World Kidney Day

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World Kidney Day 2023 – Kidney Health for All - Preparing for the unexpected, supporting the vulnerable

World Kidney Day is a global campaign aimed at raising awareness of the importance of our kidneys. World Kidney Day comes back every year. All across the globe many hundred events take place from public screenings in Argentina to Zumba marathons in Malaysia. We do it all to create awareness. Awareness about preventive behaviours, awareness about risk factors, and awareness about how to live with a kidney disease. We do this because we want kidney health for all.


World Kidney Day is a joint initiative of the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations – World Kidney Alliance (IFKF-WKA).


Mission

World Kidney Day aims to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide.


Objectives

  • Raise awareness about our "amazing kidneys" Highlight that diabetes and high blood pressure are key risk factors for Chronic Kidney Disease (CKD).
  • Encourage systematic screening of all patients with diabetes and hypertension for CKD.
  • Encourage preventive behaviours.
  • Educate all medical professionals about their key role in detecting and reducing the risk of CKD, particularly in high risk populations.
  • Stress the important role of local and national health authorities in controlling the CKD epidemic. On World Kidney Day all governments are encouraged to take action and invest in further kidney screening.

We celebrated World Kidney on 9th March. Many events and awareness programmes were held to connect to the masses and make them aware about goals of IRF ie. To have a happy and healthy kidney. The following events were organized by our team with the aim of making this theme and this day truly meaningful across Gujarat in different cities.


Ahmedabad

India Renal foundation Ahmedabad has organized Kidney Disease Awareness Seminar & Blood Pressure – Sugar check –up camp for police staff of SRPF Group No-12, Gandhinagar on 21-3-2023. In the program 102 people benefited.
Diabetologist Dr. V.N. Shah (Zydus Hospital and Advisory Member (IRF)) and Dr. Sudeep Desai (Nephrologist) delivered their speech about Impact of diabetes & blood Pressure of Kidney and how to prevent kidney disease.
Chairman (IRF) Shri Trilokbhai Parikh, Advisory Member(IRF) Shri Rashmikant bhai shah & Dy. SP. Vikram Kumar all were present in the seminar.
On the occasion of World Kidney Day 2023, Detection Camp (BP –Sugar & Kidney Test) and Poster exhibition– "Kidney Health for All" were organized at Neelkanth Mahadev, Ghatlodiya, Ahmedabad, with the support of Nursing students on 9-3-2023. Total 180 people benefited. Shri Rashmikantbhai Shah, member of Advisory Committee (IRF) was present and encouraged everyone.

 
Vadodara

A joint initiative of India Renal Foundation Vadodara and Joyalukkas jewellery show room organized Kidney Disease Awareness Program as a part of Celebration of World Kidney Day 2023. Women employees of the police department, employees of jewelers showroom participated as well as the customers who visited the showroom also attended the program. Around 50 people participated.

 
Mehsana

On the occasion of World Kidney Day 2023, 'Kidney Health for All' – A Seminar and detection camp has been organized for professors of the Gujarat Power Engineering and Research Institute – Mehsana on 9-3-2023. Dr. Neel Patel (Nephrologist) displayed a descriptive presentation about the structure of the kidney, kidney disease, its precautions, kidney seminar & detection camp.

 
Bhavnagar

India Renal Foundation Bhavnagar & Indian Red Cross Society jointly organized various programs for World Kidney Day 2023. Seminar - Kidney Health for All and Free of Cost Detection camp (Blood Pressure-Sugar) has been organized on 10-3-2023 at Indian Red Cross Society Bhavnagar. Dr. Hardik Kyada renowned Nephrologist of Bhavnagar presented detailed information about the prevention & treatment about kidney disease.
A Walk for 'Kidney Health for All'
India Renal Foundation & students of Tejashvi School jointly arranged a 'Walk for Kidney Health for all'. The students enthusiastically participated and showed interest by holding colorful posters of prevention of kidney disease.

 
Rajkot

As a part of the celebration of World Kidney Day 2023, India Renal Foundation Rajkot has organized six 'Kidney Disease Awareness Programs' for the students of Shapar Girl's School(Rajkot). Field Marshal High School, New Girl's School, Shapar Rahwar School, Vijay School, Nursing College –Rajkot. Around 880 people were benefitted by the awareness programmes of IRF.

