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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Gender disparity remains a persistent challenge in organ transplantation globally, with women underrepresented as recipients and overrepresented as living donors. Previous Indian studies were primarily survey-based and limited to single centers. This study utilizes real-world national datasets to comprehensively evaluate gender trends in organ transplantation across India and to assess the impact of recent government policy initiatives aimed at improving equity.
A retrospective analysis was conducted using publicly available data from the Global Observatory on Donation and Transplantation (GODT) and the National Organ and Tissue Transplant Organization (NOTTO) between 2019 and 2023. Data were extracted for kidney, liver, heart, and lung transplants, including gender distribution among recipients and living donors. Policy interventions reviewed included the Gujarat state kidney allocation reform (2020), the Gujarat Dialysis Program, the Pradhan Mantri National Dialysis Programme (PMNDP), Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana (PM-JAY), and Rashtriya Arogya Nidhi (RAN). Trends were analyzed descriptively and expressed as proportions.
Between 2019 and 2023, India recorded a progressive increase in overall transplant activity across organs. Female kidney transplant recipients rose from 28% in 2019 to 37% in 2023, reflecting gradual improvement in access. In Gujarat, implementation of the point-based allocation policy awarding extra points to female candidates led to a notable rise in female deceased donor kidney recipients—from 27.6% (2019) to 50.8% (2024). In contrast, the gender distribution among living kidney donors remained consistently skewed, with approximately 65% being female, highlighting ongoing sociocultural expectations of women as family donors. Similar gender trends were observed in living liver donation, with men comprising the majority of liver transplant recipients. Government-led initiatives significantly expanded access: the Gujarat Dialysis Program provided 27.9 lakh free dialysis sessions across 280 units; the PMNDP delivered 31 million sessions nationwide by 2024; and PM-JAY enabled free kidney transplantation for below-poverty-line beneficiaries in 81 public hospitals. Financial support through RAN and immunosuppressant subsidies further reduced treatment barriers for disadvantaged women. These policy-level interventions demonstrate measurable improvement in gender equity in transplantation access and outcomes.
This nationwide analysis provides the first real-world evidence of improving gender equity in Indian organ transplantation, particularly in states implementing policy-driven allocation reforms. Female representation among kidney transplant recipients has increased, though women remain predominant as living donors. Continued expansion of equitable allocation frameworks, socioeconomic support mechanisms, and gender-sensitive public health strategies are essential to sustain this progress and achieve parity. Real-world national data from GODT and NOTTO offer a reliable foundation for policy monitoring and global benchmarking.
