SAFP CPD Program: CPD Article

Primary Health Care approach to managing chronic kidney disease

Ramprakash Kaswa, Swati Meel
South African Family Practice | Vol 68, No 1 : Part 3| a6276 | DOI: https://doi.org/10.4102/safp.v68i1.6276 | © 2026 Ramprakash Kaswa, Swati Meel | This work is licensed under CC Attribution 4.0
Submitted: 22 November 2025 | Published: 03 June 2026

About the author(s)

Ramprakash Kaswa, Department of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa; and Department of Health, Mthatha Regional Hospital, Mthatha, Eastern Cape, South Africa
Swati Meel, Netcare Greenacres Hospital, Gqeberha, Eastern Cape, South Africa

Abstract

Chronic kidney disease (CKD) is a growing global health issue among ageing populations, driven by increasing diabetes and hypertension. Managing advanced stages of CKD with dialysis or transplants is costly. Early stages often have no symptoms, making early detection important for prevention. Primary care providers can help identify and manage CKD early by performing annual screening for high-risk patients, including blood pressure checks, urine tests for albuminuria or proteinuria and estimating glomerular filtration rate from serum creatinine. For those with CKD, renal protective measures are essential to slow disease progression. This narrative review highlights the critical role of primary care providers in the comprehensive and integrated CKD management.

Keywords

CKD; diabetes; hypertension; Primary Health Care; primary care providers

Metrics

Total abstract views: 170
Total article views: 118


Crossref Citations

No related citations found.