The success of the kidney transplantation programme in Nepal offers lessons in persistence, collaboration and policy reform. In low-resource settings, access to transplantation remains limited, but locally led efforts — supported by training and political will — can shift the landscape and make equitable transplant care possible.
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Acknowledgements
I express deep gratitude to D. Francis, A. Walker, P. Kerr, K. Solez, G. T. Jones, S. Cohney, the International Society of Nephrology, Monash Medical Centre, Royal Melbourne Hospital, Priscilla Kincaid-Smith Foundation, M. Khakurel, B. R. Joshi, K. B. Raut, G. K. Shrestha, P. R. Gyawali, U. K. Sharma, M. R. Sigdel, M. P. Kafle and my colleagues and everyone who contributed to the development of the transplantation programme in Nepal.
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Shah, D.S. Insights from Nepal into implementing transplantation programmes in low-resource settings. Nat Rev Nephrol (2025). https://doi.org/10.1038/s41581-025-01019-z
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DOI: https://doi.org/10.1038/s41581-025-01019-z
