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Kidney Disease Case Study

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Kidney Disease Case Study
SCENARIO OF KIDNEY DISEASE IN INDIA
Kidney disease is a hushed killer. Almost 12 per cent of India’s population is expected to be suffering from some form of undetected kidney disease, which can cause a total kidney failure that needs dialysis and transplantation. Only 9 per cent of the patients are able to obtain kidney transplant and pay for the treatment. As many people belong to the weaker socio-economic status it is difficult to undergo dialysis which costs around Rs. 1,500 - Rs 2,200 per session in private centre’s. It has to be done thrice every week which cost around Rs 25,000 - Rs 30,000 per month. Transplantation costs nearly Rs 4-5 lakh in private hospitals and must wait for the donor. The rising incidence of diabetes, hepatitis
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Even after 21 years, only kidney donations by live donors are in trend and cadaver donations from the brain dead patients have not come up in large number. All the transplant hospitals, and non-transplant organ retrieval centers are registered under the Human Organs Transplant Act, 1994. Certification and declaration of brain death have been made mandatory. Tamil Nadu approved and regulate in 2008 making the certification obligatory. Only in few States of India, transplantation and organ donation has been carried out. Today still the idea and concept of this topic is very low in many parts of the country which by itself is a big concern.
According to TANKER Foundation 2014 in India every year, nearly 6 lakh people die due to organ failure and almost 2.5 lakh people die due to kidney failure in India. It is the third largest killer after malignancy and heart disease. Today, millions of people in our country suffer from some form of kidney
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But, organs from only about 120 are able to be retrieved, as it makes the percentage of cadaver donations a miserable 0.08 per million of the population. According to MOHAN Foundation 2014 Report in developed countries, the cadaveric donation is approximately 25 per cent to 30 per cent. This results in 90 per cent of all organs for transplants coming from brain-dead donors. In India, the greatest impediment to organ donation is the refusal of family consent, superstitious beliefs, lack of education, poor awareness level, less knowledge regarding diseases and lack of transplant coordinators. Organ donation rates could be increased by improving the quality of hospital care and ensuring that the families will be made to understand the problems and benefits of organ donation. To help the organ failure patient’s in States like Tamil Nadu, Gujarat, Maharashtra and Karnataka have started various awareness programme to promote cadaveric donation and Organ Network Sharing. As per MOHAN Foundation 2012 Report, the donation rate of Tamil Nadu tops the list which is almost 1.3 per million. According to Horton and Horton’s 1991 model of factors related to organ donation indicates that the strongest predictors of organ donation are knowledge and attitudes, with personal values playing a

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