 
 
Surat

To observe the World Kidney Day, a health checkup camp and public awareness program was organized by India Renal Foundation Surat chapter on 15th March 2023 for the police personnel of Surat with the support of Surat Citizen Council Trust, in which Police Commissioner Shri Ajay Kumar Tomar Sir and Deputy Commissioner of Police, Mrs. Saroj Kumari were present as the chief guests. Chairman of Surat Advisory Committee, Mr. Sharadbhai Kapadia, Mr. Bharatbhai Shah, Mrs. Jignasha Trivedi from India Renal Foundation. 200 people participated in the program.
Surat Chapter has organised "Kidney awareness" program on 5th March 2023 for service retirees of South Gujarat ITI in which "Nephrologist Mr. Deepak Tamakuwala" from "India Renal Foundation" gave a comprehensive understanding about "Kidney". 300 people participated in the awareness program.


World Kidney Day 2022 – Kidney Health for All

Bridge the knowledge gap to better kidney care Chronic kidney disease (CKD) is common and harmful: 1 out of 10 adult people worldwide have it, and if left untreated it can be deadly. While early detection allows for disease care and management to help prevent morbidity and mortality, and improve cost effectiveness and sustainability, kidney disease related mortality continues to increase yearly and is projected to be the 5th leading cause of death by 2040. A persistent and ongoing CKD knowledge gap exists; one that is demonstrable at all levels of healthcare;

  • The community – Obstacles to better kidney health understanding include the complex nature of kidney disease information, low baseline awareness, limited health literacy, limited availability of CKD information, and lack of readiness to learn. (WKD 2020).
  • The healthcare worker – Another barrier to overcome in order to ensure greater awareness is a more focused education of physicians, as they are in charge of the patients’ medical condition. (WKD 2009)/ (WKD 2021)
  • The public health policy makers – Finally, CKD is a global, public health threat but is typically low on government health agendas (WKD 2008) with political commitments on non-communicable disease programs concentrating predominantly on four main diseases – cardiovascular disease, cancer, diabetes and chronic respiratory disease.

This knowledge gap is stifling the fight against kidney disease, and increasing the inherent associated mortality.

The WKD Joint Steering Committee calls for everyone worldwide to not only be aware of the disease, but to actively know what their own kidney health measures are. For example, what their blood pressure is and what the treatment objectives are (WKD 2010). It is a cause that involves all of us in the kidney community worldwide — physicians, scientists, nurses and other health-care providers, patients, administrators, health-policy experts, government officials, nephrology organizations, and foundations. All need to be aware of the ways in which more attention to the kidney in the setting of government policies can lead to major benefits both to patients and to health-care budgets (WKD 2007).

Moreover,

  • Encourage general public to adopt healthy diet and lifestyles (access to clean water, exercise, healthy diet, tobacco control, and climate change prevention) to maintain good kidney health, preserve kidney function longer in those with CKD, and increase overall general awareness of the importance of kidneys
  • Extend kidney patient education (including practical advice on diet and lifestyle) to empower patients, their care-partners, and their support systems to achieve the health outcomes and life goals that are meaningful and important to those with CKD including kidney failure.
  • Recognize patients’ and caregivers’ right to be able to assess, understand and use health information related to CKD
  • Require kidney healthcare providers and patient organizations to offer information related to CKD according to varying levels of health literacy.
  • Encourage and support primary care physicians to improve their recognition and management of patients with CKD across its entire spectrum from prevention and early detection of CKD to its secondary and tertiary prevention and kidney failure care
  • Integrate CKD and kidney failure prevention into national non-communicable disease programs for comprehensive and integrated services, which are essential in improving the early detection and tracking of kidney care at country level
  • Inform politicians about the impact of kidney disease and kidney failure on their constituents’ health and its associated burden on healthcare budgets/systems to encourage the adoption of policies and allocation of resources which tackle the global burden of kidney disease and ensure living well with kidney disease

Indian Renal Foundation celebrated World kidney day on 10 March 2022 at below Chapters

Ahmedabad

As part of the celebration of World Kidney Day we had organized Kidney Awareness Program for the professors at Govt. Girls Polytechnic College and L.D Engineering College in which Dr. Hashit Patel (Nephrologist) Kidney Specialist at LD Engineering Collegegave detailed information about kidney diseases to all Professors through projector. Also, all the professors of both the colleges were medically tested for BP, Diabetes and Kidney (Serum Creatinine)

Also on this day a free BP, Diabetes and Kidney Checkup Camp was organized for the citizens of Ranip area at Shri NilkanthMahadevMandir, Balolnagar, Ranip, and Ahmedabad which benefited 250 citizens.

