An international alliance of humanitarian and medical organizations is announcing the launch of a new initiative to protect kidney and dialysis patients in crisis settings around the world.
The Global Humanitarian Kidney Support Initiative—a collaboration among Direct Relief, the American Society of Nephrology (ASN), the European Renal Association (ERA), and the International Society of Nephrology (ISN)—aims to ensure continuity of care for people with serious kidney conditions during disasters, conflicts, and in regions where access to essential health services is limited.
The initiative brings together global clinical expertise in nephrology with on-the-ground experience in humanitarian logistics to help sustain kidney care when health systems are disrupted or overwhelmed.
Kidney patients—particularly those receiving dialysis or post-transplant care requiring essential medications—are especially vulnerable in emergencies. Regular access to treatment is essential for survival, and any interruption can quickly become life-threatening. The initiative seeks to address that risk through coordinated action, including emergency support for clinics and hospitals, provision of essential medicines and supplies, and training for healthcare workers operating under strained conditions.
“Kidney patients rely on consistent, life-sustaining treatment, which can be difficult to maintain when disaster strikes,” said Alycia Clark, Chief Pharmacist at Direct Relief. “This collaboration helps ensure continuity of care by equipping health facilities with the products, training, and coordination required to deliver treatment safely and effectively—even under the most challenging conditions.”
The partner organizations have previously worked together during major emergencies in the United States, Ukraine, Sudan, and other countries. The launch of this initiative builds on those efforts and establishes a formal structure to improve speed, coordination, and scale in future responses.
“This initiative reflects how much more can be accomplished when organizations combine strengths with a shared commitment to meeting urgent medical needs,” said Amy Weaver, CEO of Direct Relief. “By uniting nephrology leaders with expertise in humanitarian operations, this collaboration creates a clear path for delivering kidney care where it’s most at risk of falling through the cracks.”
In addition to emergency response, the Global Humanitarian Kidney Support Initiative aims to contribute to long-term improvements in care by strengthening infrastructure in low- and middle-income countries, expanding clinical education, and advancing patient awareness and disease prevention strategies. Direct Relief will manage medical supply logistics and operational support, while ASN, ERA, and ISN will lead regional efforts through their professional networks and national society partners.
“ASN is thrilled to be part of this new collaboration with ERA, ISN, and Direct Relief. Together, we will be able to provide support to patients and their caregivers in regions impacted by both natural and human-influenced events and stretch each organization’s resources further. The support of corporate and foundation sponsors will be instrumental in ensuring that people living with kidney diseases have the best chance to thrive even in extreme circumstances”, said Jeffrey Silberzweig, MD, Chair, ASN’s Humanitarian Kidney Support Program
“Patients with kidney diseases represent one of the most vulnerable groups in disaster settings since their survival depends on functional infrastructure, access to advanced technology, and experienced personnel within days (if not hours),” said Professor Mehmet Şükrü Sever, Chair of ERA’s Kidney Relief in Disasters Task Force. The Global Humanitarian Kidney Support Initiative can contribute to life-saving efforts by promoting clinical education, enhancing patient awareness and disease prevention strategies, and delivering material support when most needed.
“Kidney patients in many parts of the world already have fragile access to care. When disaster strikes, the risk of interruption or disruption of needed care becomes rapidly acute. This initiative strengthens collaboration between professional renal societies and humanitarian organizations, allowing the ISN to contribute its expertise and help connect local providers with urgently needed support”, stated Prof. Ali Abu-Alfa, Chair, ISN Renal Disaster Preparedness Working Group.
Looking ahead, the initiative aims to expand its reach and impact by engaging pharmaceutical and medical device companies, philanthropic foundations, and global health partners to close critical gaps in care and strengthen long-term support for people living with kidney disease, especially in regions where treatment access remains fragile.
