Abstract
BackgroundSDG3 stipulates good health and well-being for all. Dialysis has remained a specialized skill for nephrologists. In settings without nephrologists, many die from Acute Kidney Injury (AKI). In 2014, the International Society of Nephrology (ISN) launched the 0by25 initiative for zero death from AKI globally. In this paper, we report on training of district health practitioners in the performance of PD for AKI using improvised means.
 Methods
 PD training workshops with hands-on experienced were organized in 7 regional capitals in Ghana. Topics taught included:
 
 Recognition of a child with AKI
 Principles of PD
 Indications for dialysis therapy and writing of PD prescription
 Technique in insertion of PD catheter plus video exhibit
 Catheters suitable for use as PD catheters
 Fluids suitable for use as dialysate
 Performing the PD exchanges
 Complications related to PD
 Infection prevention in PD.
 
 Results
 A total of 150 health workers made up of 131 Doctors or Physician Assistants and 19 nurses were trained across Ghana. Feedback from trainees indicates that 42 PDs have been carried out in 7 district hospitals. 25 (59.5%) of the 42 dialyzed children survived and recovered renal function.
 Conclusion
 It is possible to build the capacity of non-nephrologists to identify AKI and institute PD in district level hospitals so SDG3 could be realized. Such achievement will also help to realize the ISN 0by25 initiative especially in resource-limited settings where nephrology expertise is lacking.
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