Vadodara

India renal foundation had organized “World kidney day, 2022” program at police headquarters, Pratapnagar, Vadodara. In collaboration with SHE team, Vadodara.in this program the guest of honours was Vaishaliben Parmar- PSI of SHE team and the keynotes speakers of this event was well-known nephrologist of Vadodara Dr. Harshal Joshi. Moving Forwards, Dr. Harshal Joshi gave a descriptive presentation about the structure of the Kidney, kidney diseases, its precautions; types of dialysis, process of kidney transplant and cadaveric organ donationand Doctor Harshal Joshi gave us the knowledge that when a person is taking painkillers he/she should consume more than 3 litters of water.

Then after a narrative session the participants asked few questions about how elephant foot is related with the kidney, what should be the normal Blood pressure, diabetes.The program ended on the good note with the national anthem.The program was attended by more than 150 SHE team police officers and they were provided with the refreshments.

Mehsana

Celebration of this day at Mehsana chapter, an awareness rally was organized in Vadnagar city as well as BP, Diabetes Camp was organized in Kalol city and Kidney awareness information booklets were distributed. In addition, at Meu and Dediyasan villages organized Kidney Awareness program and BP, diabetes and kidney checkup camp.

Bhavnagar

World Kidney Day was celebrated by organizing various programs on this day at Bhavnagar Chapter in which drawing and essay competition, Kidney Awareness Walk and Awareness Program on Kidney Disease at District Institute of Education and Training college,In which Dr. Nilav Shah (Nephrologist) gave his speech.

Rajkot

A Kidney Awareness Program was organized for the students of Government Women's ITI College and the citizens of Himmatnagar Society, Shitalpark at Rajkot and also organized BP, Diabetes and Kidney Checkup Camp for K.B Jasani High School staff.

Surat

On the occasion of World Kidney Day, Kidney Awareness programs were organized for two organizations in Surat Chapter. First program was done for the employees of HPCL, Hazira in which Dr. Anil Patel (Nephrologist) informed the staff of the HPCL about kidney diseases. Another programme was held at Vibrant College in which Dr. Deepak Tamakuwala (Nephrologist) delivered his speech about Kidney.


2021: Kidney Health for Everyone Everywhere – Living Well with Kidney Disease

Being diagnosed with kidney disease can be a huge challenge, both for the patient and those people around them. Its diagnosis and management, particularly in advanced stages of kidney disease, impacts severely upon their lives by reducing their, and that of family and friends, ability to participate in everyday activities like work, travel and socializing whilst causing numerous problematic side effects – e.g. fatigue, pain, depression, cognitive impairment, gastrointestinal problems and sleep problems.


The current status quo in kidney disease management and treatment aims to prolong longevity by preserving, restoring or substituting kidney function and delivering relief from kidney failure regardless of the efficacy for overall kidney disease management. This disease-centric approach may be inadequate as it does not satisfactorily reflect patients’ priorities and values. People living with kidney disease tend to, above all, want to be able to live well, maintain their role and social functioning, whilst maintaining some semblance of normality and a sense of control over their health and wellbeing. The status quo approach also removes patients’ agency as they lack meaningful involvement in the management and treatment of their disease. This in turn leads to patients frequently perceiving treatment as being imposed, punitive and out of their control. For patients to be more content, engaged and constructive with regard to their treatment, and thereby improving clinical outcomes, they need to feel that their symptoms are effectively managed and to be intrinsically motivated to become active participants in their treatment. Ensuing life participation is equally important for both patients and their care-partners, as opposed to feeling consumed and constrained by the current approach to treating kidney disease.


The World Kidney Day Steering Committee has declared 2021 the year of “Living Well with Kidney Disease”. This has been done in order to both increase education and awareness about effective symptom management and patient empowerment, with the ultimate goal of encouraging life participation. Whilst effective measures to prevent kidney disease and its progression are important, patients with kidney disease – including those who depend on dialysis and transplantation – and their care-partners should also feel supported, especially during pandemics and other challenging periods, by the concerted efforts of kidney care communities.


