks. With the evolving landscape of dental healthcare, the transition toward collaborative practice models is expected to gain further momentum in India as well, aligning with global industry trends.

Group practices are becoming more and more common because of pooled administrative expenses, improved technology availability, and operational savings. Group settings are becoming a more appealing alternative to solo practitioners due to growing financial strains and changing patient expectations.

Public Awareness and Government Initiatives Drive Growth

Growing awareness of oral health is another key driver of change in the dental industry. WHO's "Global Oral Health Action Plan (2023-2030)" highlights that 3.5 billion people worldwide are affected by oral diseases, indicating the urgent need for preventive care and early intervention. Government initiatives, such as India's National Oral Health Program, aim to improve accessibility to dental care, especially in rural areas where the dentist-to-population ratio ranges from 1:50,000 to 1:2,50,000.

Despite increasing awareness, studies indicate that over 50% of Indians suffering from dental issues rely on unverified sources for treatment rather than seeking professional care. Bridging this gap through education and accessibility remains a priority for policymakers and healthcare providers.

The Rise of 3D Printing in Dentistry

3D printing is revolutionizing dental care by enabling the production of customized crowns, bridges, and aligners with high precision. The Indian custom-made crowns & bridges market is projected to grow significantly from 2024 to 2030, driven by advancements in dental technology, rising awareness about oral health, and increasing disposable incomes. The global market for custom-made crowns and bridges is estimated at 121.6 Billion USD in 2030. The Indian market for the same is expected to grow at a faster rate of 11.8% CAGR from USD 1.6 Billion in 2024 to USD 3.1 billion in 2030. The Indian Clear Aligner market, which is relatively underpenetrated, is expected to grow from USD 133.6 Million in 2023 at a much higher rate of 23.0% compared to the global market.

The ability to create personalized dental solutions in a fraction of the time has enhanced patient outcomes and reduced treatment durations. This technology is particularly beneficial in orthodontics and restorative dentistry, providing faster and more cost-effective alternatives to traditional methods.

Digital Marketing and Online Presence in Dentistry

The move toward digital marketing is changing how dental professionals connect with patients. Online consultations, patient education through social media, and search engine optimization (SEO) strategies are becoming essential for dental practices. Google reports that patients spend over two weeks researching before scheduling a dental appointment, highlighting the importance of a strong digital presence.

With patients becoming more proactive in their healthcare decisions, dental professionals who leverage digital platforms effectively can enhance engagement, build trust, and expand their practice reach. Educational content, virtual consultations, and targeted marketing are proving to be effective tools in modern dental care.

The dental sector has quickly evolved with these aforementioned trends and innovations. Looking ahead, we can expect even more progress in oral healthcare with investment in accessibility and new technologies.

Article Authored By:  Dr. Vikas Agarwal, CEO & Founder, Dentalkart

A cancer diagnosis in a child is overwhelming, but breakthroughs in medical science have significantly enhanced treatment success and survival rates, offering a ray of hope to many families. While childhood cancers are rare, certain types, like rhabdomyosarcoma, require early detection and specialized care. Awareness of its symptoms, diagnosis, and treatment options can make a crucial difference in terms of better outcomes and recovery.

Rhabdomyosarcoma (RMS) is a rare and aggressive form of cancer that develops in the soft tissues, particularly in the muscles that attach to bones. It primarily affects children and adolescents, making up about 3-4% of all childhood cancers. Despite its rarity, RMS is one of the most common soft tissue sarcomas in children, requiring early detection and specialized treatments.

What Causes Rhabdomyosarcoma?

Although the exact cause remains unclear, genetic mutations play a key role in its development, causing uncontrollable muscle cell growth and formation of malignant tumors. While most cases occur sporadically, certain genetic conditions, such as Li-Fraumeni syndrome and neurofibromatosis type 1, may increase the risk of developing RMS.

There are two main types of RMS, each with different characteristics:

1️. Embryonal Rhabdomyosarcoma (ERMS):

• Most common in children typically under 5 years old

• Usually found in the head, neck, bladder, or reproductive organs

• Responds well to treatment

•  

2️. Alveolar Rhabdomyosarcoma (ARMS):

• More aggressive; often affecting older children and teenagers

• Commonly found in the arms, legs, chest, or trunk

• Requires intensive treatment due to its tendency to spread rapidly

•  

Symptoms of Rhabdomyosarcoma

RMS symptoms depend on the tumor's location, but common signs include:

• Painless swelling or a lump

• Persistent pain or discomfort in the affected area

• Bulging eyes or vision problems (if in the head or orbit)

• Difficulty urinating or blood in the urine (if in the bladder)

• Nasal congestion or nosebleeds (if in the sinuses or throat)

•  

Because these symptoms can mimic other conditions, early diagnosis is critical for effective treatment.

