Bhutan has introduced peritoneal dialysis (PD), giving kidney patients a more convenient and affordable alternative to hospital-based haemodialysis. The service, launched in the capital, allows eligible patients to undergo dialysis at home, reducing the need for frequent and costly travel to hospitals. For patients such as 70-year-old Rinchen Choygal, who has travelled from Serzhong to Gelephu for dialysis for nine years, the new option could significantly ease the burden. Another patient, 69-year-old Mohan Prasad Gurung, said receiving the procedure in Bhutan would save the substantial cost of seeking treatment abroad. The Bhutan Kidney Foundation says PD will particularly benefit patients living far from dialysis centres, helping them remain closer to their families and reducing accommodation and travel difficulties. Unlike haemodialysis, which requires patients to visit designated hospitals, PD uses the lining of the abdomen to remove waste and excess fluid from the blood. A catheter is inserted into the abdomen through minor surgery, after which dialysis fluid is repeatedly introduced and drained according to the patient’s needs. With haemodialysis currently available in eight hospitals, the introduction of home-based PD is expected to improve access to treatment for kidney patients across the country.
