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SAMOA RENAL DIALYSIS UNIT FIRST IN THE PACIFIC

By Lagi Keresoma
  The newly established Renal Dialysis Unit in Samoa is "the first” in the Pacific. Samoa Prime Minister Tuilaepa Sailele Malielegaoi, during his key note address at the opening, invited other Pacific Islands to 'bring their patients" to Samoa. He also asked the Samoan patients in New Zealand to "return" home. There are about 12 - 14 Samoan patients currently cared for in New Zealand, "who have longed to return home". Now is the chance to do so!

The Government’s vision to provide quality care for its peopled included the care for renal patients in Samoa; "to include primary, secondary and tertiary prevention and renal dialysis services."

Samoa was one of the Pacific nations who sent its dialysis patients to New Zealand at great cost to the Government. With the opening of the new renal dialysis unit in Samoa, the Government is now "asking and encouraging Samoan dialysis patients in New Zealand to return to Samoa" to utilize this service. Other Pacific Island nations are also encouraged to bring their patients to Samoa. At what cost, is yet to be decided.

In 1999, a team was sent by the Cabinet to the LBJ Hospital in American Samoa, "to look at their Dialysis Unit”. Mulitalo's first official visit as a Minister to New Zealand in 2001, opened doors for discussion with the New Zealand Government about the possibility of establishing a dialysis unit in Samoa.

The team that was later sent over for negotiations included the former Health CEO, Loloifie Dr. Eti Enosa, Dr. Satupaitea Viali Leiataatimu (consultant physician), Mr. Samau Lokeni (former ACEO Corporate Services), Dr. C. S. Benamin and Afioga Feesago Fepulea'i, Samoa's High Commissioner to New Zealand.

In 2001, Dr, Satupaitea and Baxter Healthcare led a feasibility study. The amount they came up with was US$20,000 per annum, which was considered very expensive. The idea for a unit was then abandoned. However in 2002, a renal unit was then opened at the Tupua Tamasese Meaole hospital at Motootua with technical assistance from NZAID.

In March 2003, Samoa faced a dilemma when New Zealand closed its door on dialysis patients from Samoa, but allowed only "three Haemdialysis and eleven Peritoneal Dialysis patients.
   

Rev. Siatua who led the service, Dr. Omi, WHO and Samoa Prime Minister, Hon. Tuilaepa Sailele Malielegaoi at the opening of the renal dialysis unit at Motootua Hospital. (Photo: Lagi Keresoma)
 

Former Cabinet Minister Hon. Polataivao Fosi returns home; one of the first patients to be treated at the newly developed renal dialysis unit at Motootua Hospital. (Photos: Lagi Keresoma)

Renal patients Rev. Filipo Meleisa, Foitau Meleisea and Fa’amu Papali’i being greeted by Health officials and families at the newly developed renal dialysis unit. (Photos: Lagi Keresoma)

    
The same year in May through NZAID, New Zealand sponsored one medical officer, DR. Belladonna Potoi and two registered nurses, Amelia Logai and Fa'asalele Tupou to undertake training at the Renal Unit at Auckland University.

In October 2004, the Minister of Health, Hon. Mulitalo Siafausa was appointed by Cabinet as Chairman of the Renal Task Force, and negotiations regarding a fully equipped renal dialysis unit project then kicked off.

In November 2004, the Task Force met for the first time in ensuring that the "vision should be realized by the opening of the 6th Pacific Health Ministers Meeting" in March 2005.

In December 2004, a Samoan delegation comprising an engineer from the Electric Power Corporation, a member of the MWTI and Samoa Water Authority with a MOF official went to Singapore. This was a chance for them to "view the plans and the operations at the National Kidney Foundation Singapore (NKFS)." They returned with plans for the Samoa Kidney Foundation (SKF) prepared by the NKFS.

All machines for the unit were manufactured in Germany. The NKFS is providing technical assistance with its "10 station Haemodialysis Center with 12 Fresenius machines. The centre has a "reverse Osmosis water purification plant" also manufactured from Germany. It has two storage water tanks with "booster pumps for uninterrupted water supply to the water purification plant, and a generator for uninterrupted electricity for all the equipment inside."

The renal dialysis unit is operating well with staff consisting of Dr.Samir Govil, a Nephrologist from India. Staff nurses Li Ping Singapore and Kon Wysin of Singapore. Registered Nurses Amelia Logai and Fa'asalele Tupou of Samoa. Technician Mr. P. Perambalam of Singapore and Dr. Bealladonna Potoi, who is currently on overseas study leave.
 
 
 

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