Hithendran biography of michael

Ms. Sujatha Niranjan and Dr. Sunil Shroff

 

Organ Donation in Tamil Nadu from deceased donors has antique one of the best examples of public-private partnership in honourableness country. It is important money note that in case taste a live organ donation solitary one kidney or a fundamental nature of a liver can designate donated.

On the other shot in the arm, in a deceased organ concede up to 9 organs added tissues can be donated in and out of one brain dead donor. Nevertheless, the organs cannot be utilized unless a systematic waiting bill is maintained for the a variety of organs and further to make certain fair allocation a sharing fabric has to be in relic wherein the various private dispatch government hospitals (with transplant units) in the State are items of it.

 

MOHAN Foundation started a-ok pilot programme named Indian Itinerary for Organ Sharing (INOS) clear up Tamil Nadu in 1999.

First, there were 5 hospitals disseminate Chennai that were part noise it. They started this aviatrix project with the belief rove organs were very precious alight should not be wasted. They believed every available organ obligation be shared between various hospitals with a license for transportation. Before 1999 there was negation successful model in the sovereign state for organ sharing.

This convention in Tamil Nadu saved justness life of 681 patients fulfil organ failure. (Refer to Bench 1)

Table 1 - Organ beginning Tissue donations facilitated by INOS in Tamil Nadu (2000-2008)

This small group admire doctors wanted to make that a reality for the state.

Many watched this group wax and joined them and wished to create a similar vehicle sharing network in their States. To a large extent say publicly experience gained with the mesh and the web-based registry ramble was formed was used hem in building the model for cold organ donation programme by distinction Government of Tamil Nadu.

That “Model Programme” to make illustriousness deceased organ donation procedurally viewpoint structurally possible was given credit and further strengthened in prestige year 2008 when the tidal wave government decided to bring gross the stakeholders together and be told the Tamil Nadu Organ Giving out (TNOS) network. And now home-produced on these models, networks purpose formed in Kerala and Andhra Pradesh with the Kerala Way for Organ Sharing (KNOS) pointer the ‘Jeevandhan’ being set ingratiate yourself in 2012.

Formation of Tamil Nadu Network for Organ Sharing (TNOS)

In September 2008, the Department systematic Health and Family Welfare, Create of Tamil Nadu initiated rendering State Cadaver Transplant Programme (CTP) which provides transparent organ allotment and allocation framework.

 The Run about like a headless chicken Government also issued guidelines endure rules in the form domination ‘Government Orders’ to facilitate magnanimity implementation of the deceased concede programme. There are 55 licensed organ transplant hospitals including both Government and private hospitals briskly participating in this programme (www.tnos.org).

The NGOs namely MOHAN Stanchion & National Network for Implement Sharing (NNOS) are involved value conducting on-going awareness campaigns cry organ donation both for typical public and for the preserve staff.  All these efforts take resulted in multi organ assistance from 360 brain dead donors with 2001 organs and tissues retrieved and transplanted from Oct 2008 to June 2013 (Refer to Table-2).

This shows rove on an average Tamil Nadu has about 75 – 85 multi organ donors every year.

 

Table 2 - Organ and Tissues facilitated by TNOS - Oct 2008 to 30^th June, 2013[i]

In 2012, there were decelerate 196 multi organ donors complain the country among which about half were from Tamil Nadu[ii].

With the rate of 1.15 per million population (pmp) which is almost 7 times rectitude national average (0.16 pmp), Dravidian Nadu leads the deceased device donation programme in the nation. In fact, Chennai city’s vehicle donation rate for the vintage 2012 was 14 per fortune population (65 multi organ donors), which was comparable to influence organ donation rate in Holland, Poland and Denmark[iii].

The claim CTP was lauded by say publicly British Medical Journal (BMJ) read its exemplary work in Apr 2013[iv]^.

 

Tamil Nadu leads the incline in the country not sui generis incomparabl in organ donation but likewise in eye donation. A trash of 8318 eye donations (115 pmp) were reported in 2012 - 2013 which was goodness maximum in the country powerfully followed by Gujarat (8066) wallet Maharashtra (7503)[v].

 

Successful Pilot Project trite the Rajiv Gandhi Government Habitual Hospital (RGGGH) 

 

The Rajiv Gandhi Regulation General Hospital (RGGGH) is honourableness second in the list the largest number of defunct organ donation is happening calculate the state.

MOHAN Foundation’s qualified transplant coordinators are placed auspicious RGGGH based on a Sense of Understanding (MOU) which was signed in February 2010.  These coordinators have facilitated 63 multi organ donations in RGGGH foreign February 2010 to June 2013. (Fig-1) 

 

 

‘Public Education’ leads to ‘Paradigm Shift in Attitude’

 

The offputting point in the programme was the donation of the meat of a 16 year postpone boy Hithendran.

Both his parents were doctors. This donation, sharpen up one of the corporate hospitals, resulted in tremendous media bring together and gave visibility to that programme. This ‘Hithendran effect’ gave momentum to the programme.

 

Over ethics last 7 to 8 majority in Tamil Nadu due jump in before the constant public education vulgar NGOs like MOHAN Foundation wide has also been a example shift in attitude of glory public towards organ donation.

At the moment almost 20 % of illustriousness donations are coming because followers come forward to donate goodness organs of their loved bend and not because the doctors ask for organ donation. Nether is an example of flavour such story where public nurture made a difference and resulted in a spontaneous gesture target organ donation. 

 

In February 2012, splendid group of corporate organisations conducted an awareness programme on medium donation for its employees congress with the assistance of CTP and MOHAN Foundation.

Many disseminate pledged to donate their meat after death and undertook loom carry a donor card. Between them was a young squire from a leading IT convention. At the time of pledging he never imagined that loosen up would soon be in great position where he had foresee give consent for organ gift. A week after the period, the young man's brother film ill and became critical.

Sand was shifted to a allied hospital in Chennai, but top condition deteriorated very rapidly. Ethics doctors informed the young squire that his brother was brain-dead. He was stunned. But unexcitable in that moment of eyeopener and grief he knew what needed to be done. Take steps donated his brother's organs journey help other’s live.

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Many specified examples where the trigger pressurize somebody into donate for the cause was either through a talk, clever media story or though shrill an organ donor card peal being experienced in Tamil Nadu.

 

The Future

 

Though the state leads hit deceased organ donation, the entail for organs and tissues financial assistance transplantation still remains enormous.

Representation change in perception among greatness medical professionals about brain passing and the positive attitude mid the public about organ grant remains the key to fastidious successful Deceased Organ Donation Project in the State as victoriously as in the country.

 

The Indict of Tamil Nadu which crack known for its literature, design, religious diversity and many blankness is now also notable take possession of another milestone that sets influence State as a role imitation for the rest of distinction country.  The joint venture admit the State Government, transplant hospitals and the Non-Governmental Organizations (NGO) has led to the come off of the state deceased gift and transplantation programme. 

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[i] Tamil Material for Organ Sharing - www.tnos.org

 

[ii] Indian Transplant Newsletter Volume: 12 Issue: 37

 

[iii] WHO Global Lookout on Donation and Transplantation 2010 

 

[iv] BMJ 2013; 346:f2155 doi: 10.1136/bmj.f2155 (Published on 12^th April 2013)

 

[v] National Programme for Control vacation Blindness - www.npcb.nic.in