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The Potential Of Cadaver Transplantation Programme In India

In ten years since the Transplantation of Human Organ Act was passed in India, we have not made much headway with the programme. This has been due to various reasons. //First and foremost has been lack of direction and the will to seriously consider this as an alternative to living organ donation.

There has been a lack of initiative from the Government after the act was passed. Whenever there is a kidney scandal there is a knee jerk reaction from various quarters, there is some media outcry and if the allegations seem somewhat serious a few smalltime brokers are rounded up and life carries on till another such episode come to light and the same act is repeated.

Since the act was passed everyone - doctors, hospitals, authorization committee have been accused of promoting unrelated activities, in this midst no one has actually looked at some of the other countries who have quietly marched forward with the cadaver programme by increasing their donation rate per million over the last ten years.

India is today on the threshold of taking a jump from being a developing nation towards a developed nation. This is the dream of many proud Indians including our President APJ Kalam. Let us briefly examine what has been achieved in the last 10 years as far as the cadaver programme donation and transplant programme is concerned in India -

1. The 900 odd cadaver organ transplants in 10 years have shown that we in India are capable of organizing such a programme.
2 . The cadaver transplants have been done both in government and private institution although the majority have been undertaken in private institution.
3 . The brain death certification is now widely accepted by clinicians and the protocols to certify have been standardized.
4. Few centres have shared their organs and in this respect both Tamil Nadu and Maharastra have made some commendable efforts
5. Liver and heart transplants are now a reality in India
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