Daniel Msilanga, Jacqueline Shoo, Jonathan Mngumi
Abstract
Hemodialysis vascular access profoundly impacts the quality of care for chronic kidney disease (CKD) patients worldwide, with arteriovenous fistulas (AVFs) preferred for superior outcomes. Despite global guidelines, Sub-Saharan Africa, including Tanzania, faces challenges, by still
relying on non-tunneled central venous catheters (CVCs) due to accessibility and financial con-straints.