CKD Prevalence
17%+
Of Indian adults are estimated to be living with chronic kidney disease — one of the highest national prevalences in the world.
For Government & Policymakers · Public Health Partnership
When India writes its renal care policy,
the data should be Indian.
AKC has spent eighteen years building the country's first comprehensive renal data system, training a generation of nephrologists, and operating dialysis at every scale — from PMJAY to private. We bring this infrastructure to the table as a civic asset, not a commercial one.
The Public Health Case
Kidney disease is among India's most under-recognised public health crises.
It is silent, expensive, and chronic. It is disproportionately driven by diabetes and hypertension — conditions that have surged across India over the past two decades. And it is poorly visible in our national health data, which makes it hard to legislate, fund, and address at the scale it deserves.
At-Risk Population
220M
Indians at risk — the scale of the at-risk cohort exceeds the total population of most countries.
Dialysis Access
~25%
Of population medically requiring dialysis are receiving it.
The Civic Thesis
AKC offers government and policy partners an institutional ally, not a vendor — one that has spent eighteen years building exactly the kinds of infrastructure that kidney care in India needs: a national data system, a clinical training pipeline, an operations capability proven across schemes, and a clinical voice that has earned the right to speak on policy.AKC · Public Health Partnership Brief · 2026
Four Areas of Collaboration
Where AKC
can serve the country's mandate.
Each chapter below is a concrete offer — the kind that arrives at the table with a track record, a structure, and the discipline to be useful, not just willing.
I
Area One
A National Resource
The Indian Renal Data System
Every major nephrology nation has a national renal registry — USRDS in America, UKRR in Britain, ANZDATA in Australia, ERA in Europe.India does not. AKC has spent years building one.
The Indian Renal Data System (IRDS) is the country's first comprehensive, prospectively collected, multi-centre renal registry. It captures dialysis outcomes, CKD progression, transplant tracking, vascular access patency, anaemia management, and mortality — structured for clinical research and policy use.
AKC offers IRDS to the country as a civic asset. The data infrastructure was built inside AKC, but the purpose has always been national. We invite government agencies — ICMR, the Ministry of Health and Family Welfare, NITI Aayog, state health departments — to use it for the policy work it was built to support.
What partnership on IRDS can look like
- Evidence base for national renal policy — prevalence, incidence, outcomes, geographic and demographic distribution
- National benchmark for quality — adequacy, mortality, hospitalisation, access patency across centres and regions
- Government-sponsored research collaboration with ICMR, AIIMS, and other national institutes
- Public health surveillance integration with the National NCD Programme
- Identification of access gaps — geographic and demographic underservice mapping
- India's voice in international registries — ISN, ERA, USRDS comparative datasets
II
Area Two
Scheme Implementation at Scale
Public Health Partnerships
AKC has experience operating dialysis under government schemes — at the economics of scheme reimbursement, with the quality of an institutional network, and at the scale public health demands.
India's public schemes — PMJAY / Ayushman Bharat, the National Dialysis Programme, state-level schemes, CGHS, ECHS, ESIC — have made dialysis access dramatically more equitable. But scheme implementation only works when the operating partner can deliver quality at scheme economics. This is the operational discipline AKC was built for.
We work with state health departments and central agencies to operate scheme-funded dialysis units, expand kidney-care infrastructure into underserved geographies, and ensure that every scheme patient receives care indistinguishable in quality from a private patient at the same centre.
What partnership on public health can look like
- Public-Private Partnerships (PPP) for scheme-funded dialysis units
- Operation of National Dialysis Programme centres at district hospitals
- PMJAY / Ayushman Bharat empanelment and delivery with audit-ready reporting
- State scheme partnerships — structured for each state's framework and reimbursement model
- Tier 2 and tier 3 expansion into geographies with poor existing access
- Quality assurance and reporting frameworks built for public-sector accountability
III
Area Three
Earned Voice, Quietly Offered
Policy Advocacy
Through its founders, its clinical leadership, and its data, AKC offers government an informed, evidence-based voice in shaping Indian renal care policy — without the commercial agenda that compromises most industry contributions.
Indian renal care policy is being actively rewritten — from quality standards for dialysis units, to reimbursement frameworks under PMJAY, to the National Organ Transplantation Programme, to NCD surveillance integration. Each of these conversations benefits from clinical and operational voices that have earned the right to speak.
AKC's founders — with 85+ collective publications, positions at Bombay Hospital, Nanavati Max, Hiranandani, and faculty roles in international nephrology societies — are available to contribute to government committees, evidence consultations, and policy reviews. We bring the clinical view, the operational view, and the data view.
What partnership on policy can look like
- Subject matter experts for government committees on renal care, dialysis, and transplant
- Evidence-based policy briefs drawing on IRDS data and operational learning
- National quality standards for dialysis units — adequacy, water purity, vascular access, infection control
- Reimbursement framework consultation — understanding the unit economics of quality dialysis at scheme rates
- Policy roundtables hosted by AKC for state and national stakeholders
- WHO, ICMR, NITI Aayog consultation participation
- Collaborated with EY and NATHEALTH to shape a national Dialysis White Paper, advancing evidence-based policy recommendations for better kidney care across India
From Promise to Practice
Where AKC already runs public-private partnerships.
Our public partnership work is not theoretical. It is operational, across six Indian geographies today— with active programmes serving scheme-eligible patients to thesame clinical standard as every other AKC patient on every other dialysis chair in the network.
Six Active PPP Geographies · Pan-India Footprint · State & Central Scheme Coverage
Madhya Pradesh
Telangana
Goa
Maharashtra
Delhi
Rajasthan
Across these six geographies, AKC's PPP work spans state government partnerships, central scheme delivery, and district-level public health frameworks.The partnership pipeline extends to further states under the National Dialysis Programme and various state-level scheme structures — each engagement structured around the partner's mandate, not ours.
Alignment with National Priorities
Working inside the country's stated agenda — not parallel to it.
AKC's work maps directly onto the central and state government's existing renal-care and non-communicable-disease commitments. Partnership is not about creating new agendas; it is about delivering on the ones already in place.
i.
Prime Minister National Dialysis Programme (PMNDP)
Public-private dialysis delivery in district hospitals — AKC operates at the operational standard the programme was designed to achieve.
ii.
Ayushman Bharat & PMJAY
Empanelled scheme delivery, transparent reporting, audit-ready operations — consistent with India's largest public health insurance programme.
How to Engage
Begin the conversation.We have time, and patience, and substance.
AKC's government and policy engagements are led directly by our founders and the office of the CEO. The materials below open the conversation; the depth that follows is private, structured, and as fast or as patient as the partner requires.
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