The World Kidney Day Steering Committee calls for the inclusion of life participation as a key focus in the care of patients with CKD and as a building block towards delivering the ultimate goal of living well with kidney disease.

Moreover,

  • Patients with CKD and their family members or other care-partners should be empowered to achieve the health outcomes and life goals that are meaningful and important to them. This will require patients to understand their role, to have the necessary knowledge to be able to engage with clinicians in shared decision-making, as well as developing the skills and support for effective self-management.
  • We further advocate for strengthened partnership with patients in the development, implementation and evaluation of interventions for practice and policy settings that enable patients to live well. This needs to be supported by consistent, accessible and meaningful communication.
  • We also call for greater emphasis on a strengths-based approach which encompasses strategies to support patient resilience, harness social connections, build patient awareness and knowledge, facilitate access to support, and establish confidence and control in self-management.
  • We call for more effective and more integrated and holistic symptom management for all patients with kidney disease beyond traditional kidney therapies including effective strategies to identify and manage symptoms that cause suffering including pain, sleep issues, anxiety, depression, stress, mobility, frailty, and others and ask for more education and management strategies to alleviate these symptoms so that patients and their care-partners can have a better health-related quality of life.

We must move beyond the status quo and advance patient-centeredness in research, practice and policy. Patient empowerment, partnership and improved communications, combined with a paradigm shift towards a strengths-based approach to care, can inspire confidence and hope in patients that they can live well with CKD.


To this end we joined 6 other members of the International Federation of Kidney Foundation (IFKF) and carried out a survey of 285 kidney patients to understand various symptoms and their impact on their lives. Addressing these issues will surely improve their participation in their routine life and improve their quality of life manifold.

The other 6 foundations who participated in this survey are,

  • 1) Hong Kong Kidney Foundation
  • 2) Tanker Foundation (India)
  • 3) Malaysia Kidney Foundation
  • 4) Bangladesh Kidney Foundation
  • 5) Hungary Kidney Foundation
  • 6) Kidney Foundation of Italy

Following 6 questions were asked to patients

  • 1) I am on renal replacement therapy (options of types of Therapy were given) ….
  • 2) My self-assessment of living well with kidney disease (score 1-10).
  • 3) What is preventing me from living well with kidney disease? (Physical, psychological, life impacts)
  • 4) Of these, what matters most to me? (List the top 3 options answered in Q-3)
  • 5) What others (healthcare system/professionals, family, and friends) can do to help/support me or options I would like to have?
  • 6) What I can do for myself?

Summary

The top 5 problems/ concerns reported by the patients from 7 organizations

Type of Problem No. of organizations
Fatigue 7
Concern about the future 6
Financial impact 5
Sleep Problems 5
Thirsty/Fluid restriction 3

Indian Renal Foundation celebrated World kidney day on 11-Mar-2021 at below locations.

Ahmedabad

BP, Diabetes and Kidney screening camp at Khodiyar and Khoraj villages and

Kidney Awareness programme at AMC garden Bapunagar Ahmedabad.

Vadodara
Kidney Walk and BP, Diabetes and Kidney screening camp at Maneja slum area at Vadodara.
Mehsana
BP, Diabetes and Kidney screening camp with Lions Club at Mehsana
Bhavnagar
Kidney Awareness talk and BP, Diabetes and Kidney screening camp at Bhavnagar
Rajkot
Kidney Awareness programme at Rajkot

2020 : Kidney Health for Everyone ,Everywhere – from Prevention to Detection and Equitable Access to Care

World Kidney Day 12 Mar 2020

This year World Kidney Day continues to raise awareness of the increasing burden of kidney diseases worldwide and to strive for kidney health for everyone, everywhere. Specifically, the 2020 campaign highlights the importance of preventive interventions to avert the onset and progression of kidney disease.


Kidney disease is a non-communicable disease (NCD) and currently affects around 850 million people worldwide. One in ten adults has chronic kidney disease (CKD). The global burden of CKD is increasing, and is projected to become the 5th most common cause of years of life lost globally by 2040. Chronic kidney disease is a major cause of catastrophic health expenditure. The costs of dialysis and transplantation consume 2–3% of the annual healthcare budget in high-income countries; spent on less than 0.03% of the total population of these countries. In low-income and middle-income countries, most people with kidney failure have insufficient access to lifesaving dialysis and kidney transplantation.


