Qatar Research Articles

The enablers, opportunities and challenges of electric vehicle adoption in Qatar: A systematic review of the literature and assessment of progress toward transportation transformation targets

Governments around the world are working to reduce greenhouse gas emissions, and the transportation system is focal to the transition toward more renewable energy sources. The State of Qatar has transitioned buses in its public transportation system to be fully electric and has set a 2030 target for 10% of all new sales of vehicles to be electric vehicles (EVs). Although constrained by data limitations, this paper synthesizes and assesses the evidence and makes recommendations to support the transportation transition. OBJECTIVE: This paper assesses the available evidence on EV transitions in Qatar, identifying enablers and barriers through the use of a systematic literature review and data obtained from government sources within Qatar. METHODS: The systematic literature review was conducted in March of 2023 using two academic databases (Scopus and Web of Science). Only English language peer-reviewed articles, books, and conference proceedings pertaining to Qatar and EVs or EV charging stations were included. No resources were identified on an Arabic language database. RESULTS: The systematic review process identified 26 relevant publications, which is synthesized and critically assessed into the following thematic clusters: (a) assessments related to the electrical grid and diversifying the energy mix, (b) the planning and distribution of charging stations, and (c) knowledge, attitudes, and behaviors as it relates to the socio-cultural dimensions of EV adoption. DISCUSSION: The authors conclude that to meet the 2030 target, the State of Qatar must improve data collection for monitoring, rapidly expand charging station infrastructure, enable private sector engagement, and raise awareness regarding EVs to change consumer perception and choices. They explore the specific policy interventions that these domains require for the country to meet its transportation transition objectives. OTHER: This review received no funding, and the authors have no registration name or number to declare.

Parents' knowledge of emergency management of avulsed permanent teeth in children and adolescents in the State of Qatar: a questionnaire cross-sectional study.

To elucidate the level of parental knowledge in Qatar regarding the management of avulsed teeth. A self-administered questionnaire was completed by 400 parents attending their children's routine dental appointments. The questionnaire comprised of items on sociodemographics, parents' prior knowledge on management of avulsion, parents' willingness to replantavulsed teeth at the site of injury, and parents' opinion as to the best format for future parental education on the management of dental trauma. Univariate and multivariate logistic regressions were employed to assess the association between sociodemographic status and knowledge in the management of avulsion. The overall mean score of parents' knowledge was (23%). Only 23.3% (n = 93) of parents thought that it was possible to reinsert an avulsed permanent tooth. Out of those, only 12.9% (n = 12) indicated willingness to reinsert the tooth back into its socket, while 48.4% (n = 49) indicated that an avulsed tooth should be stored using physiological media. Less than one third (27.8%) indicated that they would seek professional help within 30min. Males were less likely to give favourable answers when compared to females (OR = 0.43, 95% CI = 0.22-0.84). Age groups "31-40" years and "41-50" years were more likely to give favourable answers when compared to 20-30years age group (OR = 2.8, 95% CI = 1.05-8.0and OR = 3.8, 95% CI = 1.3-11.48; respectively). This study highlights critical deficiencies in parental knowledge on the management of tooth avulsion and the need to improve parents' knowledge by developing easily accessible onsite emergency management tools.

OLD AGE LIAISON MENTAL HEALTH SERVICEIN QATAR INTERVENTIONS AND OUTCOMES

Background: There is wide variation in the degree of provision of liaison mental health services across many countries (3) Qatar is no exception, in a general hospital in southern part of Qatar, Liaison Old Age Mental health is provided by Adult Psychiatrists with a phone advise from an Old Age Psychiatrist when requested. A general Hospital in the Northern division of the country is provided by Adult Psychiatrists with one day input from an old age Psychiatrist. Older adults Patients with mental health problems using acute and general hospital inpatient services should have access to a liaison service that specializes in the diagnosis and management of older peoples mental health (5) The research represents a newold age liaison psychiatry service intervention and outcomes in the state of Qatar. Methods: We audited the number referrals to Old Age Mental Health Liaison one year before a new service intervention in a central General hospital and one year after the service intervention. All referrals are received by the Liaison coordination office in the General hospital and data was collected electronically from the office to ensure accuracy. We also audited the educational interventions done for both staff and patients/Families.Our study included all the number of referrals for patients aged 65 plus and under 65 with Dementia to ensure the maximum statistical power possible for the service intervention. Results: The total number of referrals for patients aged 65 and above or below 65 with Dementia from June 2021 to May 2022 were 125 (n=125). The total number of Old Age Liaison Similar referrals after the service intervention from June 2022 to May 2023 were 95 referrals (n=95, p 0.01, 24% reduction in referrals rates)The Chi squared test was used to calculate the p value. Expected average of referrals to a general hospital was estimated from several inner cities general hospitals (8,21) Conclusion: The authors believe that is the first service to focus on Old Age Mental Health Liaison in the state Qatar. The study was statistically significant and qualitatively included educational outcomes provided for both staff and Patients/families. In addition, it showed an overall reduction in the number of referrals following our intervention. We believe that our outcomes are evidence based and although our outcomes are limited, they are specific, measurable, attainable, and time linked.

