There is a large gap between the number of patients needing organ transplants and the availability of organs in India. Each year, over 1.8 lakh people suffer renal failure but only around 6000 receive kidney transplants. While 25-30 thousand liver transplants are needed annually, only around 1500 are performed. Similarly, only 10-15 of the 50,000 annual heart failure cases receive heart transplants. Increased organ donation could help save many lives but India has an organ donation rate of just 0.05 per 1 lakh population compared to countries like Spain with a rate of 35 per lakh. Efforts are ongoing to promote organ donation awareness and address issues like religious myths, lack of communication and infrastructure challenges.

1. ORGAN DONATION
AWARENESS

2. What we do for ourselves will die with
us…….What we do for others remain
immortal!!!!!!

3. NOT AN UNCOMMON
SIGHT…..

4. OUTCOME
COMMON UNFORTUNATE
OUTCOME
OUTCOME CAN BE
CHANGED

5. WORLDWIDE SCENARIO

8. WHY INDIA NEEDSTO DONATE
ORGANS?
 There is a wide gap between patients who need transplants and the organs
that are available in India.
 An estimated around 1.8 lakh persons suffer from renal failure every year,
however the number of renal transplants done is around 6000 only.
 An estimated 2 lac patients die of liver failure or liver cancer annually in
India, about 10-15% of which can be saved with a timely liver transplant.
Hence about 25-30 thousand liver transplants are needed annually in India
but only about 1500 are being performed.
 Similarly about 50000 persons suffer from Heart failures annually but only
about 10 to 15 heart transplants are performed every year in India.
 In case of Cornea, about 25000 transplants are done every year against a
requirement of 1 lakh.

9. WHY INDIA NEEDSTO DONATE
ORGANS?
 Annually 1.6 lakh people die due to Road Traffic Accidents.
 67% death occurs usually due to Brain stem death.
 It means that there are 93000 potential organ donors every
year.
 But in reality, only 0.05 people donate their organs per 1 lakh
population.
 The rate of organ donation is highest in Spain (35 per 1 lakh
 population)
 In India,Tamilnadu ranks first among all states.

11. HISTORY

12. TRANSPLANT SCENARIO IN
INDIA
source: NOTTO

13. TRANSPLANT SCENARIO IN
INDIA
source: NOTTO

14. SOURCE: https://www.mohanfoundation.org/organ-donation-
transplant-resources/organ-donation-in-india.asp

15. STATE WISE SCENARIO
ODR-ORGAN DONATION RATE(PER MILLION POPULATION)

16. WHY SHOULDWE DONATE ?
 People truly need these life-saving gifts.
 It's FREE to register and donate your organs and tissues.
 You might never know when you or your loved one
might end up on the waiting list.
 You can give people the ability to be mobile.
 You can give life, even in death

17. REGISTRY
 Indian transplant registry started in the year 2005 by the efforts of the Indian
Society of Organ Transplantation and provides a fair collation and reflection of data
of participating center on trend, state, and gender related information of kidney
and liver transplant.
 NPCB provides funds to states/NGOs for corneal disease management, training,
development of eye-banks/eye donation center, and salary component of grief (eye)
counselor, hence there is central collation of data related to corneal donation.
 There were 400 eye banks in India at one point of time; however, due to
non-donation of corneas/eyes after death, significant proportion have
become nonfunctional with only 250 at present.
 Approximately 200 transplant centers in the country mostly led by private
players and NGOs.

18. LEGISLATION AND RULES
 Transplantation of Human Organ Bill was introduced in the
Lok Sabha on 20th August 1992. Transplantation of Human
Organ Act (THOA) was passed in 1994.
 This is the primary legislation related to organ donation
and transplantation in India.
 The amendment to the Act was passed by the parliament in
2011, and the rules were notified in 2014 as the
Transplantation of Human Organs and Tissue Rules – 2014

19. THE MAIN PROVISIONS OFTHE ACT
(INCLUDINGTHE AMENDMENTS
AND RULES OF 2014)
A. Brain death identified as a form of death. (Form 10 )
B. Allows transplantation from living donors and cadavers .
C. Regulatory and advisory bodies for monitoring transplantation
activity and their constitution defined.
D. Living donors - near relative or a non-related donor.
E. Swap Transplantation:
F. Authorization for organ donation after brain death

20. G. Organ retrieval permitted from any hospital with ICU facility
once registered with the appropriate authority
H. Cost borne by the recipient, institution, government, NGO or
society, and not by the donor family.
I. Procedure in medico-legal cases defined to avoid jeopardizing
determination of cause of death & delay in retrieval of organs
J. Manpower & facilities required for registration as transplant
centre outlined
K. infrastructure, equipment requirements & guidelines &std
operating procedures for tissue banks outlined

