Deceased Donor Organ Donation in a Developing Country; An Early Experience in a Tertiary Care Center in Sri Lanka

Silva, Eranga Hareendra De; Godakandage, Manujaya; Peries, W.A.N.N.; Dilrukshi, L.P.; Gunasekera, T.D.S.; Fernando, Amitha; Herath, Prasad; Danansuriya, Manjula; Jasinghe, Anil; Dissanayake, Ruwan

doi:10.1097/01.tp.0000525057.34891.00

Cited by 3 publications

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“…Recently in 2018, the Senate Standing Committee on National Health Services passed a bill which will make it possible for people to donate their organs after their death (Junaidi 2018 ). Posthumous transplantation has started in neighboring India and Sri Lanka, but donation rates are still very low (Abraham et al 2016 ; De Silva et al 2017 ). The rate of posthumous organ donation in India is less than 1 per million population (pmp), which is low compared to that in developed countries (Kumar et al 2019 ).…”

Section: Posthumous Organ Transplantation In Different Countriesmentioning

confidence: 99%

Deceased Organ Transplantation in Bangladesh: The Dynamics of Bioethics, Religion and Culture

Siraj

2021

HEC Forum

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Organ transplantation from living related donors in Bangladesh first began in October 1982, and became commonplace in 1988. Cornea transplantation from posthumous donors began in 1984 and living related liver and bone marrow donor transplantation began in 2010 and 2014 respectively. The Human Organ Transplantation Act officially came into effect in Bangladesh on 13th April 1999, allowing organ donation from both brain-dead and related living donors for transplantation. Before the legislation, religious leaders issued fatwa, or religious rulings, in favor of organ transplantation. The Act was amended by the Parliament on 8th January, 2018 with the changes coming into effect shortly afterwards on 28th January. However, aside from a few posthumous corneal donations, transplantation of vital organs, such as the kidney, liver, heart, pancreas, and other body parts or organs from deceased donors, has remained absent in Bangladesh. The major question addressed in this article is why the transplantation of vital organs from deceased donors is absent in Bangladesh. In addition to the collection of secondary documents, interviews were conducted with senior transplant physicians, patients and their relatives, and the public, to learn about posthumous organ donation for transplantation. Interviews were also conducted with a medical student and two grief counselors to understand the process of counseling the families and obtaining consent to obtain posthumous cornea donations from brain-dead patients. An interview was conducted with a professional anatomist to understand the processes behind body donation for the purposes of medical study and research. Their narrative reveals that transplant physicians may be reticent to declare brain death as the stipulations of the 1999 act were unclear and vague. This study finds that Bangladeshis have strong family ties and experience anxiety around permitting separating body parts of dead relatives for organ donation for transplantation, or donating the dead body for medical study and research purposes. Posthumous organ donation for transplantation is commonly viewed as a wrong deed from a religious point of view. Religious scholars who have been consulted by the government have approved posthumous organ donation for transplantation on the grounds of necessity to save lives even though violating the human body is generally forbidden in Islam. An assessment of the dynamics of biomedicine, religion and culture leads to the conclusion that barriers to posthumous organ donation for transplantation that are perceived to be religious may actually stem from cultural attitudes. The interplay of faith, belief, religion, social norms, rituals and wider cultural attitudes with biomedicine and posthumous organ donation and transplantation is very complex. Although overcoming the barriers to organ donation for transplantation is challenging, initiation of transplantation of vital organs from deceased donors is necessary within Bangladesh. This will ensure improved healthc...

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Section: Posthumous Organ Transplantation In Different Countriesmentioning

confidence: 99%

Deceased Organ Transplantation in Bangladesh: The Dynamics of Bioethics, Religion and Culture

Siraj

2021

HEC Forum

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“…In addition to political will and extensive infrastructure, there is also a need for a committed organization with dedicated leadership, a trained human source, and networking with intensive care units (ICUs). It is, therefore, quite understandable that while the developed countries have well-established deceased donor programs, patients in developing and undeveloped countries, except a few, are deprived of this important donor source [37,38].…”

Section: Logistic Issuesmentioning

confidence: 99%

Organ Donation: Demand and Supply

Khan¹,

Khan²

2023

Current Challenges and Advances in Organ Donation and Transplantation

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With its widening indications, the need for organ transplantation is growing globally. Currently, there is a crisis of organ shortage and a dire need to adopt ways and means to overcome it to save lives and improve the quality of life of patients with end-stage organ failure. In this regard, on the one hand, efforts should be made to eliminate the barriers to organ donation, such as people’s ignorance about organ donation and ethical and religious concerns. On the other hand, strategies should be implemented to enhance organ donation, which in the case of deceased donors, include accelerating the donation process, instituting a policy of presumed or mandated consent, and utilizing extended criteria for donors. In the case of living donors, these include accepting the paired donation and removing disincentives to donation. Organ donation can also be boosted by allowing restricted compensation or reward. Using social media platforms to educate people, facilitate contacts, and match with unspecified donors is also worthwhile. In the future, xenotransplantation is also showing some promise.

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Knowledge and awareness on deceased donor skin harvest among intensive care units' staffs in national hospital of Sri Lanka

Kanesu¹,

Ekanayake²

2021

Indian Journal of Burns

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Introduction: Skin coverage is a greatest challenge in severe burns when the donor sites are limited. Early skin cover is important to reduce morbidity and mortality in severe burns. We use to harvest skin from cadavers at intensive care units (ICUs) for temporary cover of excised burn wounds. As we do not get enough cadaveric donations from ICUs, we plan to conduct this study to identify awareness and knowledge on it. Methods: We collected data from doctors and nurses working in surgical ICUs (general surgical, accident and emergency, and neurosurgical) by a self-administered questionnaire. Then, we analyzed the results by SPSS 19 data package. Results: One hundred and forty participants responded to our questionnaire including 118 nurses and 22 doctors. Only 40% (n = 48) of nurses and 60% (n = 13) of doctors were aware about cadaveric skin donation. Only 31% (n = 44) knew that tissue or blood matching is not needed for it. 88% (n = 124) knew that graft is mainly taken from thighs. Some responded as skin of the patients with comorbidities cannot be used for the transplant. Twelve percent (n = 18) knew whom to contact when the patient for cadaveric skin transplant is identified. Only 17% (n = 24) thinks that it does not cause much disfigurement to the cadaver. Thirteen percent (n = 18) did not know any details about skin donation. Conclusion: There is a knowledge deficit in ICU staffs regarding awareness and knowledge on cadaveric skin harvest. We could not compare the doctors and nurses as there were less participants in doctors. In ICUs, an awareness campaign is required. In future, this concept should be assessed in general public as well.

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Deceased Donor Organ Donation in a Developing Country; An Early Experience in a Tertiary Care Center in Sri Lanka

Cited by 3 publications

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Deceased Organ Transplantation in Bangladesh: The Dynamics of Bioethics, Religion and Culture

Deceased Organ Transplantation in Bangladesh: The Dynamics of Bioethics, Religion and Culture

Organ Donation: Demand and Supply

Knowledge and awareness on deceased donor skin harvest among intensive care units' staffs in national hospital of Sri Lanka

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