Introduction

In India approximately five lakh people die annually due to shortage of donor’s organ. The shortage can be met if even 5 to 10% of the victims involved in fatal accidents serve as organ donors. Some of the reasons for not donating organs are primarily lack of awareness among the public and professionals in the field of medicine, cultural and religious barriers and misconceptions associated with organ donation. Infrastructure wise India has only a little more than 300 hospitals that are authorized to perform organ transplantation. This means only one hospital is equipped for organ transplantation and retrieval for about 43 lakh population. These are some of the issues hampering organ donation in India. Legislation on Transplantation of Human Organs Act was passed in 1994 to streamline organ donation and transplantation activities; however there seems to be ignorance of this Act among medical professionals and hence its implementation has been a challenge and more often these provisions have been misused if not abused. Adding to this, the procedure involved in obtaining clearance from appropriate authorities for performing organ donation is tedious and time consuming, thus discouraging hospitals in undertaking organ donation and transplant procedures. Some of the intricacies involved in ethical and social issues related to organ donation is hampering acceptability and willingness to donate organs.

This CME focuses on creating awareness on provider’s perspective in organ donation and challenges faced by the hospitals in undertaking organ donation and transplant procedures. The topics covered give an overview on legal and ethical framework covering organ transplantation; its advantages and disadvantages; role of transplant coordinators, role of counselors and medico social workers; government regulations, medico-legal significance, issues in organ donation; green corridor and administrative challenges in organ donation and transplantation.