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Home / Health / India's Organ Donation Crisis: Thousands Die Waiting

India's Organ Donation Crisis: Thousands Die Waiting

8 Dec, 2025

•

Summary

  • India's deceased donation rate is a dismal 0.77 per million.
  • Spain records 49.38 deceased donations per million.
  • Legal ambiguities hinder brainstem death certification and consent.
India's Organ Donation Crisis: Thousands Die Waiting

India's organ transplantation efforts are significantly hampered by legal and procedural challenges, resulting in a dire shortage of donor organs. The nation's deceased donation rate remains critically low at 0.77 per million population, a fraction of the rates seen in countries like Spain, which records 49.38 per million.

Key issues include legal uncertainties surrounding the certification of Brainstem Death (BSD) and the process for obtaining consent for organ donation. Ambiguities exist on whether BSD is legally equivalent to cardiac death and when consent should be sought, leading to delays and missed opportunities for transplants. The existing laws are deemed sufficient but require clearer implementation.

Amendments are proposed to streamline BSD certification in all hospitals with Intensive Care Units, not just registered transplant centers, to expand the donor pool. Addressing these ambiguities and bureaucratic hurdles is crucial to save thousands of lives lost annually due to the organ scarcity.

Disclaimer: This story has been auto-aggregated and auto-summarised by a computer program. This story has not been edited or created by the Feedzop team.
BSD certification signifies the irreversible cessation of all brain-stem functions, legally recognized as death in India under the Transplantation of Human Organs and Tissues Act, 1994.
Low rates stem from legal ambiguities in BSD certification, consent procedures, and a cumbersome approval process for certifying doctors.
Improvements require clarifying legal definitions, streamlining certification processes in all ICUs, and simplifying doctor approvals to expand the donor pool.

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