Digital Accessibility Policy Landscape in the State of Qatar

Ensuring accessibility has become a crucial element in promoting inclusivity for everyone, including Persons with Disabilities (PWDs). Qatar has undergone a huge transformation in the realm of inclusive Information and Communication Technology (ICT) towards cultivating an ecosystem that promotes ICT accessibility and embraces diversity in line with the UN Convention on the Rights of Persons with Disabilities (UNCRPD), to which the State of Qatar is a signatory and a ratifying party. This article delves into Qatar's dynamic policy and regulatory framework and its adaptive response to the evolving landscape of digital access technology and trends, and the proactive approach taken by the country to ensure that individuals have adequate access to digital platforms and services.

Evaluating ICT Accessibility in Qatari Public Institutions: The Role of the MARSAD Tool in Fostering Inclusion and Sustainability

Technology has made social inclusion possible for people with disabilities worldwide. It ensures access to media, education, employment through assistive technology. To create inclusive policies and laws, decision makers must understand ICT products and services, their compliance with international accessibility requirements, and their use in the country. This study presents MARSAD, an e-readiness assessment instrument developed and implemented by Mada Center to discover factors that influence ICT accessibility for persons with disabilities living in the State of Qatar. It measures the national ICT accessibility adoption rate and makes recommendations to increase digital access for government and semi-government organisations' digital platforms. 14 educational and cultural institutions used the tool. Participating institutions have significant ICT infrastructure gaps to provide an inclusive digital environment, which is in line with sustainability and SDG 11, to make cities and human settlements inclusive, safe, resilient, and sustainable. Based on MARSAD outcomes, member institutions were willing to invest in making improvements. The method can be used as a basis for e-readiness assessment studies to provide accessible ICT products and services for persons with disabilities and the elderly.

Contract Management System among Selected Construction Companies in Qatar

The State of Qatar's construction industry proliferates, attracting international investors and contractors to large-scale projects. This growth, however, is accompanied by an inevitable increase in claims and disputes, causing significant delays and additional costs to the project. The study’s focus is to understand better the practical problems affecting the contract management system’s efficiencies in selected construction companies in Qatar. A descriptive correlational research design method was carried out using a survey questionnaire to determine the degree of importance and awareness of the contract management system in terms of risk, change, and claim management. Also, the results revealed that employees perceived risk, change, and claim management as integral parts of the contract management system. A Pearson correlation coefficient was used to test the correlation between the variables covered in the study, and the statistical evidence concluded that there is a significant strong linear relationship between the degree of importance and awareness in the contract management system. Therefore, based on the literature presented in this study and the data gathered from fifty-two respondents who voluntarily participated in the survey, the authors recommended that the organizations must embrace these contract management methods to cut costs, shorten lead times, and boost profitability: clear dispute resolution procedures, precise change control procedures, proper record keeping, effective risk mitigation plan, competent team members, and the organization's capability and readiness to resort to arbitration when other dispute resolution procedures are exhausted.

An assessment of Qatari school students’ perspective towards using sustainable modes of transport to school

Being a car dependent country traditionally, private cars are widely used for various trip purposes in State of Qatar including school trips. This paper assesses the factors affecting sustainable mode choices, walking or using school bus to/from school from school students’ perspective. A data of 2639 students from public schools was used to conduct the quantitative analysis. The results suggested that gender, age, and nationality were important demographic factors in determining mode choice to/from school. Further, the selection of school bus was dependent on general safety factors, policy of loading or unloading, service cost, dropoff/pickup points, and availability of driver assistant. Additionally, three obstacles limited school bus usage by students, which were long trip timing, unavailability of service, unsafe service, inconvenient time, and private or personal reasons. These results can be used to address students’ concerns/issues while planning and policy making which can help to increase school bus usage among school students and reduce reliance on private cars.