How Is Rhabdomyosarcoma Diagnosed?

Diagnosing RMS involves a combination of imaging tests and biopsies to confirm the presence of cancer and determine its spread. Tests may include:

• MRI and CT scans to visualize the tumor

• Biopsy to examine the tumor cells under a microscope

• Bone marrow tests and PET scans to check if the cancer has spread

•  

Treatment Options for Rhabdomyosarcoma

Treatment for RMS is determined by the type, location, and stage of the cancer. The main treatment options include:

·       Surgery – To remove the tumor, if possible

·        Chemotherapy – A combination of drugs to shrink tumors and kill cancer cells

·        Radiation Therapy – Targeted radiation to destroy remaining cancer cells

·        Targeted Therapy & Immunotherapy – Emerging options for advanced cases

With advancements in paediatric oncology, survival rates have improved significantly, especially when the cancer is detected early and treated aggressively.

Hope for the Future

While rhabdomyosarcoma remains a challenging diagnosis, ongoing research and clinical trials continue to improve treatment options. Early detection, access to specialized care, and advancements in therapy are increasing survival rates and giving children a fighting chance against this rare cancer.

If you notice unusual lumps, swelling, or persistent pain in a child, seeking medical attention can make all the difference. Awareness and early intervention remain the key to improving outcomes for children battling rhabdomyosarcoma.

Attributed to Dr Monika Bukhar, Paediatric Haematology Oncology, HCG Cancer Centre, Jaipur.

Early detection is the key to preventing kidney diseases. Although higher segments of the population are becoming highly aware of their health, the awareness around kidney diseases is relatively low. However, its prevalence is increasing globally and has now emerged as the seventh leading risk factor for mortality worldwide. Owing to other factors such as demographic trends, obesity and other lifestyle factors increase the likeliness of kidney disease further. According to recent stats, approximately 2 lakh new patients in India develop End-Stage Kidney Disease (ESKD) every year which requires regular dialysis as a critical line of treatment for their survival.

Dialysis has become a common treatment across medical and healthcare centres but its accessibility showcases a significant challenge due to inadequate infrastructure, financial constraints and geographical barriers. Most centres that provide dialysis are located in metropolitan cities and public hospitals offering this treatment are usually overcrowded which puts strain on the healthcare system. To address this challenge, home dialysis enabled patients to receive treatment in a familiar and controlled environment.

Commenting on the pivotal role of home dialysis, Dr.Aswini Kumar Panigrahi, Sr.Consultant, Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad said, “This model not only improves patient outcomes by reducing hospital-acquired infections and enhancing comfort but also alleviates pressure on existing healthcare facilities. By integrating technology and expanding reach, home dialysis has the potential to redefine kidney care in India, making it more accessible and efficient.”

Enhancing accessibility and well-being of patients

One of the primary benefits of home dialysis is improved quality of care as it provides dedicated attention to patients from assigned healthcare providers, significantly, enhancing patient care and overall treatment outcomes. This personalized approach ensures better adherence to treatment protocols for better clinical outcomes.

“The model bridges the burgeoning gap in the accessibility of dialysis for kidney care. It approach simplifies the accessibility criteria and helps patients in obtaining enhanced treatment within their comfort and budget,” Dr. Aswini added.

Since dialysis is performed in a home environment, patients are less exposed to infections which are highly common in hospital settings, reducing the chances of complications. Another advantage of homecare is comfort and flexibility which directly adds a layer of convenience, minimizes the stress of frequent hospital visits and makes the treatment more manageable, especially for the elderly or those with mobility challenges.

Strengthening healthcare infrastructure

Home dialysis can act as an additional care delivery model. It reduces the burden on existing hospitals and dialysis centres as most of them have very tight appointment schedules. In tandem, the home dialysis model can bring medical services to remote locations where such centres are not available, increasing the penetration across underserved areas. 

“Home dialysis brings a significant shift to the healthcare delivery system considering its accessibility, affordability and scalability. The providers can further collaborate with government bodies to design dedicated programs and provide subsidised dialysis for patients who are unable to access the treatment due to affordability factors,” Dr. Aswini added.           

Apart from this, the home dialysis model integrates telemedicine and AI which allows healthcare professionals to monitor and track patient’s progress remotely and intervene promptly when necessary. Moreover, shifting stable and low-risk patients to home-based care can help medical facilities allocate their manpower and infrastructure to high-risk cases and optimize overall healthcare.

Bottom Line

Home dialysis exhibits a paradigm shift in kidney disease management, offering substantial benefits to both patients and the healthcare ecosystem. With improved access and increased comfort, this model continues to pave the way for a more efficient and patient-centric approach to care. 

Author: Dr.Aswini Kumar Panigrahi, Sr.Consultant, Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad