Resumen

RAMKELAWAN, Verosha; MBEJE, Pretty  y  MTSHALI, Ntombifikile G.. Lived experiences of CKD care in KZN: Barriers, facilitators, and practical realities. Health SA Gesondheid (Online) [online]. 2025, vol.30, pp.1-8. ISSN 2071-9736.  https://doi.org/10.4102/hsag.v30i0.2950.

BACKGROUND: Chronic kidney disease (CKD) is a significant public health concern in KwaZulu-Natal (KZN), exacerbated by a high burden of HIV, diabetes and hypertension, and compounded by socioeconomic barriers that limit access to preventative healthcare. With KZN accounting for 20% of South Africa's dialysis patients, strengthening CKD management at the primary healthcare (PHC) level is crucial AIM: The study used a qualitative phenomenological approach to explore healthcare providers' (HCPs) lived experiences with CKD management in PHC settings in KZN, focusing on perceived barriers, facilitators and implementation realities METHOD: A qualitative phenomenological approach was used to explore the lived experiences of HCPs managing CKD in PHC settings in KZN, South Africa. Through semi-structured interviews, the study examined perceived barriers, facilitators and real-world challenges influencing the implementation of CKD interventions and guideline adherence RESULTS: The study uncovered five key themes reflecting HCPs experiences with CKD guideline implementation at the PHC level: inconsistent guideline awareness and adherence, inadequate training, challenges in early detection because of limited resources, the importance of team-based care and patient involvement, and broader systemic and community-level barriers. Participants underscored the need for improved training, resource allocation and integrated care approaches CONCLUSION: Implementation gaps stem from limited awareness, inadequate training and systemic barriers. Strengthening early detection, capacity building and team-based care is key to improving CKD management in PHC CONTRIBUTION: The study offers practical insights into implementation challenges, guiding policymakers and PHC managers in enhancing CKD care in resource-limited settings

Palabras clave : chronic kidney disease; primary healthcare; guidelines adherence; implementation; healthcare professionals; chronic kidney disease management.

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