Food security strategy to enhance food self-sufficiency and overcome international food supply chain crisis: the state of Qatar as a case study

The food security challenge continues to be one of the main issues that currently face the world despite improved economic development in many countries. The challenge is particularly unique in one of the world’s arid regions, the Gulf Cooperation Council (GCC). This paper analyses the food security strategies of Qatar (one of the six countries that make up the GCC), especially since 2017 when the blockade of the country by its neighbors began. Qatar’s current food sufficiency was made possible by the country’s swift and profound changes in its food production strategies to ensure food security for its population. In order to provide locally sourced foods to the population, private and public initiatives were activated to support small farmers to distribute and supply their farm produce to local markets. The results show that Qatar has shifted from importing some food commodities to locally producing a high proportion of its foods to the extent of becoming an exporter of some farm produce. However, this increase in the local food production was achieved at the cost of depleting the local groundwater at a rate higher than the natural recharge. This paper thus critically assesses the specific situation of food security in Qatar that could be used as an example for other countries aiming to strengthen their food security, especially during transnational crises when international food supply chains suffer from unavoidable disruption (e.g., COVID-19 crisis).

Evaluation of Agricultural Marketing of Tomato and Cucumber in Qatar Agro Climatic Zone

There is a great demand of tomato and cucumber in Qatar than their production. Qatar has been categorized as BWh (B=Arid or Dry; W=Waste or Desert; h=hot) based on the Köppen's classification. In addition to having high summer temperatures, high humidity, intense sun radiation, poor soil, and strong winds, Qatar also has limited precipitation. As a result, the climate is no longer favorable for agricultural production. Furthermore, the conditions are made worse by the scarcity of cultivable agricultural land. Due to these unfavorable circumstances and the growing emphasis on self-sufficiency, Qatar has adopted protected farming methods including greenhouse farming. The current state of Qatar's agriculture production has been examined in this review by taking into account the amount of crop output, the amount of cultivated land, the reliance on imports, and the value of crop production with reference to two major vegetable crops identified as critical commodity by Qatar National Food Security Strategy Programme (QNFSS) i.e. Tomato and Cucumber.

Opportunities and Challenges to the Implementation of Value-Based Healthcare (VBHC) in SMES: The Case of the State of Qatar

Abstract The purpose of this paper is to identify the opportunities and barriers to the implementation of VBHC in SMEs in Qatar. A semi-structured survey was developed to investigate the perspectives of healthcare providers, from SMEs of public and private sectors, on the opportunities and barriers to the adoption of VBHC in Qatar. The respondents include government officials, CEOs, middle managers, first-line managers, and physicians. Twenty-four out of forty respondents responded. The collected data was aggregated and analyzed. Interestingly, the aggregated information is similar in content to some other countries. Examples of main opportunities include ease of implementation, focus being on outcomes that matter to patients and fosterage of integration and collaboration between public and private sectors. The key barriers/challenges include need for standardized communications and technological infrastructure, and conflicting interests of public and private sectors. The concept of VBHC was first introduced in the United States of America (USA) in 2006 to drive the move from fee-for-service (FFS) approach to fee-for-value (FFV) model. Nonetheless, the debate on the effectiveness of this transformation continues. Although the current emphasis on VBHC may offer new opportunities, barriers are also anticipated. Furthermore, the published evidence on this phenomenon is still limited.

Empowering vs empowered: factors shaping women’s workplace empowerment in the Qatari public sector

PurposeDespite several policies in the Arab Gulf States aimed at promoting women’s empowerment through employment, women’s career progress has not met the expected gains. Workplace empowerment is a critical aspect of women’s economic empowerment. Therefore, this paper aims to investigate the factors that contribute to workplace empowerment for women in the Qatari public sector.Design/methodology/approachThis research uses a mixed-methods approach to explore workplace empowerment among female civil servants in the State of Qatar. The study combines surveys (N = 310) and interviews (N = 30) and uses an inductive thematic approach that considers women’s narratives as the primary source of knowledge construction.FindingsThe authors’ findings strongly suggest that perception-related factors have a more significant impact on workplace empowerment than structural ones. The results indicate that feelings of disempowerment are influenced by perceptions of gender-based discrimination, poor relationships with supervisors and dissatisfaction with work–life balance. Women feel empowered when they have access to decision-making opportunities and perceive that their workplace supports their professional growth and advancement.Research limitations/implicationsAlthough this paper focuses solely on women’s perceptions, additional research is necessary to compare the experiences of both men and women regarding workplace empowerment. While individual and organizational factors were examined in this paper, future studies should also consider societal factors. The results highlight the importance of equal and supportive organizational practices and cultures to foster empowerment among women in the workplace, providing valuable insights for policymakers.Originality/valueThis paper addresses a critical research gap on the intersection of gender, work and management in the Middle East. It responds to the need for more diverse contextual research on Arab women’s work experiences and provides methodological diversity by using an exploratory, mixed-methods design with a grounded approach. The study highlights the interaction between structural and psychological factors, emphasizing the gap between policies and resources and women’s lived experiences and perceptions of workplace empowerment.

