Indicating a significant healthcare imbalance due to gender disparity, records of National Organ and Tissue Transplant Organization (NOTTO) revealed that between 1995 and 2021, four out of every five organ recipients were men. The low representation of women in organ transplants spelled out the urgent need of equitable access to healthcare for all, irrespective of gender.
Gender Disparity
As per records available with Ministry of Health and Family Welfare, out of the total 36640 transplants done from deceased and living donors, 29695 were done on male while 6945 were done on female between 1995 and 2021, which approximately amounted to 4 transplants done on male recipient against 1 transplant done on female recipient.
Year | Total Transplants | Male | Female | Ratio (Male: Female) |
2019 | 12666 | 9162 | 3504 | 2.61:1 |
2020 | 7443 | 5389 | 2054 | 2.62:1 |
2021 | 12259 | 9120 | 3139 | 2.91:1 |
2022 | 16041 | 11273 | 4768 | 2.36:1 |
As per a statement given by Minister of State, Ministry of Health and Family Welfare
Prof Satya Pal Singh Baghel the Government of India had implemented the National Organ Transplant Program under which steps have been taken to increase awareness on organ donation in the country. In order to narrow down the trend of gender disparity in organ transplants, regular awareness and sensitization sessions were being carried out by the Ministry of Health and Family Welfare on various ethical aspects of organ donation and transplantation for different stakeholders, namely State Government representatives, Legal representatives, Police personnel, Non-Governmental Organizations, healthcare professionals of Institutions/Hospitals, etc.
Rise in number of organ transplants in India
NOTTO records revealed that a significant 16,041 organ transplant procedures including that of Kidney, Liver, Heart, Lungs, Pancreas and Small Bowel were done in 2022.
Of all the organ transplants kidney transplants were at 11,705 including 10,164 (Live) and 1541 (Cadaver). The second highest count of organ transplants done was of Liver pegged at 3911 including 3174 (Live) and 737 (Cadaver) respectively. Heart transplants stood at third spot in 2022 with a total of 387 followed by Lungs (144), Pancreas (26) and Small Bowel (3).
Role of NOTTO
The National Organ and Tissue Transplant Organization or NOTTO is an organization functional under the Ministry of Health and Family Welfare, Government of India. It is entrusted with the task of regulating the activities for receiving, storage, distribution besides maintaining records of organs and tissue donation and transplantation carried out in the country.
Laws Related to Organ Donation in India
The Transplantation of Human Organs Act, 1994 was brought into effect to regulate receipt, storage and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs.
Top Organ Donations Statewise
State-wise Delhi topped the table in living donor transplants with 3753 transplants including Kidney (2193), Liver (1514), Heart (17) and Lungs (4). Tamil Nadu bagged stop spot in deceased donor transplants with 418 organs received from brain-dead patients including Kidney (276) and Liver (142) respectively.
Zero Organ Donation
States and Union Territories with zero organ donation and transplantations as witnessed in 2022 include Arunachal Pradesh, Mizoram, Meghalaya, Sikking, Nagaland, Tripura, Andaman and Nicobar, Lakshwadeep, Daman and Diu besides Dadra Nagar Haveli.
Top 10 states with maximum organ donation and transplants
State | Kidney (Live) | Kidney (Cadaver) | Liver (Live) | Liver (Cadaver) | Heart | Lungs | Total |
Delhi | 2193 | 56 | 1514 | 25 | 17 | 4 | 3818 |
T N | 1200 | 276 | 490 | 142 | 85 | 50 | 2245 |
Maharashtra | 894 | 162 | 328 | 92 | 30 | 12 | 1525 |
Kerala | 1092 | 28 | 331 | 13 | 0 | 6 | 1472 |
Telangana | 427 | 260 | 228 | 171 | 28 | 65 | 1179 |
W B | 1048 | 50 | 11 | 12 | 0 | 7 | 1128 |
Gujarat | 617 | 252 | 62 | 124 | 20 | 0 | 1077 |
Karnataka | 232 | 291 | 127 | 124 | 46 | 13 | 837 |
Rajasthan | 552 | 14 | 28 | 5 | 3 | 0 | 604 |