Councilor Jessica M. Bonguyan has formally proposed the establishment of a comprehensive Pediatric Kidney Disease Screening and Early Detection Program in Davao City, responding to alarming increases in chronic kidney disease cases among children throughout the region.
Addressing a Growing Public Health Concern
Speaking before the Sangguniang Panlungsod on Tuesday, January 20, 2026, Councilor Bonguyan highlighted what she described as a significant public health emergency. She presented data indicating that chronic kidney disease cases among children are increasing at an estimated annual rate of 12 to 15 percent, creating what she termed a critical situation requiring immediate legislative action.
"Without early detection and intervention, chronic kidney disease may progress to end-stage renal disease, requiring lifelong dialysis or kidney transplantation," Bonguyan emphasized during her privilege speech. "These treatments are physically exhausting, emotionally draining, and financially devastating for families and the healthcare system."
Current Statistics and Regional Impact
Currently, approximately 2,400 patients throughout the Davao Region are receiving treatment for chronic kidney disease and kidney failure, with documented cases rising consistently each year. Health experts have identified Davao City as having one of the highest concentrations of kidney disease cases nationwide, making the proposed program particularly urgent for this urban center.
According to Dr. Rachel Pableo Esquivel, a nephrologist with the Mindanao Chapter of the Philippine Society of Nephrology, most patients only seek hospital care after serious symptoms become apparent. This delayed response pattern contributes to poorer health outcomes and more complex treatment requirements.
The Silent Nature of Kidney Disease
The World Health Organization classifies chronic kidney disease as a "silent" condition because symptoms typically manifest only during advanced stages. Early indicators that parents and caregivers should monitor include:
- Frequent urination during nighttime hours
- Foamy or bubbly urine appearance
- Persistent fatigue and low energy levels
- Noticeable swelling in hands, feet, or ankles
- Puffiness around the eyes, particularly in mornings
- Difficult-to-control high blood pressure
Without timely intervention programs, global projections indicate that age-standardized death rates from kidney disease could increase by 33 percent, while disability-adjusted life years may rise by 28 percent.
Legislative Pathway Forward
Councilor Bonguyan has moved for her privilege speech to be considered as a first reading of proposed legislation, with the intention that it will be forwarded to the Committee on Health for comprehensive review and development. The ultimate goal is to create formal legislation that supports early medical intervention while safeguarding community health through preventive measures.
Addressing Healthcare Disparities
Beyond medical considerations, Bonguyan stressed that chronic kidney disease represents a significant social equity issue. Children from low-income families are disproportionately affected due to limited access to preventive healthcare services and screening programs. This disparity creates what she described as a two-tiered healthcare system where economic circumstances determine health outcomes.
"Launching early screening programs can prevent needless suffering, reduce long-term medical expenses, and foster healthier future generations," Bonguyan asserted. "Protecting children's health today is an investment in a stronger, healthier Davao City tomorrow."
The proposed program aims to establish regular screening protocols in schools and community health centers throughout Davao City, potentially serving as a model for other Philippine cities facing similar kidney disease challenges among pediatric populations.
