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Luc Noel   Who - Tuesday 29 - WHO guiding principles on Human Cell, Tissue and Organ Transplantation and the quest for Self-Sufficiency
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Luc Noel Who - Tuesday 29 - WHO guiding principles on Human Cell, Tissue and Organ Transplantation and the quest for Self-Sufficiency

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Luc Noel   Who - Tuesday 29 - WHO guiding principles on Human Cell, Tissue and Organ Transplantation and the quest for Self-Sufficiency Luc Noel Who - Tuesday 29 - WHO guiding principles on Human Cell, Tissue and Organ Transplantation and the quest for Self-Sufficiency Presentation Transcript

  • SYSTEMS GOVERNANCE AND SERVICE DELIVERY WHO Guiding Principleson Human Cell, Tissue and OrganTransplantation and the Quest for Self-Sufficiency." Luc Noel MD Coordinator “Clinical Procedures “ HSS/HDS/CPR World Health Organization Geneva
  • Partnerships, Collaborations2004 and Global Consultations Process Network Health authorities • National Transplantation Agencies • National Regulatory Authority • Policy makers Scientific and Professional Societies Official relation with The Transplantation Society Experts Ethicists, lawyers Patients- Donors and Recipents Civil society Every Region of the Globe and level of development Towards a Common Global Attitude to Transplantation Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • 2010 WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation GP 5 Free donation and no purchase of human transplant as such, but cost & expenditures recovery GP 6 GP 7 GP 8 GP 3 Promoting Responsibility Justifiable fees Maximizing DD No advertising for transplant origin Protecting LD GP 2 GP 4 GP 9 Death Δγ Protecting the Equitable allocation No conflict incompetent GP 1Consent DD Donor Process Recipient GP 10 Monitoring long term outcomes. Quality and safety of procedures and products GP 11 Transparency, openness to scrutiny, anonymity Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • The Pursuit of Self-sufficiency in Donation and TransplantationEquitably meeting the transplantation needs of a givenpopulation using resources from within that population.Country, sub-region, region, globe• Self-Sufficiency implies both self-reliance and sufficiency in supply• The goal of Self-Sufficiency is global as is the human right to health and dignity Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • Organ Donation and Transplantation: Striving to Achieve Self-SufficiencyThird WHO Global Consultation on Organ Donation and Transplantation, Madrid March 2010 The Madrid Resolution A new paradigm centered on national accountability 1. Preventing the need for transplantation and increasing organ availability are national responsibilities 2. Donation and transplantation reflect comprehensive health care 3. Opportunities to donate should be provided in as many circumstances of death as possible Transplantation June 15, 2011 - Volume 91 - Supplement 11S FREE at http://journals.lww.com/transplantjournal/toc/2011/06151 Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • Self Sufficiency. A New Paradigm Defragmentation to Decrease and Meet Needs Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • The Road Towards Self-Sufficiency Third WHO Global Consultation on Organ Donation and Transplantation, Madrid March 2010 - Report Transplantation Supplement June 15 2011 National Health Authorities Policy Regulation Organization Developing Education for Deceased 4D Donation from 4D Education for Donation Donors PreventionSchool Curriculum Self-Sufficiency Access for all to safe, efficient and ethical transplantation Societal Progress Societal Progress Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • The 4Ds Programme Developing Donation from Deceased Donors1. Critical pathway for organ donation from deceased persons2. Blue print for a national system for organ donation from deceased persons3. Collaborations with G/NG O for regional, sub-regional and country implementation4. Global consensus on criteria for the determination of death Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • Management of Diseases Leading to Transplantation Multidisciplinary and CollaborativeThird WHO Global Consultation on Organ Donation and Transplantation, Madrid March 2010Comprehensive management of diseases leading to end stage organfailure from prevention to treatment − Integration of prevention in health care − Transplant specialists must be promoters of prevention − Evidence based strategies and documentationIntegrated management of end stage renal failure with the objective toincrease access to transplantation − Collaboration between policy makers professionals and health payers − Consolidation of RRT’s − Transparency and indicators for efficiency Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • Levels of Transplantation CapabilityThird WHO Global Consultation on Organ Donation and Transplantation, Madrid March 2010 1. Legal and regulatory frameworks and implementation 2. Resources and professional development for transplant services 3. Resources and professional development for donation and coordination 4. Government resourcing 5. Community involvement 6. Assessing and minimizing need for organs In the development of transplantation services, these components should be initiated from the very beginning on Health Systems Health System Governance Clinical and Services and Service Delivery Procedures
  • Thank younoell@who.int Health Systems Essential and Services Health Technologies