**4.4 Dearth of skilled transplant workforce**

Health-workforce is the backbone of any health care system. Transplantation involves collaboration of many health professionals (nephrologists, transplant surgeons, urologists, renal nurses, pathologists, etc.). Worldwide transplant workforce and training capacity remain unknown. Of the 47 countries in SSA, only 15 (32.6%) had data on the number of nephrologists in their countries. Nigeria and South Africa have the greatest number of nephrologists with rates <10 per 10,000 population while others have < two per 10,000 population [3]. The situation is worse for other specialists involved in transplantation. Opportunities for training and employment have caused brain drain to developed countries from LRCs [3].
