This document summarizes Indian laws and strategies around organ donation. It discusses the importance of organ donation from religious texts and provides definitions. It outlines the history of organ transplantation and current organ donation laws in India. The document analyzes ethical issues and recommends strategies to increase organ donation rates such as education campaigns, establishing a national registry, and improving infrastructure for organ transplantation in India.

1. Dr. KRISHNAVENI YS
1ST YR POST GRADUATE
DEPARTMENT OF COMMUNITY MEDICINE
JSSMC ,MYSURU
ORGAN DONATION – LAWS AND
STRATEGIES
25-Dec-181

2. CONTENTS
25-Dec-182
 IMPORTANCE OF ORGAN DONATION
 HISTORY
 DEFINITION OF ORGAN DONATION
 ETHICAL ISSUES
 ORGAN DONATION LAWS & STRATEGIES
 CONCLUSION

3. IMPORTANCE
“The Soul is invisible, knowing this you should not
grieve for body”
-Bhagvad geetha 2:25.
“The Dead sustain their bond with the living through
virtuous deeds”
-Guru Nanak,Guru Granth sahib, p143
“Whosoever saves the life of one person would be as if
he saved the life of all mankind”,
-Holy Quran chapter 5:32.
“….Freely you have received, freely give”.
– Mathew, chapter 10:8
25-Dec-183

4. DEFINITION
25-Dec-184
Organ Donation is the donation of an organ of the
human body from a living or brain dead person to
a living recipient in need of transplantation

5. Isardtrust.com
25-Dec-185

6. 25-Dec-186
 During life – Blood ,1 Kidney, part Liver, 1 lobe of
Lung, Intestine ,Bone Marrow
 After death –
home – Eyes(cornea) and Skin
Brain dead on ventilator in ICU – Eyes ,Skin,
Kidney, Liver, Heart, Intestine, Lungs, Pancreas,
Bones.
1 person can benefit 8 people

7. HISTORY
25-Dec-187
 1905 - 1st successful cornea transplant
 1917 –Skin transplant
 1954 – Kidney transplant
 1967 – Liver transplant
 1968 - Heart , Pancreas transplant
 1983 – Lung transplant
 1987 – Intestine transplant
 1998 – Hand transplant
 2011 – Uterus transplant

8. 25-Dec-188

9. 25-Dec-189

10. 25-Dec-1810
0
100000
200000
300000
400000
500000
600000
700000
800000
900000
1000000
liver
kidney
cornea
heart
lung
Chart Title
awaited Transplants

11. 25-Dec-1811
2014

12. 25-Dec-1812 0.16 per million 0.26per million

13. 25-Dec-1813

14. ETHICAL ISSUES
25-Dec-1814
 Ethical Issues Part I: The Organ Shortage
Distribution of available organs
Current distribution policy
Organ shortage ethical questions
 Ethical Issues Part II: Donor Organs
Cadaveric organ donation
Living organ donation
Alternative organs

15. Transplantation Of Human Organs Act
 1994
 Aim – regulation of removal ,storage and
transplantation for therapeutic purpose
Prevention of commercial dealing in
human organs
 Amendment 2011,
 Rules notified 2014
25-Dec-1815

16. The main provisions of the Act (including
the 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
25-Dec-1816

17. 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
center outlined
K. infrastructure, equipment requirements & guidelines &std
operating procedures for tissue banks outlined
25-Dec-1817

18. 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
25-Dec-1818

19. • : Near-relative
consent
Form 1
• : Spouse
consent
Form 2
• Other than
near-relative
donor consent
Form 3
• : Psychiatrist
evaluation of
the donor
Form 4
• HLA DNA
profiling report
Form 5
• : Self consent
for deceased
donation
Form 7
• Consent for
organ donation
from family
(also applicable
for minors)
Form 8
• : Consent for
organ donation
from unclaimed
bodies
Form 9
• Brain death
declaration
form
Form 10
• Joint transplant
application by
donor /
recipient
Form 11
• : Registration of
hospital for
organ
transplantation
Form 12
• :
Registration of
hospital for
organ retrieval
Form 13
• : Grant of
registration
Form 16
• Renewal of
registration
Fom 17
• Decision by
hospital
authorization
committee
Form 18
• Decision by
district
authorization
committee
Form 19
• : Verification of
Domicile for
non near-
relative
Form 20
• : Letter from
Embassy
Form 21 25-Dec-1819

20. Five strategies to increase
cadaveric organ donation
25-Dec-1820
1. Education
2. Mandated choice
3. Presumed consent
4. Incentives
5. Prisoners

21. Recommendations-future strategy &
Action plan
 Large-scale awareness building
 Positive messaging using media-
 Setting up of a National registry & centrally managed
Organ Donor-recipient Network
 Make Brain death declaration mandatory
 Recognizing the pivotal role of the Transplant
Coordinator in the Organ Donation/Transplant process
25-Dec-1821

22. Recommendations-future
strategy & Action plan
 Improve infrastructure within public hospital for
transplantation
 Sensitizing police personnel and forensic experts
 Non-transplant hospitals need to be involved in organ
retrieval
 Provision of more opportunities for donor pledges
 Emulate successful practices from other states
25-Dec-1822

23. 25-Dec-1823

24. WORLD ORGAN DONATION DAY 13-08-2016
25-Dec-1824

25. Zonal Coordination Committeeof
Karnataka For Transplantation
25-Dec-1825
 +91 9845006768
 +91 08026995716
 zcckbanglore@gmail.com

26. 25-Dec-1826

27. 25-Dec-1827
THEY HAVE PLEDGED FOR ORGAN DONATION

28. CONCLUSION
 Organ donation from deceased donor is in its
infancy in India.
 Concerted efforts need to be made at a National
& Local level to meet the demand for
transplantation
 A panel of experts should be constituted at
National level to empower and advise the current
decision making authority and develop a strong
and transparent National organ donation program
25-Dec-1828

29. REFERENCE
25-Dec-1829
 www.organindia.org/laws-made-easy/
 www.organdonor.gov/faqs.html
 http://w.ndtvimg.com/sites/26/2016/07/11112951/
more-to-give........
 http://www.indusem.org/wp-
content/uploads/2015/01/pdf/summary-of-round-
table-on-organdonation.pdf
 http://www.ahc.umn.edu/img/assets/26104/Organ
_Transplantation.pdf
 www.mohanfoundation.com

30. Ship of theseus
25-Dec-1830