India Recorded a Landmark surge in Organ Donation and Transplantation | Current Affairs | Vision IAS

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In Summary

  • Organ transplants in India have quadrupled from under 5,000 in 2013 to nearly 20,000 in 2025.
  • Success is attributed to strengthened NOTTO/ROTTO/SOTTO capacity, promotion of green corridors, positive public attitudes, and improved infrastructure.
  • India's organ transplantation framework is governed by the THOTA Act, 1994, with NOTTO as the apex coordinating body.

In Summary

According to Ministry of Health and Family Welfare (MoHFW), number of organ transplants increased nearly fourfold over past decade – from fewer than 5,000 in 2013 to almost 20,000 in 2025. 

  • Around 18% of these involve organs donated by deceased donors, reflecting a rise in cadaveric (deceased donors) donations.

Reasons for Rising Success in Organ Donation/Transplantation

  • Strengthened Institutional Capacity: Through National Organ and Tissue Transplant Organization (NOTTO) serving as national coordination authority, along with strengthened capacity for State and Regional OTTOs. 
  • Promotion of Green Corridors: Special traffic free routes to transport harvested organs quickly reducing logistical barriers. 
  • Positive Public Attitudes: Since September 17, 2023, over 4.8 lakh citizens have registered for organ and tissue donation through an Aadhaar-based verification system. 
  • Improved Infrastructure: Improved system for donor identification, retrieval and allocation across hospitals, collaboration between central, state governments and other stakeholders, etc. 

Organ Transplantation Framework in India

  • Legal Framework: Transplantation of Human Organs and Tissues Act, 1994 (THOTA) enacted by the MoHFW. 
  • Regulatory Mechanism: Three tiered structure under THOTA, 1994:
    •  NOTTO: Apex body for coordination, networking, and registry of organ/tissue donation and transplantation. 
    • Regional Organ and Tissue Transplant Organization (ROTTO). 
    • State Organ and Tissue Transplant Organization (SOTTO). 
  • National Organ Transplant Program (NOTP):  Central Sector Programme to improve access to organ transplantation for needy citizens. 
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RELATED TERMS

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National Organ Transplant Program (NOTP)

A Central Sector Programme implemented to enhance access to organ transplantation services for citizens in need across India. It aims to improve the overall organ transplantation infrastructure and accessibility.

Transplantation of Human Organs and Tissues Act, 1994 (THOTA)

The primary legislation in India governing organ donation and transplantation. Enacted by the Ministry of Health and Family Welfare, it provides the legal framework and regulatory mechanisms for all related activities.

Cadaveric Donation

Organ donation that occurs after the death of the donor. These are also referred to as deceased donor donations, and they are a critical source for organ transplantation, helping to save lives.

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