We burn or bury….! why not donate? A comparative study on barriers of organ donation among medical and non-medical students in Puducherry
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Background: Organ transplantation is an effective medical care for end- stage organ failure. Health professionals play an important role in raising awareness, motivating, and subsequently increasing the organ donation rates In India, "The Transplantation of Human Organs Act" was legalized in 1994. Yet, organ donation rate in India is very poor (0.34 per million) compared to developed countries. This study was done with the aim to identify the barriers of the organ donation among Medical and Non-Medical students and to compare the Knowledge, awareness and attitude towards donation among Medical and Non-Medical students.Methods: This is a cross sectional study carried out in two months duration, by the Department of Community Medicine, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry.Results: Among the 400 participants, 76 percent of students were aware of organ donation, out of which highest awareness (100%) among medical students and lowest (54%) were among arts and science students. Among the four streams, nursing and allied health science students reported better knowledge score of (11.09±2.18), whereas arts and science students reported a lower score of (8.94±2.73), p- value <0.05.Conclusions: The attitude and practice towards organ donation were similar among all streams of students. But the students related to medical field had a better awareness and knowledge compared to non-medical students.Keywords:
Medical science
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The authors explored common beliefs and preferences for posthumous and living organ donation in Australia where organ donation rates are low and little research exists. Content analysis of discussions revealed the advantage of prolonging/saving life whereas disadvantages differed according to donation context. A range of people/groups perceived to approve and disapprove of donation were identified. Barriers for posthumous donation included a family's objection, with the type of organ needed important for living donation. Motivators included knowledge about potential organ recipients. Donation preferences favored loved ones, with weaker preferences for recipients who were perceived as morally questionable or responsible for their illness.
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Waiting list
Pandemic
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To establish scientific and rational legal system, especially the criminal law system, limiting the all benefits from the organ transplantation in the proper purpose, in response to the abuse of human organs and organ transplantation. This limitation requires legal procedures and does not objectively inhibit normal activities in the areas of organ transplantation. At present, many countries and regions in the world have systematic legislations of the organ transplantation and some countries have established laws of brain death and body donation to promote organ transplantation. It has very important significance to study these laws and legislations about organ transplantation for building of our own legislation system on organ transplants in China, especially the laws associated with brain death and body donation.
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Organ transplantation is now widely considered the preferred mode of organ replacement therapy for patients suffering from organ failure. The success rate of organ transplantation goes with organ shortages. This has led to thousands of patients dying on the organ waiting list. Some have argued that human-to-human organ donation is an ethical response to the problem of organ shortages but human-to-human organ donation has not done enough to close the gap between the demand and supply of human organs. Steps need to be taken to improve the organ donation pool. The paper suggests organ farming. Organ farming is the genetic cultivation of human organs for clinical transplantation. The moral implications of organ farming include the question of human dignity, organ farming as playing God, and the destruction of embryos. From the Utilitarian standpoint, if organ farming promises to be good for the greatest number of persons it should be permitted, while the unethical practice of organ farming is regulated by law.
Economic shortage
Dignity
Organ dysfunction
Organ culture
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Organ transplantation is the only treatment option for the management of organ failure, and its success directly depends upon the balance between the demand and supply of the organs. However, the demand for organs far outpaces its supply. At the same time, most of the developed countries follow an altruistic way, which is organ donation with a will and without any form of benefit for organ supply. Thus, it can be seen that legally all who are involved in organ transplantation get some form of benefits except organ donors. Donating a vital portion of the body by putting at lifelong risk, just for the sake of altruism, can neither justify ethically nor help to meet the increased demand for organs. Ultimately this gives rise to the incident of organ trafficking in order to meet the organ demand. This research is done to know the perception of the healthcare professionals of the tertiary-care center of eastern Nepal regarding organ trafficking.
Altruism
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The purpose of this study was to examine nursing college students' knowledge of and attitudes toward brain death, organ donation and organ transplantation. The research design utilized in this study was a descriptive research design. The data were collected from September 7 to 14, 1998, by means of strutted questionnaire. To measure students' knowledge of brain death, organ donation and organ transplantation, Joo's(1995) instrument was used. The questionnaire was composed of 22 items. To measure students' attitudes toward organ donation and organ transplantation, s(1995) Instrument was used. The questionnaire was composed of 22 items. The data were analyzed by frequency, t-test, ANOVA, and Pearson's Correlation Coefficient using the SAS program. The results were as follows : 1. Students' knowledge of brain death, organ donation and organ transplantation was 9-20. The mean score was 15.36, with 22, the highest possible score. There was statistically significant difference between students' knowledge and approval on the brain death recognition group(t=9.75, p=0.002). 2. Students' altitudes toward organ do nation and organ transplantation showed is mean score of 3.61 on a 5 attitudes points Liken scale. More than 80% of respondents agreed that organ transplantation can offer a high quality of life to the recipient and is an acceptable form of medical treatment. The health care costs associated with organ transplantation are worth itif another's life can be saved. Students felt it important to help others who are very ill. Also, by donating organs, students felt a part of their own body would continue to live by making it possible for someone else to live. Only 2.9% of students objected to organ donation for religious reasons. There was statistically significant difference among students' attitudes, experienced blood donor group(t=17.04, p=0.000), approval on the brain death recognition group (t=21.06, p=0.000), organ donation agreement group(t=46.13, p=0.000).
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The old Organ Transplantation Law was issued in 1997 and had never been revised for 12 years. Brain dead donors had to leave written consent to donate their own organs as well as their family consent. The organ donation from children under 15 years old was prohibited. The majority of the patients in need of organ transplantation died of organ shortages in Japan. Many patients especially children had to travel abroad to receive organs. The amendment bill for the Organ Transplantation Law was passed in the House of Councilors on July 13, 2009. The new Organ Transplantation Law permit organ donation from brain dead donors who had not refused to donate their organs, as long as there is family consent. Children under 15 years old can become donors. This article explains the old and the new Organ Transplantation Laws and the course of the amendment.
Economic shortage
Brain dead
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Despite the increasing numbers of patients in need of organ transplantation following the increasing prevalence of chronic diseases such as CRF, chronic liver disease, disparities between the supply and demand of transplantable organs are getting increasingly widened. After the "Organ transplatation act" is enacted in 2000, brain death organ is equitably allocated by KONOS and illegal organ bargains are nearly eradicated. But unfortunately, brain death organ donation is not sufficiently activated, because of immature organ donation culture, absence of notification of potential brain death and active organ procurement system, and inflexibe organ donation processes. Ministry of Health and Welfare had made the comprehensive activation plan to solve the organ shortage problems, to increase organ procurments and transplantations at Oct. 2005. The major measures are strengthening the PR and education about organ donation, introduction of notification of potential brain death, and establishment of active organ procurement system through organ procurement organizations, strengthening of national responsibility and support.
Organ procurement
Economic shortage
Christian ministry
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