Introduction: Gender equity is a prominent issue in the medical profession. There has been a significant rise in the representation of women, but glaring discrepancies in the number who occupy lead roles as compared to men. Diversity enhances positive outcome for patients. We aim to assess the effect of gender equity initiatives Method: Analysis of relevant literature from 2000-2020, depicting gender disparity in the medical profession was done and discrepancies in the number of women to men in the higher echelons noted as also the actions taken at various levels to promote equity Results: A WHO analysis on gender equity demonstrated increasing women's representation in health since 2000, an average gender pay gap of 28%. In India the pay gap is 34%. Female conference speakers spanning a decade significantly increased from Mean of 24.6% for 40 meetings in 2007 to 34.1% for 181 meetings in 2017. Women remain under-represented in academic surgery despite increasing percentages of female surgeons and residents, who have fewer total publications and are less likely to be listed as first author. Johns Hopkins University School of Medicine (JHUSOM) initiated Gender Equity Initiative with success. Salary gap decreased from -2.6% to -0.3%, but a lag existed in promotion to full professorship despite a significant proportion at the lower faculty ranks. 5 articles published in JAMA Network Open (2018-19) showed that disparities not only limit women's career trajectories but also have a significant impact on their compensation and retirement security. The Lancet group made a public commitment to promoting gender equity and increasing women representation. The Transplantation Society's Women in Transplantation initiative has offered funding for research on sex and gender issues in solid organ transplantation and immunology. It has created the Woman Leader in Transplantation Award. Despite these endeavours, only 2 of 6 awardees of the Leslie Brent and Anthony P Monaco award for outstanding paper published in transplantation, 2 of 34 recipients of Medawar prize for outstanding contribution in the field of transplantation and 2 of 24 recipients of Thomas. E. Starzl prize in Surgery and Immunology were women showing the gross neglect. Conclusion: Gender transformative policies are needed to address inequities and eliminate gender-based discrimination in earnings and support access to professional development and leadership roles. Equal representation forms an essentiality rather than a vision.

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Background: Solid organ transplants (SOT) being the ideal replacement therapy for end organ failures, aim was to identify trends in pediatric transplants across India, its growth from 2013-2019, effect of COVID-19 pandemic, compare with global and WHO SEARO region. Methods: 2013-2020 yearly data of transplant centers, donation and transplantation submitted by identified WHO focal points in member states to GODT was collected, analyzed for pediatric patients. Results: In India 1,522 pediatric transplants (324 DDOT & 1,198 LDOT) were conducted from 2013 to 2020, majority being kidney and liver. Renal transplants exhibited seesaw graph until 2019 when a surge was witnessed followed by a drop in 2020 due to COVID-19 (Fig 1). Contrarily, liver transplants increased till 2020, COVID-19 having negligible effect. Pediatric cardiac transplants were performed in 2013, the first country in the SEARO region (11 countries). Pancreatic transplant started in 2016 and lung in 2017. Living donor transplants were more common due to limited number of pediatric DDs with resultant shortage. There were 324 DD pediatric transplants in 8 years, organs sourced from 174 DDs. India has the maximum number of kidney (560), liver (186), heart (151) and lung (78) transplant centers in the world. Only India performs all the above pediatric SOTs in SEARO, while Thailand does renal and liver transplants. India jumped from 10th to 5th place globally in the total number of pediatric transplants. Conclusions: India exhibits a rising trend in the number of pediatric renal and liver transplants. Efforts are required to increase DDs. Despite being LMIC adequately trained professionals make India the third largest transplanting country and fifth in pediatric transplants. Uniform distribution of transplant facilities is needed. Demand supply gap depicted by data can be bridged by training and dedicated transplant departments as per NOTP guidelines.