BOUCLIER RIANA
Prevention and Management of Kidney Failure - Prevent. Screen. Treat. Save lives.

Kidney failure has become a major public health problem in Niger, exacerbated by the rising prevalence of diabetes, hypertension, infections, and limited coverage of specialized health services.
Most patients are diagnosed too late, when kidney damage is already severe. Care remains costly, dialysis machines are insufficient, and access to nephrologists is extremely limited.

This situation leads to preventable deaths, financially devastating impacts on families, and a significant burden on the health system.

In response to this health emergency, ONG LUSAA is launching RIANA, a structured program aimed at reducing the incidence and mortality of kidney failure through an integrated approach: prevention, early screening, quality care, and patient support.

Ensure that every citizen has equitable and continuous access to prevention, screening, and management services for kidney diseases, in order to sustainably improve quality of life and reduce severe complications.

Overall Objective

Strengthen the prevention and management of kidney failure in Niger by acting simultaneously on screening, awareness, access to care, and patient support.

Specific Objectives

Raise awareness among populations about risk factors (hypertension, diabetes, self-medication, toxic traditional products).
Develop screening campaigns in communities, schools, health centers, and workplaces.
Improve access to essential biological tests (serum creatinine, eGFR, urine analyses).
Strengthen the capacity of health facilities in the management of kidney diseases.
Improve access to treatments, including dialysis for patients at advanced stages.
Train health workers, nurses, doctors, and community health relays.
Develop a national kidney disease surveillance system.

Vision

1. Prevention and Health Education

Large-scale campaigns on causes and warning signs.
Promotion of healthy lifestyles: reduced salt intake, proper hydration, blood pressure and blood sugar control.
Outreach activities in schools and universities.

2. Early and Systematic Screening

Blood pressure and blood glucose testing in high-risk areas.
Urine tests and blood analyses to detect kidney damage.
Integration of kidney screening into routine medical consultation

3. Strengthening Access to Care

Support with essential equipment for nephrology services.
Support to existing dialysis centers and expansion into underserved regions.
Provision of kidney investigation kits for hospitals and health centers.

4. Capacity Building of Medical and Community Staff

Continuous training for doctors, nurses, and technicians.
Development of a standardized national protocol for kidney disease management.
Strengthening the skills of community health relays.

5. Monitoring System and Digitalization

Establishment of a national kidney disease registry.
Digital tools to monitor patients, screening activities, and coverage.

Strategic Axes of the RIANA Program

Beneficiaries

Patients living with kidney disease.
People at risk: diabetics, hypertensive patients, elderly individuals.
Youth, women, and rural populations.
Health workers and health facilities.

Expected Impact

Reduction in cases of end-stage kidney failure.
Improvement in nationwide early screening.
Decrease in preventable deaths related to kidney disease.
Strengthening of health system capacity.
Sustainable improvement in patients’ quality of life.

Why the RIANA Program is Essential ?

Because kidney failure is a silent disease that progresses without symptoms, but when detected too late, it condemns many patients to dialysis or death.
The RIANA program provides a structured, preventive, and curative response to break this vicious cycle.