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Draft Guidelines for Kidney Donors
Jan 13, 2016

Taking another major step towards easing rules and procedures to encourage organ donation among the masses, the National Organ and Tissue Transplant Organisation (NOTTO) under the Ministry of Health & Family Welfare has issued draft guidelines for Allocation Criteria for Deceased Donor Kidney Transplant.

  • This initiative reflects commitment to promote organ donation in the country.

  • After receiving suggestions and comments from various interest groups and organizations these guidelines will be finalised by the ministry.

  • Once finalised, these guidelines will go a long way in promoting organ donation in the country.

  • The draft guidelines include issues such as:

  • Recipient registration, listing and scoring system in the waiting list 

  • Scoring system for making priority

  • Allocation principles

  • Allocation algorithm, including criteria for urgent listing

  • Inter-state issues

A list of the government and non-government hospitals in Delhi along with those in the neighbouring area of the NCR (Gurgaon, Ghaziabad, Faridabad, Noida) have also been listed in the draft guidelines.

The hospitals in the NCR cities will be included in the networking along with hospitals of Delhi for the purpose of organ sharing and allocation with the concurrence and MoU with the respective State Governments and institutions in due course of time.

Illegal Organ Trading 

According to the World Health Organisation (WHO), South Asia is now the leading transplant hub globally, with India among the top kidney exporters. Each year more than 2,000 Indians sell their kidneys, with many of them going to foreigners.

An alarming surge in renal diseases, diabetes and high blood pressure is driving the global demand for kidneys, which greatly exceeds supply. The near-universal ban on the sale of human organs, coupled with a widespread reluctance in many cultures to donate kidneys even after death, means that patients often must spend years hooked up to dialysis machines—unless they can find a willing donor.

This gaping hole between demand and the legal supply of kidneys is being filled by what may be the world's biggest black market for organs, which criss-crosses India, Nepal, Bangladesh, Pakistan, Sri Lanka and Iran.


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