A medical center which established the first-ever hemodialysis unit in St. Vincent and the Grenadines

and is a provider of diagnostic services and has established a Well Woman Clinic where the needs of our patients are the focus of our attention as we Provide Solutions with Care.

Why Health Solutions?

Due to our focus on patient needs in attaining desired health outcomes, patients utilize our services for the following reasons:

  • Employing best international practices and technology in the provision of  services;
  • Safe and reliable treatment environment;
  • Highly trained and professional staff

In addition, the Management and Staff at Health Solutions Inc. takes great pride in providing the following services to its patients and the greater population in St. Vincent and the Grenadines:


Community Education

Community education is provided to groups and organizations upon request regarding the following areas:

  • Hypertension (HTN);
  • Diabetes (DM);
  • Chronic Kidney Disease (CKD);
  • End stage renal disease (ESRD); and
  • Woman’s Health

Medical Management

If End Stage Renal Disease (ESRD) is diagnosed in any patient, the ESRD stage is confirmed and patient is educated on the disease and monitored in the community to slow down the progression of the disease and education for life style changes is provided.

Patients with stage IV ESRD are educated regarding dialysis options, access site is created for when patient becomes at stage V and requires dialysis.

Medical Management: Renal diet education is provided to patients who have ESRD and do not yet require dialysis and  also to dialysis patients.

Medical Management: Hemodialysis is provided to patients with Stage V ESRD, medical team managed the patients

For diagnostic results obtained by patients who utilize our facility, our cadre of medical professionals will render suitable advice and treatment options.

At Health Solutions we are ready and able to provide the appropriate medical management for all patients due to the wealth of experience of our team along with our solid network of medical professionals.


Patient Evaluation and Treatment

We evaluate and treat persons who may develop symptoms of Hypertension (HTN) and/or Diabetes (DM) and need to be placed on a medical regime.

In addition, we screen persons who wish to have their renal function evaluated with the aim of ruling out Chronic Kidney Disease (CKD)/End stage renal disease (ESRD).

We provide a range of primary health care services that include but are not limited to family planning and sexual health services.  In addition to providing preventative care to our patients, our aspiration is to become a champion of women’s sexual health at every life stage and can deliver the best possible advice and care to women.



When called to the hospital by the medical team, evaluation is done for patients who are in hospital due to Kidney Failure and requiring hemodialysis.

We evaluate and treat patients with renal related issues such as Glomerulonephritis, polycystic kidney disease, Pyelonephritis, Nephrotic syndrome, Renal calculus etc

As part of our Well Woman Clinic, we ensure the following screening and/or examination of breast and gynecological diseases and may include many if not all of the following procedures / processes:

  • Gynecological exam
  • Common gynaecological conditions (e.g Fibroids, Cysts, adhesions, endometriosis)
  • Heavy period and abnormal bleeding
  • Prolapsed uterus
  • Pap Smear
  • Screening/Annual Medicals
  • Contraception
  • Breast examinations
  • Breast Biopsy
  • Care for STDs
  • Healthy aging

About Us

A group of doctors and nurses are standing together in a medical office. One stands in front of the others as they all look forward and smile.

Health Solutions Inc.

Health Solutions Inc. (HSI) is a privately-owned medical services provider in St. Vincent and the Grenadines (SVG) that first opened its doors in 2012 through its initial service offering as the first ever established outpatient hemodialysis unit in SVG and one of the reference centres for the diagnosis and treatment of chronic renal pathologies in SVG.  HSI is not only proud to serve the needs of those who require dialysis but it has expanded its services to incorporate a diagnostic unit and the offering of a Well Woman Clinic to persons in SVG, the CARICOM and internationally who visit SVG for business or pleasure.

Our Belief

We believe in the importance of having warm and therapeutic relations with our patients during treatments and in the delivery of our services: our approach is based on respect, efficiency and honesty.

The patients who entrust themselves to our care immediately notice the comforting mood and helpfulness of the medical and management staff. Thanks to their extended experience, our staff recognizes the needs of our patients with chronic and complex medical conditions, whether it be a complicated haemodialysis sessions OR an invasive gynecological procedure.

