Perspective on organ donation in India: A comprehensive review

Mohan, Lalitha; Selvam, T. Thanga Panneer

doi:10.18231/j.jchm.2020.017

Cited by 6 publications

(9 citation statements)

References 15 publications

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“…Furthermore, India is regarded as a destination of choice for overseas nationals wanting optimally priced good healthcare services in a country with a very well-authorized healthcare system. In addition, there have also been a few episodes of organ smuggling in India that have resulted in opposition or unwanted headlines, but various remedial initiatives have indeed been implemented so far to eliminate this threat [2].…”

Section: Current Organ Donation Scenariomentioning

confidence: 99%

“…We frequently see requests for donations on media platforms, in the newspaper, and on the wayside, billboards to support underprivileged individuals in the need of organ transplants. The majority of transplants in India are funded through societal contributions instead of government funds [2].…”

Section: F Financial Concernsmentioning

confidence: 99%

“…There really is no need for living organ donors, even if organs from 5%-8% of total brain death patients were retrieved properly. The problem of organ wastage is even worse if seen in the context of cardiac donations [2] .…”

Section: F Financial Concernsmentioning

confidence: 99%

“…Organ donation is regarded as a sacred act since it entails the sharing of life's spirit. It has been observed that a single individual can donate up to 25 different organs/tissues post psychological and medical screening and a single donor's organs can save up to a maximum of eight life [2]. The purpose of this article is to set out the close link between shortage of organ supply, its relation to the various factors contributing to it along with the certain suggestions in which we can counter these challenges.…”

Section: Introductionmentioning

confidence: 99%

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Assessing the Roadblocks to Organ Donation

Sherawat

Dhande

2021

JPRI

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There has been a significant propulsion in the growth rate of organ failure across the globe in the recent times and major contributor for the same is rising graph of non-communicable diseases, especially diabetes and hypertension in developing countries like India. For patients with end- stage organ disease, organ transplantation is the most desired therapeutic option but according to the current estimates, there is a substantial discrepancy between the organ supply and demand ratio as organ transplantation serves only to less than 10% of the global need of organ donations. These figures thereby necessitates the action towards the promotion of organ donation at various levels. Despite massive advancements in the intricate procedure that occurs between organ donor identification and transplantation and overcoming challenges such as a lack of knowledge, financial restraints, and insufficient transplant facilities, there is still a perennial inability to meet the needs of donors across the country. Varying beliefs and cultures reflect different regulations and donation practices among different groups, posing a challenge to the standardized processes. The purpose of this article is to set out the close link between shortage of organ supply, its relation to the various factors contributing to it along with the certain suggestions in which we can counter these challenges. This article also provides a brief overview of the origin and evolution of India's Transplantation of Human Organ Act, in the hope that our experience in drafting legislation governing organ transplantation may be useful to ones who are considering or overseeing this life-saving procedure.

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Section: Current Organ Donation Scenariomentioning

confidence: 99%

Section: F Financial Concernsmentioning

confidence: 99%

Section: F Financial Concernsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessing the Roadblocks to Organ Donation

Sherawat

Dhande

2021

JPRI

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“…About eight people's lives could be saved just by one organ donor, according to the Organ procurement of Transplant Network. 5 Unfortunately, India's deceased organ donation rate is dreadfully low at 0.34 per million population (PMP) compared to a country like Spain, with a donation rate of 36 PMP. 3,6 This resulted in organ donation scarcity in India, which can be addressed even if only 5-10% of the persons involved in fatal accidents serve as organ donors.…”

Section: Introductionmentioning

confidence: 99%

Complexity of Decision-Making!: Case Studies of Cadaveric Organ Donations in Ahmedabad, India

Saxena¹,

Yasobant²,

Trivedi³

et al. 2022

RMHP

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Background:The disequilibrium in the demand-supply nexus of organ donation prevails an urgent need for understanding the process and cascade of the donation. There is a lack of evidence in organ donation literature within India that focuses on factors influencing familial consent, the decision-making process, and psychosocial factors that can predict successful organ donation. Such evidence can assist in designing interventions and policy dialogue focusing on the discussion on enhancing donation decisions with relatives. Thus, the present study is an effort to document the decision-making complexity systematically among successful cadaveric organ donation cases. Methods: A qualitative exploratory, including the network assessment was implemented between October 2021 and February 2022 in one of the western states of India, Gujarat. A semi-structured interview guide that was comprised of thematic, open-ended questions focused on understanding the network for the decision-making process was prepared, and trained interviewers conducted the interview at the suitable place of the donor's relative. Results: The 10 interviews among the closest relatives of the deceased were conducted and the decision-making process indicated the involvement of multiple actors. The social network analysis reveals a minimum node of 2 to 7, with the highest ties of 22. The maximal degree was 3.6, and the density of 1 of these networks. Out of 10, in most cases, the ties were more than 2, with a maximum of 22 ties, which shows that more people communicated to each other before the final decision-making. Conclusion:The analysis indicates that the decision-making for deceased organ donation is a complex process as in most cases, multiple family members were involved and interaction happened before the final decision-making. The study explains the decisionmaking during the cadaveric organ donation process by exploring families' experiences. Further research is recommended to generate evidence on the factors and the family dynamics, including the complexity of successful organ donation.

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An empirical investigation on the impact of attitudes towards organ donation in India

Nayak

2023

F1000Res

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Background: Organ shortage is a global issue and it is imperative to take steps to bridge this gap. In the Indian context, despite its demographic dividend, the rate of organ donation has been abysmally low. This emphasizes a need to demystify the antecedents of organ donation intention among the Indian population. Methods: Using a cross-sectional research design and adopting a post-positivism research philosophy, this study identified 259 respondents by adopting a purposive sampling approach and data on knowledge of organ donation was collected using a structured, pretested questionnaire. Results: Awareness of organ donation law in India is low on specific issues and respondents from the health science & medicine discipline scored better on knowledge about organ donation. The findings show that most participants had heard about organ donation and had a favourable attitude toward it. The primary sources of information on organ donation were television and newspapers, and healthcare service providers. A complementary partial median is established (β = .217, t = 5.889, p < .001) which implies that willingness to discuss with family significantly mediates the association between attitude towards organ & tissue donation and willingness to sign the donor card. Conclusion: This study revealed that there is a general awareness of organ and tissue donation among the Indian population, but they lack clarity on certain specific issues. Mass media has to be effectively used to build awareness campaigns revolving around enhancing knowledge on a specific issue and building acceptance of the concept of organ and tissue donation.

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Perspective on organ donation in India: A comprehensive review

Cited by 6 publications

References 15 publications

Assessing the Roadblocks to Organ Donation

Assessing the Roadblocks to Organ Donation

Complexity of Decision-Making!: Case Studies of Cadaveric Organ Donations in Ahmedabad, India

An empirical investigation on the impact of attitudes towards organ donation in India

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