21. L. Qualification of transplant surgeons , cornea& tissue retrieval
technicians defined
M.Appointment of transplant coordinators –mandatory
N .NGO ,registered societies, trusts –require registration
O .NOTTO,ROTTO &SOTTO established, functions clearly
stated
P. registry of donors and recipients maintained
Q. Penalties for removal of organ without authority, payment
for supplying or contravening provisions of act stringent

23. PROBLEMS IN PROMOTING
ORGAN DONATION
 Religious myths
 Professional Ignorance
 Apathy to the cause
 Shy/afraid of discussing donation
 Don’t know –what to do????
 Scared of bad reputation
 Fear of litigation
 Poor communication

24. WHAT CAN BE HARVESTED?
ORGAN
LIVER
KIDNEY
HEART
INTESTINE
LUNG
PANCREAS
TISSUE
CORNEA
BONE
SKIN
HEART VALVE
BLOOD VESSELS
NERVES
TENDON

25. TYPES OF ORGAN DONATION
LIVING DONOR ORAGN
DONATION
A person during his life can donate one
kidney (the other kidney is capable of
maintaining the body functions adequately
for the donor), a portion of pancreas (half
of the pancreas is adequate for sustaining
pancreatic functions) and a part of the liver
(the segments of liver will regenerate after
a period of time in both recipient and
donor).
DECEASED DONOR ORGAN
DONATION
A person can donate multiple organ
and tissues after (brain-stem/cardiac)
death. His/her organ continues to live
in another person’s body

27. ANY AGE LIMIT FOR ORGAN
DONATION?
 Age limit for Organ Donation varies, depending upon whether it is
living donation or cadaver donation; for example in living donation,
person should be above 18 year of age, and for most of the organs
deciding factor is the person’s physical condition and not the age.
Specialist healthcare professionals decide which organs are suitable
case to case.
 Organs and tissue from people in their 70s and 80s have been
transplanted successfully all over the world.
 In the case of tissues and eyes, age usually does not matter.

28. ANY AGE LIMIT FOR ORGAN
DONATION?
 A deceased donor can generally donate the Organs &Tissues with the
age limit of:
 Kidneys, liver: up-to 70 years
 Heart, lungs: up-to 50 years
 Pancreas, Intestine: up-to 60-65 years
 Corneas, skin: up-to 100 years
Heart valves: up-to 50 years
Bone: up-to 70 years

29. HOW CANYOU BE A DONOR?
 You can be a donor by expressing your wish in the authorized
organ and tissue donation form (Form-7 As per THOA).
 You may pledge to donate your organs by signing up with our
website www.notto.nic.in and register yourself as donor or for
offline registration you may download Form 7 from our website.
 You are requested to fill the form 7 and send signed copy to
NOTTO at below mentioned address:
NATIONAL ORGAN AND TISSUETRANSPLANT ORGANISATION
4th Floor, NIOP Building, Safdarjung Hospital Campus, New Delhi-110029

31. ONGOING EFFORTS
FOR CIRCUMVENTING
THE PROBLEMS
 MOHAN (Multi-Organ Harvesting and Networking)
foundation is a philanthropic non- governmental organisation based in
south India, which works to improve organ donation and
transplantation rate.
 It is the first organisation to promote deceased organ donation and has
been in existence since 1997.
 It is also the first organisation in India to develop the system of organ
sharing system in India in 2000 by establishing the Indian Network for
Organ Sharing (INOS)

32. CAN I BE A DONOR WITH
EXISTING MEDICAL CONDITION?
 Yes, in most circumstances you can be a donor. Having a medical
condition does not necessarily prevent a person from becoming
an organ or tissue donor. The decision about whether some or
all organs or tissue are suitable for transplant is made by a
healthcare professional, taking into account your medical history.
 In very rare cases, the organs of donors with HIV or hepatitis-C
have been used to help others with the same conditions. This is
only ever carried out when both parties have the condition. All
donors have rigorous checks to guard against infection

34. GREEN CORRIDORS CONCEPT
 Green corridor refers to a special
road route that facilitates the
transportation of harvested organs
meant for transplantation to the
desired hospitals.
 The street signals are manually
operated to avoid stoppage at red
lights and to divert the traffic to
ensure a rapid transportation of the
desired organ.

40. FOR ANY FURTHER
INFORAMTION ON ORGAN
DONATION …….
www. notto.gov.in
www.mohanfoundation.org

42. SOME GREATER SAYING….