National Guidelines for Organ Transplantation

• The National Organ and Tissue Transplant Organization's guidelines contained a stipulation that only allowed patients under the age of 65 to register for transplants. This rule has been abolished by the Union Health Ministry.
• The Transplantation of Human Organs Act, 1994 in India sets up a number of rules regarding the removal and preservation of human organs. Additionally, it controls the transplantation of human organs for medical treatment and to stop the trade in human organs.

About new guideline

• No Domicile Requirement: As part of the "One Country, One Policy" initiative, the domicile need to register as an organ recipient in a certain state has been eliminated.
• According to the most recent regulations, a needy patient can register to receive an organ in any state of their choosing and can also have the surgery performed there.
• Nil Registration Fee: The former registration fees levied by the states of Gujarat, Telangana, Maharashtra, and Kerala will no longer apply.
• States imposed fees ranging from Rs 5,000 to Rs 10,000 to add a patient to the waiting list for organ recipients.
• Removing the Upper Age Limit:
• Because individuals are now living longer, the upper age limit has been removed.
• Before, a patient with end-stage organ failure who was older than 65 was not permitted to register for the organ transplant, per NOTTO (National Organ and Tissue Transplant Organization) rules.

Need for New Regulations

• encompassing framework :The rules are designed to create a uniform and open regulatory framework for organ transplantation operations in India, guaranteeing that all procedures are carried out in a morally and openly manner.
• In order to establish a national transplantation policy, the Center intends to amend the Transplantation of Human Organs (Amendment) Act of 2011's regulations.
• States have varied laws, and the federal government is considering amending them to create a uniform standard that would be observed by all states in the nation.
• Health is a state concern, though. As a result, the states will not be required to abide by the rules established by the federal government.
• The guidelines call for the creation of an appropriate regulatory framework to regulate organ transplantation activities, including the creation of a national register of organ donors and recipients, in order to protect the interests of both donors and recipients.
• To urge the general people to sign up as organ donors and to promote organ donation and transplantation, the guidelines call for the creation of a public awareness campaign.
• Enhancing the standard of organ transplant services: The recommendations establish a mechanism for the accreditation of transplant centres and the performance evaluation of those centres with the goal of enhancing the standard of organ transplant services in India.

What is the Organ Transplantation Situation in India?

• The third-highest number of transplants worldwide are performed in India.
• For all transplants in 2022, organs from dead donors accounted for almost 17.8% of all procedures.
• From 837 transplantation of deceased organs in 2013 to 2,765 in 2022, the total number has increased.
• By 2022, there will have been 15,561 organ transplants overall, using organs from both deceased and living donors, up from 4,990 in 2013.
• An estimated 1.5 to 2 lakh people require a kidney transplant each year.
• In 2022, a mere 10,000 people received one. Less than 3,000 of the 80,000 patients who needed liver transplants received one in 2022.

Only 250 of the 10,000 people in need of a heart transplant received one in 2022.

Government initiatives for secure organ transplantation

• The Transplantation of Human Organs and Tissues Act (THOTA):
• To control the removal, preservation, and transplantation of human organs and tissues for therapeutic purposes, the THOTA was enacted in 1994 and revised in 2011.
• The National Organ and Tissue Transplant Organization (NOTTO) was founded: In order to organise organ donation and transplantation activities across the nation, the NOTTO was founded in 2014. The group is in charge of encouraging organ donation, keeping a national registry of donors and recipients, and making sure organ transplant procedures are carried out safely and morally.
• Transplant centre accreditation: A system for accrediting transplant centres in the nation has been established by the government. The credentials and expertise of the medical staff, the infrastructure and facilities at the centre, and the effectiveness and security of the transplantation operations are some of the factors that determine whether a facility is accredited.
• Public awareness campaigns: These initiatives seek to inform the general public of the value of organ donation and to persuade people to sign up as donors.
• Use of technology: The government is utilising technology to improve the efficiency and transparency of the organ transplantation procedure.

Way forward

• We can increase the number of potential donors and make organ and tissue donation more accessible by raising awareness, educating the general public, and enhancing the donation procedure.

The public hospitals need to expand their infrastructure so they can perform transplants and give the poor access to affordable, high-quality care in order to improve the availability of donated organs to weaker populations.