Prevalence, Socioeconomic Determinants, and Health-System Factors Associated with Laboratory-Confirmed Renal Impairment Among Adults Attending Tertiary Referral Hospitals in Mogadishu, Somalia: A Cross-Sectional Study
This cross-sectional study of 200 adults at tertiary hospitals in Mogadishu, Somalia, reveals a high prevalence of renal impairment (64% previously diagnosed) strongly associated with older age, hypertension, diabetes, non-prescribed NSAID use, and treatment non-adherence, highlighting the urgent need for integrated early detection, improved diagnostic capacity, and better regulation of nephrotoxic medications within the national health system.