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Friday, May 11, 2012

Enhancing organ donation awareness - Bangladesh

The Daily Star | Dr Md Rajib Hossain


When there is a need for lifesaving organ transplant, it starts with anguish wait and rigorous search for a donor. Lying on the bed, the patient in need might harbour the excruciating pain hoping to get an organ donation from a dying person or someone living with poverty (poor enough to sell own organ). S/he might have desperate hope that someone from his/her family will make enormous personal sacrifice to donate organ.

With the improvement of transplant medicine and increasing diseases that damage organs, the need for organ transplant has increased dramatically. But there is still huge gap between the demand for organ and supply where demand drastically outstrips the number of organ donors.

There are two main types of organ donation — living-donor donation and deceased or cadaveric donation. In Bangladesh, cadaveric transplant (where organs are removed surgically from donors shortly after their death or during brain death) is yet to start. By the law of the land, organs are only removed if the deceased carried an organ donor card or if family members give permission. But, there are very few people, even in the educated segment of the society who are willing to sign a donor card. Although we claim to have better family value, most of us are unwilling to donate our organ to our near or dear ones.

Kidney transplantation is very common in Bangladesh and is done from living-donor donations. Although law does not permit selling organs or taking organ from a living stranger, media reports suggest many of the transplants are happening this way, making the transplant a questionable way out. We need to identify the effective strategy to enhance the organ donation awareness and eliminate barriers behind it.

Read more: http://www.thedailystar.net/newDesign/news-details.php?nid=233745

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