Out of the total population of around 30m, 3 lakh people (approx) in Nepal have renal problems. Every year, about 30,000 people experience moderate kidney problems, 3000 have severe kidney failure. About 8,000 people are on dialysis in Nepal; in Malaysia (population: 28m) the number is 45,000. 

Though a poor country, Nepal provides free dialysis through government hospitals, the first of its kind in Asia, by providing Rs 2,500 for each session. The federal government provides a lump sum of Rs 1 lakh to each kidney patient apart from conducting kidney transplant for free. Local governments provide a monthly allowance of Rs 5,000 to each patient. Yearly, the government spends around Rs 1bn on dialysis. 

Government should provide immunosuppressive drugs to kidney patients for free.
Moreover, our focus should be on preventing kidney diseases as prevention is better than cure. Awareness programs should be launched for the same. 

The author is the chief consultant nephrologist at National Kidney Center