Please fill in the form provided for the purpose on this website and send in all related details ( including concerned doctor’s diagnosis report, source of organ availability ) by email or by post as given below
The costs of transplantation vary from 5 to 25 lakh rupees depending on the organ transplanted, the condition of the patient and the hospital where the transplant is being performed. There are several charitable institutions that recognise these challenges and they will help support individual patients and their families achieve their funding. A list of some of these charitable institutions is attached and available on this website. In addition several crowd funding platforms are available to patients. These include Ketto.com and Milaap.com. Our “Transplants – Help the Poor” foundation has a formal link up with Ketto.com for the purposes of crowdfunding for patients that approach our foundation for support.
Organ transplantation involves large multi-disciplinary teams looking after very sick patients who often have many associated conditions and need several tests. There are at least two major operations performed for each transplant procedure (one in the donor and one in the recipient) and patients require ICU admission and multiple drugs/medications during the post-operative period. Patients are required to take some drugs for life after transplantation. All this adds to costs which explains why the organ transplantation is expensive.
Early after transplantation patients are on several medications mainly to control rejection, reduce infection and help with pain control. By the time the patient reaches two to three months after surgery, most patients are on two or three drugs mainly to control the risk of rejection.
This varies from case to case. The average stay after transplantation is around two weeks and depends on the condition of the patient before surgery and whether there are any post-transplant complications.
The donor in almost all cases should be able to go back home within a week of surgery for either a kidney or liver donation. Kidney donors undergoing keyhole surgery (laparoscopic) may be able to leave the hospital earlier. Most donors are able to resume a normal working life within two to three months after surgery.
A list of hospitals that provide transplantation services is available on our website. Not all forms of transplantation may be available at these different hospitals. For example only two or three hospitals provide heart transplantation and liver transplantation for small babies is only available at one or two institutions.
It is important to choose a hospital with excellent infrastructure and a well-functioning transplant team with a good performance record. This will allow the best outcomes by reducing the chances of complications and possible infections. Understandably the financial costs of the procedure will also be have taken into consideration although this should not be the sole reason to choose a particular hospital.
With the advancement of science and technology and as the numbers of transplants performed in our country have increased, the success rates are high with most centres reporting outcomes of around 90% for liver and kidney transplantation, with similar figures for heart transplantation.
All potential live donors are very carefully assessed before being accepted for live organ donation. This involves multiple blood tests, scans and consultation with key members of the transplant team. There is also a consultation with an independent medical practitioner who is not part of the transplant team. The risks of mortality for kidney donation are low (0.03%) and a slightly higher for live lobe donation (0.2-0.3%). Post-operative complications such as infections or wound problems can occur in up to 10% of donors. Most donors are back at work within a 6 to 8 week period after surgery. All donors require life-long follow up.
Yes there are well established criteria to determine physical and psychological fitness for live donors and recipients, as well as multiple investigations to plan the transplant procedure. For kidney transplantation a tissue match (called HLA match) is desirable and a negative cross match testing donor blood with recipient serum is essential. Standar transplantation involves transplanting between matching or compatible blood groups. There are some instances where transplants are performed against blood groups (non matching or incompatible) where specific additional treatment with drugs and plasmapheresis is performed. For liver and heart transplantation donors and recipients are matched by blood group and size.
The process of organ donation can take place in any hospital with an ICU and an operating theatre provided it has been recognised and licensed as a non transplant organ retrieval centre (NTORC). These tend to be smaller hospitals. Transplant teams travel to these hospitals to perform the organ retrieval surgery and the organs are then allocated by the regulatory authorities to other hospitals that perform transplants.
Since the manner of brain death requires support for the body’s organ systems, a d person can only be diagnosed as brain dead in an ICU environment. It is for this reason that brain dead donors are identified only on intensive care units. Another form of cadaver donation called donation after cardiac death can take place after cardiac death, but this form of donation is only practiced in very few institutions in India.
In order to be considered for organ donation, brain death needs to happen in an ICU environment. This is due to severe irreversible brain damage due to trauma, strokes, low oxygen levels, some tumours or infections, and other severe conditions affecting the brain. These brain dead individuals have an intact circulation which keeps their vital organs functional. These ICUs have doctors who are able to perform the detailed tests needed to declare brain death. . Families of these individuals are then approached, counselled and consented for organ donation. It is only after these tests have been done and consent is obtained from the dead persons’ family that organ donation and allocation for transplantation can proceed.
There are two sources of life saving donor organs:
a) Cadaver (from a brain dead person) organ – a brain dead organ donor can provide life-saving organs for up to 8 organ transplants.
b) Live related organ – this is possible for transplanting a kidney or for transplanting a part of a liver
In the case of a cadaver organ transplant the patient has to register with a
Government appointed authority eg: the Zonal Transplant Coordination Committee
(ZTCC) in Maharashtra to get on to the waiting list. When the cadaver
organ becomes available the ZTCC, depending upon the patient’s turn and the allocation system in place, makes contact with the patient’s hospital and the transplant surgery is arranged at that hospital chosen by the patient.
In the case of a live donor organ transplant the patient has to arrange a related donor (related as per law or altruistic as determined by the regulatory authority committee) and the transplant is proposed and arranged in the hospital chosen by the patient, after approval has been obtained from the required regulatory authority.
While liver and kidney transplants can be done with a live organ from a relative,
this option is not practical and/or possible in the case of other organ transplants (heart, lung, pancreas, intestine).
The Foundation also promotes organ donation awareness as donor organ availability is an essential critical requirement for any transplant operation. In addition the foundation is committed to working with all other stake holders (regulatory authorities at city, state or national level and other like-minded NGOs) in the domain of organ donation and transplantation.
The Foundation provides financial aid to the poor and needy people for liver, kidney
and heart transplants. In the future as transplantation services in India develop we will also consider part funding pancreas, lung, intestinal and multivisceral transplants.
Crowd funding is a specialised on line platform for collecting donations of various amounts from all sections of society. In order to avail of their expertise and professional help, we have tied up with an established leader in the field; Ketto.com-an organisation which deals with fund collection from the public for various social causes.
Yes, the Foundation was set up and registered in March 2017, as a charitable trust with the Charities Commissioner in Mumbai and follows all the related laid down rules and procedures for an NGO.
While the Founders have pooled in some money to set up the Foundation, we are continuously working on raising money from corporate bodies, generous high net worth individuals and through smaller donations using crowd funding and a payment gate way on our website, in order that more poor people can be helped receive transplants.
Transplants-Help the Poor Foundation is focussed on providing financial aid for liver, Kidney and heart transplants to the poor and needy people who medically require an organ transplant to save their life, but cannot afford to have a transplant.