Our Approach

Our approach is holistic, aiming to the general well-being of the patient. We don’t just rely on efficient equipment, but we look for the best conditions to handle medical conditions as they arise.

Overall education is provided to our patients and their families to ensure understanding of their condition.

Our Support

Living with kidney disease is manageable, we are there to support you, but remember that you as a patient also have an important role to play; your active cooperation is a very important aspect – much more that is normally expected from non-renal patients.

Our nursing staff not only possesses the formal training and a wealth of experience to handle treatment of end-stage renal patients who require haemodialysis but our management team and consulting specialists comprise of individuals with immense international experience in nursing, surgical and transplant procedures and nephrology.

For patients who enlist our diagnostic services, please rest assured that our radiologist and sonographer will ensure you not only receive the best quality images required but that the report of any or all findings are properly communicated with you and/or your medical provider.

From an obstetric or gynecological standpoint, our specialist and nursing staff will ensure you receive the information and guidance with any condition that may arise and arrange for any further procedures that may be required as part of your treatment plan.

Our Team

Health Solutions Inc. is proud to have a team with over 100 years of combined work experience in nephrology, kidney transplant, general surgery, radiology, sonography, obstetrics, gynecology and nursing that provides tremendous comfort to the overall patient experience at our facility.

It is critical for any kidney disease patient to develop a trusting and collaborative relationship with your kidney care facility and their team. Health Solutions acts as your partner in this process along with your family and friends to assist in adaptation to treatments and medications involved in the care of someone with kidney disease.


Dr. Nazim Boris Mohammed M.D. MSc.(UK) FASN


Dr. Malcolm Samuel


Dr. Fidel Shilendra Rampersad

Managing Director

Pauline Garabedian-DeFreitas RN


Any dialysis patient is aware of the time spent at a treatment facility to maintain a quality of life that you deserve. All patients at Health Solutions are provided with a safe and comfortable environment as you will be spending a great amount of time with us and we want to ensure that your experience is a positive one at all times.

Every patient at Health Solutions benefits from the following features at our facility:

  • Knowledgeable and experienced management and staff;
  • Modern and well maintained machinery employed;
  • light refreshments and snacks are available at no cost
  • The unit is an infection free unit

What Is Hemodialysis ?

Hemodialysis is a way to remove waste products and excess fluid from the blood when the kidneys are no longer able to do their job adequately. In hemodialysis, blood is removed from the body and filtered through a filter called a dialyzer (artificial kidney) and the filtered blood is returned to the body.

One important step before beginning hemodialysis is preparing a vascular access, a site on your body from which your blood is removed and returned. It will allow for easier and more efficient removal and replacement of your blood with fewer complications. There are three main types of access points for hemodialysis: arteriovenous (AV) fistula, AV graft and central venous catheter.

What happens during hemodialysis?

During the typical dialysis session, the patient will need to sit or lie comfortably in a chair or bed, where he/she can read, listen to music, watch TV or sleep. Patients are also welcome to use their mobile phone to make any calls, work on a PC, or socializing with other patients. (Free Wi-Fi is provided).

Health Solutions Inc. uses High-flux dialyzers for hemodialysis which allows removal of both small and middle molecular weight solutes and in turn improves the results of dialysis for the patient.

Once the patient is settled in, using sterile technique the patient is connected to the machine to begin dialysis. The lines and the dialyzer are connected to the dialysis machine. The machine safely controls the flow of blood through the blood pump. Each patient based on their prescribed renal regime will have specific settings placed into the machine to ensure appropriate dialysis clearances and adequate fluid removal is achieved. A complete dialysis session usually lasts between 3.5 – 4 hours. The ideal dialysis recommendation regime is dialysis minimum 3 times a week with 3.5 – 4 hour sessions each.

Nurses periodically monitor both the patient and the dialysis machine to ensure patient stability.

Is Hemodialysis Painful?

Hemodialysis itself is not painful. However, it is possible for the patient to experience some side effects. It is quite common to feel tired after a long session of dialysis. Some patients may have nausea, feel dizzy or have muscle cramps during dialysis. If you have any of these problems, the medical staff will do everything possible to help you cope and re-evaluate your prescribed regime to avoid it from happening again.

Access Site And Care

Apart from the providing as safe and comfortable treatment environment, it is assuring for any patient that the medical management and staff are knowledgeable but possess the requisite experience in providing top quality care to all patients.

Health Solutions prides itself on having a management and nursing team with over 100 years of combined work experience in nephrology, kidney transplant, general surgery and dialysis nursing that provides tremendous comfort to the overall patient experience at our facility.

Fistula, Graft And Catheter Access Sites

Fistula (Vascular) Access:

Through a surgical procedure, an AV fistula connects your artery directly to a vein, typically in the forearm. Connecting the artery to the vein causes more blood to flow into the vein. As a result, the vein grows larger and stronger, making repeated needle insertions for hemodialysis treatments easier. This method is often ideal because your own tissue is used, decreasing the chance of infection and clotting. Keep in mind, when a fistula access is created you will need to give it time to “mature” for use approximately 8 – 10 weeks. To develop your new fistula, be sure to exercise your access arm by squeezing a foam ball or using hand grips as directed. This helps the fistula develop properly.

Arteriovenous Graft (Vascular) Access:

Another option is to implant a synthetic tube, or graft, to connect your artery and vein under the skin in your arm. The graft becomes an artificial vein that can be used repeatedly for needle placement and blood access during hemodialysis. A well-cared-for graft can last several years and maturation is not required.

Fistula and Graft Care:

  • Thoroughly clean your fistula before each dialysis session.
  • Touch your fistula every day to feel the rhythm of your blood flow called “thrill” (vibration). The “thrill” tells you that the blood is flowing through your access as it should be. If you do not feel the “thrill,” you should call your dialysis unit as this could signal a clot.
  • Your access site is only to be used for dialysis treatments.
  • Do not allow blood to be drawn from the access.
  • Do not let anyone put a blood pressure cuff on your access arm.
  • Be careful not to bump or cut your access.
  • Do not scratch your access site as the scratching can increase the risk for infection if the surface of the skin is broken.
  • Do not wear jewellery or tight clothes over your access site.
  • Do not sleep with your access arm under your head or body.
  • Do not lift heavy objects, carry children, or put pressure on your access arm
  • Report any areas of your graft or fistula that appear to be protruding or ballooning out. This is called an aneurysm. The skin over an aneurysm may look thin and shiny.
  • Check your access point every day for signs of infection. These can include swelling, tenderness, or redness. If you experience any of these symptoms, contact your doctor.

Catheter Access:

If your kidney disease has progressed quickly, you may not have time to get a permanent vascular access before hemodialysis has to be initiated. A decision is then made to create a tunnelled catheter access site. The catheter is a long Y-shaped tube which the tip can be placed in your neck, chest or groin and is connected to a central vein. The other end of the tubing exits your skin and is attached to the tubing on the dialysis machine. Once the catheter is inserted it can be used immediately for dialysis. This choice of access is only used as a last resort as most catheters have a high infection rate and clot more frequently.


Catheter Care:

  • Do keep the catheter area clean and dry
  • Do not pinch, poke, bend or pull the catheter
  • Do not use sharp objects, such as scissors around the catheter
  • Do not open your catheter. The end caps of your catheter MUST be kept tightly closed. Only your dialysis nurse or physician should remove the caps or clamps.
  • Do not get the catheter wet in the shower. Avoid getting the waterproof dressing wet.
  • Ensure you do not go in the sea or a swimming pool
  • Contact the unit if you develop a high temperature, chills, shivering or sweating.
  • Contact the unit if you have any pain, redness or swelling around the exit site of the line.
  • Contact the unit if you notice any bleeding from the catheter site.
  • Any medical staff who touches the catheter site must undertake strict procedures to prevent infection. Ensure the dressing is not touched by anyone other than medical personnel who are familiar with using sterile technique.

