India has very little to offer in terms of infrastructural facilities for renal care. Centres for treatment are few, and are concentrated in the major towns. To take the example of haemodialysis, there are only about 500 dialysis centres in India with about 3000 dialysis machines.

In a survey conducted by IRF in one group of educated employed/working class people with an income of more than Rs. 1.2 lakhs/annum, awareness about the seriousness of kidney disease and kidney failure was as low as 7.2% : far less than that for cancer and heart attack problems. 

This lack of awareness keeps people from taking preventive steps and seeking timely and adequate treatment in the case of kidney disease. Transplantation can give a lease of new life to the recipient. Transplantation is not a very complicated procedure, however the main constraint is the availability of donor. This is the direct result of lower awareness.

The facilities of dialysis, right now faces a severe crunch of trained manpower. Healthcare being a service area relies highly on people. Although the whole healthcare sector faces the problem of lack of trained and skilled manpower, this problem is more severe in specialised areas like kidney diseases. There are very few structured dialysis technicians courses being run in India.

In large number of dialysis centres there are no standards of dialysis treatment followed in India. Without any standards to follow, the Indian patient is getting a sub-standard treatment and not getting value for his money. There are no standards for the length of dialysis session, for dialyser reuse, for dialysis center setup, for erythropoietin treatment and even transplantation of the kidneys.