Legal approaches to risk of harm in genetic counseling: perspectives from Quebec and Qatar.

Genetic counseling is a fast-growing profession worldwide, with genetic counselors taking on increasingly comprehensive and autonomous roles in the healthcare sector. However, the absence of appropriate legal frameworks could potentially create risks of harm to the public. Legal recognition serves to protect the public from risk of harm by regulating the safe and competent practice of healthcare professionals. Genetic counseling is not legally recognized in most world jurisdictions. Examination of the legal status of genetic counseling in different jurisdictions and whether existing legal mechanisms are adequate to address potential risks of harm is therefore timely. This paper examines the different roles of genetic counselors in the Canadian province of Quebec and the state of Qatar, the authors' respective jurisdictions. It considers the types of harms that may be created where appropriate legal mechanisms are lacking, considering the socio-political and legal differences between the two jurisdictions. Moreover, it examines the legal status of genetic counseling in Quebec and Qatar to determine whether these statuses appropriately address the identified risks of harm. The authors argue that existing legal frameworks are inadequate to address these risks and recommend that additional regulatory mechanisms be implemented to properly protect the public from risks of harm.

Reinventing Patient Support and Continuity of Care Using Innovative Physician-staffed Hotline: More than 60,000 Patients Served Across 15 Medical and Surgical Specialties During the First Wave of COVID-19 Lockdown in Qatar

Rising disease prevalence early during the COVID-19 pandemic in the State of Qatar led to stoppage of all non-emergency health care services. To maintain continuity of care and information exchanges for non-emergency patients, a physician-operated telephone hotline was set up that involved triage followed by immediate consultation with a specialized physician. We describe the initiation and evaluate the operations of the Urgent Consultation Centre (UCC) hotline manned by 150 physicians and aimed at urgent non-life-threatening consultations at Hamad Medical Corporation, the public health provider in Qatar. UCC established a hotline to triage inbound patient calls related to 15 medical and surgical specialties. For calls between April-August 2020, we describe call volume, distribution by specialty, outcomes, performance of UCC team, as well as demographics of callers. During the study period, UCC received 60229 calls (average 394 calls/day) from Qatari nationals (38%) and expatriates (62%). Maximum total daily calls peaked at 1670 calls on June 14, 2020. Call volumes were the highest from 9 AM to 2 PM. Response rate varied from 89% to 100%. After an initial telephone triage, calls were most often related to and thus directed to internal medicine (24.61%) and geriatrics (11.97%), while the least percentage of calls were for pain management and oncology/hematology (around 2% for each). By outcome of consultation, repeat prescriptions were provided for 60% of calls, new prescriptions (15%), while referrals were to outpatient department (17%), emergency department/pediatric emergency center (5%), and primary health care centres (3%). We conclude that during a pandemic, physician-staffed telephone hotline is feasible and can be employed in innovative ways to conserve medical resources, maintain continuity of care, and serve patients requiring urgent care.

Investigation of factors affecting turn signal usage at modern roundabouts in State of Qatar

ABSTRACT Drivers are expected to use turn signals to indicate other drivers of their intentions of taking turns, lane changing, merging or diverging indicating safe driving behaviour. This study investigated the rates of turn signal usage at multilane urban roundabouts along with factors affecting the usage. The results from data collected from four roundabouts in Doha city showed that the drivers have higher tendency of using turn signals while exiting the roundabout rather than while entering the roundabout. Further, turn signal usage at entry and exit of the roundabouts was affected by turn type, roundabout type, correct lane, vehicle type, age, type of clothes and distraction. Additionally, using correct lane affected turn signal usage only while exiting the roundabouts. The binary logistic regression models showed that the drivers wearing formal clothes, taking left or U-turn, using correct lane, driving without distraction, and traversing a roundabout located in recreation and commercial land use had higher odds of turn signal usage than their counterparts. The lower turn signal usage rates indicate that more emphasis should be provided on educating drivers highlighting safety implications. Further, traffic engineers can suggest additional strategies to improve turn signal usage based on the results. These findings can be applicable to other GCC countries exhibiting similar characteristics.

