Three weeks after Nairobi, 102 colleagues from around the world joined us online to hear what had come out of the inaugural meeting and to help shape what comes next.
The session opened with Kate Bramham setting out the Consortium’s vision and the scale of the challenge. Then came the moment that stopped the room. Megiba Kama, who developed kidney failure after her second pregnancy, shared what it was like to fall into a coma, undergo dialysis and fight her way back. She shared her story so that others do not have to live it. It was a powerful reminder of why this work matters.
Nabila Oktavani presented findings from the global survey covering 79 countries. The results were stark. Over 30% of midwives in upper middle and low-income countries had low knowledge of PrAKI. Delays in creatinine testing were widespread, driven by equipment failure, reagent shortages and patient costs. In many settings, clinical judgement was all that was available.
Kenneth Chanda shared a case from Zambia that illustrated exactly what early recognition can achieve. With the right knowledge and the right tools, a midwife can change the outcome. That is the whole point.
The session closed with an introduction to the PrAKI Toolkit and an open invitation for feedback from the global community. The response was clear. People are ready.
Report compiled by Nafisa Hussain, July 2025
The recording is available here: