send mail to support@abhimanu.com mentioning your email id and mobileno registered with us! if details not recieved
Resend Opt after 60 Sec.
By Loging in you agree to Terms of Services and Privacy Policy
Please specify
Please verify your mobile number
Login not allowed, Please logout from existing browser
Please update your name
Subscribe to Notifications
Stay updated with the latest Current affairs and other important updates regarding video Lectures, Test Schedules, live sessions etc..
Your Free user account at abhipedia has been created.
Remember, success is a journey, not a destination. Stay motivated and keep moving forward!
Refer & Earn
Enquire Now
My Abhipedia Earning
Kindly Login to view your earning
Support
According to a study, 1.5 lakh people in India are awaiting a kidney transplant; however only 3000 of them are able to receive a transplant. And 90% of people on the waiting list die without getting an organ. That’s the situation 15 years after India passed the 'Transplantation of Human Organ (THO) Act’. Since the passing of the legislation in India in 1994, it has been possible to undertake multi-organ transplant activity from brain dead donors.
The passing of Transplantation of Human Organ Act heralded a new era in Indian medicine. This legislation was written on similar likes as the UK Transplant Act. The essence of this legislation was threefold: 1. To accept brain death as also a definition of death. 2. To stop commercial dealing in organs 3. To define the first relative (father, mother, brother, sister, son, daughter and wife) who could donate organs without permission from the government. In event of the donor not being a first relative an approval had to be obtained by a government appointed authorization committee in each state of the country.
When the THO act was passed there were very few evangelist and many more detractors of this legislation. The evangelist in the country felt it would stop commercial dealing in organs, open up multi-organ transplant activity and increase the number of transplants in India. The detractors felt that this legislation was unlikely to succeed in the Indian context in view of the religious and cultural diversity, poor socio-economic background and lack of infra structural support available for implementing the cadaver transplant program.
Pre-requisites for success of program The required pre-requisite for success of the cadaver program depend on various factors and these include: 1. Positive attitude of public towards organ donation 2. Consent by relatives for organ donation in event of brain death. 3. Successful brain Death identification and certification. 4. Adequate hospital infra-structural and support logistics 5. Successful retrieval and transplantation of organs and auditing long term graft outcomes.
How it’s done Typically, a donation happens after a patient has been declared brain dead by doctors at a hospital. Immediately, coordinators/counselors try to get the consent to harvest the organs. The organs are kept alive scientifically and transported quickly to the hospital where the patient is admitted for transplantation.
Hurdles & Potential At any given time there are 8 to 10 brain dead patients in different ICU's in any major city of the country. There is hence potentially a huge pool of brain death donors available in India. Most of the hospitals undertaking cadaver transplants are either private or trust hospitals and there are very few government hospitals undertaking this program. Out of 27 states in India four states are still to enact the 'Transplant legislation' and accept brain death concepts. Hence to make the cadaver program a success a re-think of how to implement this program is necessary. One of the major hurdles seems to be the unrelated transplant activity that continues unabated. Kidney scandals still continue to haunt the country every so often.
As the cadaver program is still in infancy stage the early results of kidney cadaver transplants are acceptable. There is potentially a huge pool of brain-death patients in the country who could not only meet the local demands of organs but may be able to meet the needs of some of the neighboring countries which sometimes looks towards India for their healthcare needs. Despite the many problems in implementation of this program in India a start has been made and the first hurdle has been crossed. Education of public on concepts of brain death and having more trained transplant coordinators, allocation of resources from government and private agencies for the program and having a state based network with a central network office would help to give this program the required boost in the country.
By: Dr. Vivek Rana ProfileResourcesReport error
Access to prime resources