Beyond vulnerability: contextualizing migrant worker views on rights and wellbeing in the Gulf Arab states

This paper examines migrant workers’ subjective views of their rights and wellbeing in the Gulf Arab state of Qatar. Since the announcement of the World Cup, Qatar has been roundly criticized for the living and working conditions of the low-wage migrant workers responsible for building the country’s social and economic infrastructure. These critiques, however, either emphasize individual migrant experiences of mistreatment or the kafala migration regime that regulates migration and employment. Few quantitative and representative studies ask migrants how they understand and experience their rights and wellbeing, or how these views have changed as the country has embarked on key labor law reforms in response to international pressure. Therefore, we present results from a large-scale, nationally representative survey of low-wage migrant workers conducted in labor accommodations over four years, supplemented by a separate phone survey. The analysis emphasizes the views of migrants—including satisfaction with rights, awareness of rights, fulfillment of contracts, and quality of life—which are critical to successful policy implementation. We examine the objective factors that best explain these views and study the interaction between subjective and objective wellbeing dimensions. The results inform scholarly understandings of the living and working conditions of migrants and provide essential context for questions surrounding migrant rights and global justice in temporary labor migration regimes.

Incidence of diabetic ketoacidosis does not differ in Ramadan compared to other months and seasons: results from a 6-year multicenter study

Background Diabetic ketoacidosis (DKA) is a life-threatening adverse complication of patients with diabetes mellitus (DM). It is postulated that fasting during Ramadan can increase the risk of DKA; however, there are contradicting data in this regard. Furthermore, studies from Western countries have suggested a seasonal variation in the incidence of DKA. This study examines the differences in the number of DKA episodes during Ramadan compared to the rest of the year in patients with type 1 DM (T1D) and type 2 DM (T2D). Besides, we aim to examine the seasonal difference in the incidence of DKA. Methods We included consecutive index-DKA admissions from 2015 to 2021 and used descriptive statistics to compare the episodes of DKA in Ramadan vs other months and seasons. Results Of 922 patients, 480 (52%) had T1D, whereas 442 (48%) had T2D. The median age (IQR) was 35 (25–45) years, with the majority being Arab (N = 502, 54.4%). There were 94 DKA admissions in six collective Ramadan months, whereas the DKA admissions ranged from 61 to 88 episodes in other months (p = .3). The highest DKA admissions were observed in Autumn (N = 236) and the lowest in Spring (N = 226) with no statistically significant difference (p = .4). There were no differences in DKA severity or new-onset diabetes rates when analyzed based on Hiji months, Roman months, or seasons. Conclusions DKA occurrence is not increased during Ramadan. We found no evidence of seasonal variations in the rates of DKA in the State of Qatar.

A Comprehensive Review of a Decade of Field PV Soiling Assessment in QEERI’s Outdoor Test Facility in Qatar: Learned Lessons and Recommendations

Soiling of photovoltaic (PV) modules is a major issue due to its critical impact on PV performance and reliability, especially in the desert and arid regions such as the state of Qatar. Soiling frequently results in a severe reduction in PV power generation, which drastically affects the economical profitability of the PV plant, and therefore, must be mitigated. The most common way of mitigating PV soiling is surface cleaning. However, the latter could consequently increase the associated operation and maintenance (O&M) cost of the PV site. However, previous studies indicated that even if the best-optimized cleaning schemes are used, the actual global solar-power production can still be reduced by about 4%, which is associated with at least EUR 5 billion in annual revenue losses worldwide. This loss is expected to reach a conservative value of EUR 7 billion in 2023. Accordingly, investigating the interplayed physics phenomena related to the various soiling processes, the site-specific O&M costs, along with a techno-economical assessment of state-of-the-art soiling mitigation strategies (including innovative anti-soiling coating materials) is of paramount importance. The goal of this comprehensive report is to provide the solar community at large, and those focusing on the desert environment in particular, with real field measurements that provide key findings and challenges in addressing soiling research obtained from multiyear testing at the Outdoor Test Facility (OTF) field station, located in the desert environment of the city of Doha, in the state of Qatar.

