Recommendations of the Research Report
Large scale awareness campaigns: It is only through Awareness programmes
that the number of deceased donations can be increased. Large-scale advertising
campaigns should aim to educate people about benefits of organ donation, clearing
all prevalent myths and misconceptions. The concept of brain death needs to be
adequately dealt with so that organs of the deceased which can be retrieved and
utilized and do not go waste. What is needed is a large scale campaign which only
the government can undertake or fund. Clear messaging by the government will
also add credibility to the cause. In fact all messaging in public places and hospitals
in the form of standees, video spots etc. have to have the government logo along
with that hospital in order to increase people’s trust.
Positive messaging on organ donation can be done using the following mediums:
- Advertising campaigns across all media (TV, Print, Radio, In-cinema ads)
- Social Media
- Celebrity endorsements
- Theater & Street Plays
- Events to promote organ donation (Marathons, Concerts etc.)
- On-ground awareness drives at Schools, Colleges, Corporate offices, Clubs etc.
Setting up of a National registry and a centrally managed Organ Donor-Recipient
Network: A central organ sharing registry or a recipient registry is an absolute
must, so that donated organs can be shared in a fair and transparent manner.
Apart from a few states, there are no sharing protocols in place. This leads to unethical
and unhealthy practices. Further, it leads to wastage of organs which is a
shame when a family has taken a courageous decision to donate. The sharing of
cost between hospitals also has to be clearly defined.
This system however will not work in the current scenario with seemingly unhealthy
and negative attitudes amongst the various stakeholders. There needs to be a spirit
of cooperation, sharing and the willingness to adopt from successful practices in
other parts of the country.
Mandatory declaration of brain death: There was a near unanimous response
from the medical fraternity that making the declaration of brain death mandatory
will increase instances of organ donation. Making brain death declaration mandatory
will help facilitate a discussion between the doctor/physicians and the relatives
about brain death and organ donations. It would help Transplant Coordinators
and personnel from other Departments to intervene and convince the relatives
about organ donation.
Recognizing the pivotal role of the Transplant Coordinator in the Organ Donation/
Transplant Process: It is imperative to understand and acknowledge the
pivotal role that the Transplant coordinator plays in the entire process of organ
donation and transplantation. It is only when that the hospital is able to establish a
personal rapport with the patient and the patient’s relatives, can they create a
precondition necessary to establish talk regarding organ donation later on. An increased
number of Transplant Coordinators would help in creating awareness
and also help in counseling the relatives to manage the system of organ donation.
Higher numbers of Transplant Coordinators are required in a public set-up as the
amount of patients there are significantly higher.
Improve Infrastructure within public hospitals for transplantation: Transplantation
as a service should be readily available in all Government hospitals as the
majority of patients go there for treatment and many cannot afford treatment at
private hospitals. The Government also needs to take the necessary steps to improve
the infrastructural set-up at all public hospitals to store/transport organs and
train the hospital staff/personnel for organ transplantation procedures and on the
subject of brain death, and how to increase awareness regarding the same.
Non-transplant hospitals need to be involved in organ retrieval: These medical
centers (which have ICU's but are not transplant centers) are crucial because
a lot of accident victims are brought here for treatment. They should be geared up
for brain death declaration. They need to be given an incentive to be participants
in organ retrieval, and a system has to be worked out wherein they are compensated
adequately for their active involvement in the Organ Donation programme.
Sensitization of police personnel and the forensic experts: Sensitization of
police personnel and forensic experts has to be taken up on a war footing to
make all medico-legal cases smooth. Most brain death cases are accident cases
and therefore medico legal cases. They usually are difficult to handle as they do
not get cooperation from these quarters.
Provision of more opportunities for donor pledges: Provide the public with organ
donor intent forms and brochures while issuing driving licenses, Aadhar cards
and college ID cards, so they can choose to express their intent on the cards.
Emulate successful practices from other states: States such as Tamil Nadu for
instance have recorded a very high conversation rate when it comes to donating
the organs of one kin. The state has a record organ donation which is 15 times the
national average. An important step in this direction was the creation of a network
of hospitals for sharing organs. The same should be replicated in other cities, like
Delhi. The Maharashtra government made it compulsory for all non-transplant hospitals
equipped with an ICU and operation theatre to retrieve organs for harvesting
and made it mandatory for them to officially identify brain dead patients. This was a
crucial point highlighted in the primary research as well and hence, needs to be implemented
in the Delhi/NCR region.
The full report can be accessed here ORGAN Research Report
ORGAN India's Research Report Release Event
ORGAN (Organ Receiving & Giving Awareness Network) India, in partnership with
the MOHAN Foundation released the Research Report on the state of organ donation
in Delhi/NCR at the India Habitat Center, Lodhi Road on July 26, 2014. The report,
titled “The Study of the Deceased Organ Donation Environment in Delhi/NCR”,
researched and compiled by Outline India, was released by Mrs. Kirti Parashar in
the presence of Dr. NS Dharamshaktu, Deputy Director General, Directorate General
of Health Services, Ministry of Health and Family Welfare, Govt. of India, Dr.
DS Rana, Chairman, Sir Gangaram Hospital, Mr. Daljit Singh, President, Fortis
Healthcare Limited, and Mr. P Khanna, Vice President, Hero Corporate Services
Limited, Insurance Division, amongst other distinguished guests.
A lovely music concert by Sonam Kalra & the Sufi Gospel Project made the evening
memorable for the audience. Anika Parashar, Trustee, Parashar Foundation,
thanked Shefali Munjal and Hero Corporate Services Limited for their gracious support
in sponsoring the event. ORGAN India CEO, Sunayana Singh presented Mr. P
Khanna with a bouquet of flowers as a token of appreciation. She also thanked Dr.
Jyotsna Suri, CMD, The Lalit for all her support to ORGAN India and the research
report, along with everyone else who had gone out of their way to help ORGAN India
in our journey.
More information about the event at Research Report Release Event