Home Hemodialysis in French Guiana: Transforming logistical challenges into healthcare opportunities

In French Guiana, an Amazonian territory marked by vast spaces and the isolation of many municipalities, the management of chronic kidney disease faces significant challenges. The prevalence of this condition is high, often affecting a younger population living with multiple health conditions and frequently residing far from healthcare facilities. Currently, the provision of renal replacement therapy is almost exclusively concentrated along the coast, exacerbating inequalities in access to care. In this context, home hemodialysis emerges not only as an innovative alternative but also as a necessity to ensure equity and improve individuals’ quality of life. This paper explores this modality’s needs, specific constraints, and implementation prospects in French Guiana.