Does employee relations climate mediate the effect of Islamic work ethics on organizational performance? Evidence from Qatar

Purpose Building on the resource-based view (RBV) and the theory of other orientation, this study aims to examine the association between Islamic work ethics (IWEs) and organizational performance highlighting the role of employee relations climate as an underlying mechanism. Design/methodology/approach Data were collected from 239 employees working in diverse sectors in the state of Qatar. Structural equation modeling of partial least squares was used to analyze the data of the study. Findings The results suggest that IWEs positively impact organizational performance and employee relations climate. Furthermore, employee relations climate demonstrated to play a mediating role in the IWEs-organizational performance link. Practical implications The study can be used by administrators pertaining to the importance of IWE and employee relations climate to cultivate higher organizational outcomes such as organizational performance. Originality/value This research is distinctive as it examines the connection between IWEs and organizational performance in Qatar, a country where the influence of Islamic values and beliefs on work ethics is profound. In addition, the research sheds light on a topic that has received little attention in the literature: the significance of the workplace climate in determining how IWEs affect organizational performance. Finally, the research integrates two important theoretical frameworks, the RBV and the theory of other orientation, to create a comprehensive model that explains the complex relationship between IWEs, employee relations climate and organizational performance.

Taste Dysfunction of Chronic Kidney Disease Patients on Renal Diet and its Relationship with Patient Satisfaction in the Medical Ward at AL-Khor Hospital – State of Qatar

Taste Dysfunction of Chronic Kidney Disease Patients on Renal Diet and its Relationship with Patient Satisfaction in the Medical Ward at AL-Khor Hospital – State of Qatar

#4894 EFFICIENCY AND SAFETY OF AN ASSISTED HOME HEMODIALYSIS PROGRAM IN THE STATE OF QATAR: A RETROSPECTIVE STUDY

Abstract Background and Aims Home hemodialysis (HHD) usually done as self-care by patient themselves through a portable haemodialysis (HD) machine under training and monitoring by dialysis team. HHD offers greater patient autonomy, cost benefits, treatment-related flexibility, and improved quality of life compared to traditional in-centre HD. Uptake of HHD is limited by patient motivation, cognitive and/or physical barriers, as well as lack of support of family and community. Assisted HHD (AHHD) is a new concept where dialysis team provides HD at home. Usually, it is done by a visiting dialysis nurse using mobile HD machine. Its use is limited due to financial and logistical restriction. We like to present our unique experience in providing AHHD in the State of Qatar. Planning for our AHHD program started in July 2020. Because of COVID-19 pandemic, it faced many challenges and delays. We started first patient in July of 2021. In our program, we use traditional HD machine (not portable) with connection set up in the house in a dedicated room. Special training was provided to AHHD staff regarding the special care needed for home setting (including social, complication of home dialysis settings, decision making, follow up of protocols and policies, etc.) Method We performed a retrospective study between July 1st, 2021 - December 31st, 2022. Our primary objectives were efficiency and safety of AHHD, and secondary objective was cost effectiveness. We included adult chronic HD patients (on HD >3 months) using ambulance (or eligible for it) with functional dialysis access. We excluded patients who are not suitable for home environment (psychiatric illness, aggressive behaviour, etc.). Data were collected from our national electronic health record system. Results 946 patients screened for the program. 237 were eligible (exclusion mostly due to lack of national insurance coverage or not meeting mobility/transport criteria). 121 patients refused to participate (mostly for feeling safer in the clinic setting or improper home environment), 40 patients were undecided, and 76 patients accepted and started AHHD. Age was 73+/-11 years. We had 32 males and 44 females. Mean follow up period were 7 months. 12 patients died and 2 patients returned to dialysis centre during follow up period. Only 15 out of the total 126 hospitalizations were related to dialysis (mostly due to volume overload and non-compliance with dialysis schedule and time). We had 55 patients with permcath and 21 with AV fistulas. We had 8 incidents of dialysis catheter malfunction (6 required tissue plasminogen activator installation in the house setting and only two needed catheter exchange (one had catheter related infection)). No reported significant access bleeding or hypotension episodes. We had 20 technical incidents during the study related to electricity or water supply failures. All incidents were resolved without much interruption of treatment. The program overall was cost effective and reduced cost by over 25% (mostly related to saving of ambulance cost). Patients and their families were very satisfied with the program overall. Conclusion We present a unique successful program related to providing AHHD. Targeting certain dialysis population showed great care, safety, cost saving, better QOL and satisfaction.