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      An Interventional Health Education Study to Transition the General Population’s Opinion on Organ Donation From Reluctance to Acceptance

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      Cureus
      Cureus
      awareness, barrier, general population, organ donation, organ donor card

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          Abstract

          Introduction: Organ donation refers to the collection of a human organ from a living or deceased donor and its transplantation into a recipient. An organ transplant recipient is a patient with organ failure who will not survive unless he receives a new organ. Although the benefits of organ transplantation are undeniable, there is a significant gap between the number of donors and recipients, as the demand for organs greatly surpasses the available supply.

          Methodology: This interventional health education study aimed to increase awareness regarding organ donation through a survey consisting of pre- and post-questionnaires. The study included 226 participants from the general population of Tamil Nadu, aged 18 years or older and of both genders. The study was conducted over three months, from September to November 2023.

          Results: Of the 226 study participants, 220 (97.30%) belong to the 18-40 age group, and 154 (68.1%) were female participants. Before the educational intervention, 132 (58.40%) participants were aware of organ donation. After the educational intervention, knowledge about the organ donation card increased from 101 (44.69%) participants to 152 (67.25%), and the inclination to donate organs rose from 128 (56.63%) to 151 (66.81%). Overall, awareness about organ donation improved from 132 (58.40%) to 175 (77.43%). The study noted that 128 (56.63%) participants viewed religious beliefs as a barrier to organ donation, a perception that remained unchanged, with 152 (67.25%) participants still holding this view even after the educational intervention. 

          Conclusion: This interventional health education study aimed to inform the general population about the importance of organ donation in India, where road traffic accidents frequently lead to brain death, and a lack of awareness potentially limits organ donation opportunities. Despite high levels of education, many individuals remain reluctant to donate organs and lack an organ donor card. Although there is a strong willingness to donate, registration rates remain low, suggesting the presence of potential obstacles, such as religious beliefs and insufficient knowledge about organ donation. Implementing targeted educational campaigns that involve spiritual leaders and provide accurate data about organ donation is crucial. This could improve public awareness and participation. Implementing an opt-out system, wherein individuals are presumed willing to donate unless they explicitly decline, could significantly increase donor rates.

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          Family perspectives on deceased organ donation: thematic synthesis of qualitative studies.

          A major barrier to meeting the needs for organ transplantation is family refusal to give consent. This study aimed to describe the perspectives of donor families on deceased donation. We conducted a systematic review and thematic synthesis of qualitative studies. Electronic databases were searched to September 2012. From 34 studies involving 1035 participants, we identified seven themes: comprehension of sudden death (accepting finality of life, ambiguity of brain death); finding meaning in donation (altruism, letting the donor live on, fulfilling a moral obligation, easing grief); fear and suspicion (financial motivations, unwanted responsibility for death, medical mistrust); decisional conflict (pressured decision making, family consensus, internal dissonance, religious beliefs); vulnerability (valuing sensitivity and rapport, overwhelmed and disempowered); respecting the donor (honoring the donor's wishes, preserving body integrity) and needing closure (acknowledgment, regret over refusal, unresolved decisional uncertainty, feeling dismissed). Bereaved families report uncertainty about death and the donation process, emotional and cognitive burden and decisional dissonance, but can derive emotional benefit from the "lifesaving" act of donation. Strategies are needed to help families understand death in the context of donation, address anxieties about organ procurement, foster trust in the donation process, resolve insecurities in decision making and gain a sense of closure.
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            Knowledge, attitude, and practice regarding organ donation among adult population of urban Puducherry, South India