Visit SVG today



Health Solutions Inc. is located on the serene tropical destination of St.Vincent and the Grenadines. More specifically our facility is located in Beachmont which is approximately a short 5 minute drive from the capital city of Kingstown where our main port is located where all cruise ships dock and approximately a 15 to 20 minutes drive from most hotels in the country. Our facility is a warm and inviting 6-station unit that offers treatments from Monday to Saturday usually starting at 6:00a.m. and running 2 to 3 shifts per day.

The facility offers the following for all patients:

  • free WiFi
  • pillows and blankets
  • both patients station rooms are equipped with flat screen TV with local cable for patient viewing
  • refreshments and snacks are available at no cost
  • catered meal is available at an additional cost
  • safe and reliable transport is also available at an affordable additional cost (cost of transport is determined on location on of pick up and drop off on island)
  • The clinic is managed by a Canadian Registered Nurse and we have highly trained dialysis nurses.
  • The unit is an infection free unit – we are unable to accommodate patients with infectious diseases such as Hepatitis B and C, HIV and MRSA)
  • Arrangement of any transport to and from cruise ships for an additional fee
  • Arrangement of all hotel accommodation and excursions for an additional fee

In order to ensure we provide a safe and effective treatment we would require information to be completed by your dialysis unit, preferably one month before you travel.

Shell washes up on tropical beach

About Saint Vincent and the Grenadines

About Saint Vincent and the Grenadines

Saint Vincent and the Grenadines an island country in the Lesser Antilles Island arc, in the southern portion of the Windward Islands, which lie at the southern end of the eastern border of the Caribbean Sea where the latter meets the Atlantic Ocean.

Its 389 km2 (150 sq mi) territory consists of the main island of Saint Vincent and the northern two-thirds of the Grenadines, which are a chain of smaller islands stretching south from Saint Vincent Island to Grenada. The main island of Saint Vincent measures 18 km (11 mi) long, 11 km (6.8 mi) in width and 344 km2 (133 sq mi) in area. From the most northern to the most southern points, the Grenadine islands belonging to Saint Vincent span 60.4 km (37.5 mi) with a combined area of 45 km2 (17 sq mi). Most of the nation lies within the Hurricane Belt.

To the north of Saint Vincent lies Saint Lucia, to the east Barbados. Saint Vincent and the Grenadines is a densely populated country (over 300 inhabitants/km2) with approximately 120,000 inhabitants.

Its capital is Kingstown, also its main port. The country has a French and British colonial history and is now part of the Organisation of Eastern Caribbean States, CARICOM, the Commonwealth of Nations, the Bolivarian Alliance for the Americas and the Community of Latin American and Caribbean States (CELAC).

Agriculture, dominated by banana production, is the most important sector of this lower-middle-income economy. The services sector, based mostly on a growing tourist industry, is also important.

Tourism Sector

The tourism sector has considerable potential for development. The filming of the Pirates of the Caribbean movies on the island has helped to expose the country to more potential visitors and investors. Growth has been stimulated by strong activity in the construction sector and an improvement in tourism.
The Argyle International Airport was recently constructed and has been in operation for over 2 years. In addition to regional flights, direct flights are arriving in SVG from North America (Toronto, Canada & New York, New York) with plans to include flight arrivals from Europe in the not too distant future. This development has greatly enhanced access to this must-see tourist destination.


When considering a holiday in SVG or any other destination kidney patients on dialysis requires additional planning, so last minute bookings are not a realistic option.

Health Solutions Inc. will liaise with your health care team to assess your suitability for travel. We will also assist in your travel plans if requested to do so as these plans must be coordinated with our facility to ensure your treatment regime is fulfilled while on holiday.

In addition, to receiving and discussing your detailed health information with your health team in your home jurisdiction, pertaining to your treatment plan, the staff at Health Solutions Inc. will even help you to arrange accommodation at a hotel or apartment close to our facility and even plan transportation and other tourist activities while visiting SVG.

Our Company is a member of the SVG Hotel and Tourism Association.

Contact Us

Kingstown, St. Vincent and the Grenadines, W.I.

Mobile: 784-434-3170
Telephone: 784-451-2836
Fax: 784-457-1294
Email: healthsolutionssvg@gmail.com


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