Crucially, kidney disease can be prevented and progression to end-stage kidney disease can be delayed with appropriate access to basic diagnostics and early treatment. However, while national policies and strategies for NCDs in general are present in many countries, specific policies directed toward education and awareness about kidney disease as well as CKD screening, management and treatment are often lacking. There is a need to increase the awareness of the importance of preventive measures throughout populations, professionals and policy makers.


What is a preventive intervention?

The term “prevention” refers to activities that are typically categorized by the following three definitions:

  • 1) Primary Prevention implies intervening before health effects occur in an effort to prevent the onset of kidney disease before the disease process begins
  • 2) Secondary Prevention suggests preventive measures that lead to early diagnosis and prompt treatment of kidney disease to prevent more severe problems developing and
  • 3) Tertiary Prevention indicates managing kidney disease after it is well established in order to control disease progression and the emergence of more severe complications.

Specifically, primary prevention of kidney disease requires the modification of risk factors, including diabetes mellitus and hypertension, unhealthy diets, structural abnormalities of the kidney and urinary tracts, and/ or overuse of medicines etc.

We at India Renal Foundation hosted several events to mark World Kidney Day and highlight a global awareness campaign dedicated to elevating the importance of overall kidney health.

The list of events includes awareness and screening camps, walks, handing out leaflets at cross roads, drawing competition, cycle rally and awareness through social media.

Here is a glimpse of all events

State-wide screening camps, for BP and Diabetes, were held in association with Sterling Accuris Laboratories.

Kidney Walk at Vadodara

Cycle rally and Awareness talk in association with Indian Medical Association, Mehsana branch at Mehsana

Awareness talk at Bardoli

Screening camp at Rajkot

Awareness talk at Deesa

Leaflet distribution at Surat

Drawing competition at Bhavnagar

Awareness and Screening camp at Bhavanagar

Leaflet distribution at Prahladnagar garden and SBR garden in Ahmedabad

Awareness and Screening Camp at Women ITI, Ahmedabad, Thaltej


Indian Renal Foundation celebrated World kidney day on 11-Mar-2021 at below locations.

Ahmedabad
Awareness and Screening Camp at Women ITI
Bhavnagar
Awareness and Screening Camp
Drawing competition
Vadodara
Kidney Walk


Other Cities


2019 : Kidney Health for Everyone ,Everywhere

World Kidney Day aims to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide.

World Kidney day is a joint initiative of the International Society of Nephrology(ISN) and the International Federation of Kidney Foundations(IFKF).

It is celebrated on 2nd Thursday of March every year.


Why is it important?

850 million people worldwide are believed to have kidney diseases from various causes. Chronic kidney disease (CKD) causes at least 2.4 million deaths per year and is now the 6th fastest growing cause of death.


Acute kidney injury (AKI), an important driver of CKD, it affects over 13 million people worldwide and 85% of these cases are found in low and middle-income countries.


Moreover, CKD and AKI contribute massively to increased morbidity and mortality from other diseases and risk factors including cardiovascular disease, diabetes, hypertension, obesity, as well as infections such as HIV, malaria, tuberculosis and hepatitis. Furthermore, CKD and AKI in children, not only lead to substantial morbidity and mortality during childhood but also result in medical issues beyond childhood.


This year, World Kidney Day sets out to raise awareness of the high and increasing burden of kidney diseases worldwide and the need for strategies for kidney diseases prevention and management.


Kidney Health for Everyone Everywhere calls for prevention and early treatment of kidney disease.