            BACKGROUND: India is currently having a deceased donation rate of 0.05–0.08 per million population. The National Organ and Tissue Transplant Programme have planned strategies to improve organ donation by creating awareness and capacity building. There is great need to assess the knowledge regarding organ donation among general population. OBJECTIVE (S): Among the adult population (≥18 years) residing in urban slum of Puducherry to determine the knowledge, attitude, and practice regarding organ donation. MATERIALS AND METHODS: Community-based cross-sectional study was conducted during April to May 2017 among 257 randomly selected participants in selected wards of urban Puducherry. Data regarding knowledge, attitude, and practice were collected through pretested semi-structured questionnaire. RESULTS: Mean (standard deviation) age of the study participants was 45 (15) years and majority (57%) were female, 41% of them were educated more than secondary. Almost 90% of the study participants have heard about organ donation. However, only 28% (95% confidence interval [CI]: 22.9–33.8) had adequate knowledge regarding organ donation. 58% (95% CI: 51.5–63.5) had positive attitude toward organ donation. Practice regarding registration for organ donation was only 2.3%. Knowledge regarding organ donation was more among joint family (odds ratio [OR] = 1.86, P = 0.02) and middle socioeconomic status (OR = 2.40, P = 0.01). Positive attitude was more among those who were educated above secondary (OR = 3.47, P = 0.001) and less among Muslim/Christian religion (OR = 0.49, P = 0.03). CONCLUSION: Less than one-third of the study population had adequate knowledge regarding organ donation. Even though more than half of them had positive attitude toward organ donation only six individuals registered for organ donation.
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              Organ donation – “attitude and awareness among undergraduates and postgraduates of North-East India”

              Background: Organ donation is defined as “When a person allows an organ of theirs to be removed, legally, either by consent while the donor is alive or after death with the assent of the next of the kin.” Common transplantations after organ donations include kidney, heart, liver, pancreas, intestines, lungs, bones, bone marrow, skin, and cornea. Although some organs such as kidney and tissues like part of the liver, pancreas, lungs, and intestines can be donated while the donor is alive, most of the donations occur only after the donor's death. In India, the legislative foundation for brain death and organ donation was officially established, under Transplantation of Human Organs Act, 1994 amended in 2011. It provided a much-needed legal and transparent system for organ donation. India's organ donation rate (ODR) stands at an abysmal 0.34 per million populations (PMP) when compared with donation rate of 36 PMP in countries like Spain. While in the rest of the country, states like Tamil Nadu, Maharashtra, Andhra Pradesh, and Gujarat have made efforts to ramp up their ODR, by facilitating public and private health sector activities, such vision is still a far cry for the states in the North-Eastern part of India. Materials and Methods: This study on awareness of organ donation was conducted in one of the premiere educational institutes at Guwahati. A predesigned performa (questionnaire) was used to collect data from 360 individual, of which 180 participants were undergraduate students and 180 participants were faculties having postgraduate degree. Results: The results show that 79.17% (285) of participants were aware about organ donation, and out of all participants, families of only three have donated organ in the past 5 years. A total number of 12 (3.33%) participants have signed up for organ donation. A significant portion of the study population (12.5%) opined that there might be some religious beliefs which are preventing certain strata of local population from donating or accepting organs. More than half (186) (51.67%) of the study group opined that there is lack of awareness among people which may be one of the reasons for low rates of organ donation. Conclusion: Organ donation programs are at a very primordial stage in India and are almost negligible in its North-Eastern region. It is high time for the policy makers and other stake holders of a global giant like India to understand the magnitude of the benefits from these programs. Making tangible policies that are reflected nationally, emphasizing attention to both the organ donors and recipients, is the need of the hour.
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                16 December 2024
                December 2024
                : 16
                : 12
                : e75792
                Affiliations
                [1 ] Pharmacology, SRM Medical College Hospital and Research Centre, Chennai, IND
                Author notes
                Article
                10.7759/cureus.75792
                11735233
                39822471
                412d5571-cea0-4cee-a6ef-25397fe8da6a
                Copyright © 2024, K et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 October 2024
                : 15 December 2024
                Categories
                Pharmacology
                Public Health
                Epidemiology/Public Health

                awareness,barrier,general population,organ donation,organ donor card

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