Specifically, WKD calls on everyone to advocate for concrete measures in every country to improve kidney care:

  • Encourage and adopt healthy lifestyles (access to clean water, exercise, healthy diet, tobacco control. Many types of kidney diseases can be prevented, delayed and/or kept under control when appropriate prevention measures are in place.
  • Make screening for kidney diseases a primary healthcare intervention including access to identification tools (e.g. urine and blood tests). Screening of high-risk individuals and early diagnosis and treatment is cost-effective to prevent or delay end-stage kidney diseases.
  • Ensure kidney patients receive basic health services they need (e.g. blood pressure and cholesterol control, essential medications) to delay disease progression without suffering financial hardship.
  • Call for transparent policies governing equitable and sustainable access to advanced health care services (e.g. dialysis and transplantation) and better financial protection (e.g. subsidies) as more resources become available. Breaking down socioeconomic barriers and expanding access to comprehensive services in order to meet the needs of the population is essential to guarantee equitable kidney care and increase quality. Taking care of your kidneys is important

Roughly 5 Lakh people in Ahmedabad are estimated to suffer from a kidney disorders. Around 8.9 % of the Gujarat state’s population suffers from chronic kidney disease. Greater awareness and early diagnosis can help tackle this problem.


Several programmes like systematic screenings, kidney check-up camps were held across all our chapters. Citizens were motivated and given health tips on how to prevent kidney diseases. Group health events like walking and bike rally were organised. To keep kidney diseases at bay regular check up of blood pressure, diabetes, family history of kidney disease, obesity etc. were suggested.

All programmes were sponsored by Fresenius Medical Care and Concord Biotech. We appreciate their support.


Himatnagar Himatnagar
   
Mehsana Rajkot




History of World Kidney Day

World Kidney Day started in 2006 and has not stopped growing ever since. Every year, the campaign highlights a particular theme.

  • 2019 Kidney Health for Everyone, Everywhere
  • 2018 Kidneys & Women’s Health. Include, Value, Empower
  • 2017 Kidney Disease & Obesity – Healthy Lifestyle for Healthy Kidneys
  • 2016 Kidney Disease in Children: Act early to prevent It!
  • 2015 Kidney Health for All
  • 2014 Chronic Kidney Disease (CKD) and aging
  • 2013 Kidneys for Life – Stop Kidney Attack!
  • 2012 Donate – Kidneys for Life – Receive
  • 2011 Protect your kidneys: Save your heart
  • 2010 Protect your kidneys: Control diabetes
  • 2009 Protect your kidneys: Keep your pressure down
  • 2008 Your amazing kidneys!
  • 2007 CKD: Common, harmful and treatable
  • 2006 Are your kidneys OK?

We had organised several programmes like awareness and detection camps at Parimal Garden, Prahladnagar Garden and M.G. Science Institute in Ahmedabad. Kidney walk was held at Bhavnagar, Vadodara and Rajkot in association with other organisations. Informative leaflets were distributed at busy cross roads in Surat and had also placed hoardings to raise awareness at various public places in Vadodara. Awareness was also given through ‘Bhavai’ in Vadodara at GandhinagarGruh .

In Ahmedabad, primary kidney function tests of almost 200 people were done . Out of 200 people , 20 people were found diabetic and 5 people with high Serum Creatinine level.

Before the ‘ Kidney Walk’, Dr.Archit Patel and Dr. Manish Dabhi, Nephrologists gave a speech on how obesity causes kidney disease and cadaveric kidney transplantation respectively at GandhinagarGruh in Vadodara . The walk was flagged off by Shri Anilbhai Patel, Director of Baroda Institute of Medical Science (BIMS). We thank Sterling Hospital and BIMS for their contribution and support.

Kidney walk at Rajkot was held in association with Shivshakti School. The walk was held from KishanparaChowk to Race Course via Jilla Panchayat and back to KishanparaChowk. All expenses were sponsored by SurakshaSetu Society, Rajkot. We thank trustees of Shivshakti School and SurakshaSetu Society for their support.

In the similar fashion, a walk of 3 km in association with Sneha Foundation and Ashwamegh Trust was organised to raise awareness from Khedutvas to nearby slum area in Bhavnagar. We thank Shri Gurupritsingh, Director of Ashwamegh Trust for their active participation and support.



Girls Polytechnic Jivantirth Loksevakendra
   
Jyotisangh Sanand Taluka
   
Camp at Prahladnagar Garden, Ahmedabad Camp at Parimal Garden, Ahmedabad
   
Kidney Walk, Bhavnagar Kidney Walk , Bhavnagar
   
Awareness Camp at Shivshakti School, Rajkot Kidney Walk, Rajkot
   
Distribution of hand outs, Surat Bhavai at Gandhinagar Gruh, Vadodara