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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.
India ranks first globally in living donor kidney transplants and third in total kidney transplants but continues to face a major gap between organ demand and supply. The deceased donor rate remains below 1 per million population (PMP), nearly 40 times lower than global leaders such as Spain. Despite policy reforms and awareness initiatives, deceased donation contributes only about 15% of all kidney transplants. Barriers include limited infrastructure, poor public awareness, cultural hesitancy, and regional imbalance in transplant services.
This review synthesizes data from the National Organ and Tissue Transplant Organization (NOTTO), the WHO–Global Observatory on Donation and Transplantation 2023, Ministry of Health reports, and peer-reviewed literature from 2012–2025. Trends in living and deceased donor transplantation, gender disparity, infrastructure, immunological and pathological capacity, infection control, and recent legislative measures were analyzed to identify key challenges and policy opportunities.
As of 2024, 682 kidney transplant centers are registered with NOTTO, of which 87% are in the private sector. The deceased donor rate is 0.77 PMP, while living donor transplants have reached 9.4 PMP. Five states—Telangana, Tamil Nadu, Maharashtra, Gujarat, and Karnataka—account for over 60% of deceased donor activity. Gender inequity is persistent: from 2019–2023, women represented 66.2% of living donors but only 30% of recipients. Immune monitoring and transplant pathology services remain concentrated in metro cities, limiting access in tier 2–3 regions. Post-transplant infections, especially mucormycosis and multidrug-resistant bacterial infections, pose a major challenge. The Transplantation of Human Organs and Tissues Act (THOTA) and the NOTTO Chintan Shivir 2024 have promoted policy standardization, statutory empowerment of NOTTO, and digital registry integration. Innovations such as ABO-incompatible and kidney-paired donation have improved access but remain underutilized due to legal and logistical constraints
India has made significant strides in living donor kidney transplantation but remains far from achieving deceased donor self-sufficiency. Bridging this gap requires nationwide awareness, expansion of retrieval centers, equitable gender-focused policies, and uniform allocation mechanisms. Strengthening immunology, pathology, and infectious disease support, coupled with multicenter kidney exchange networks and robust digital registries, will be vital to achieving accessible, ethical, and sustainable transplant growth.
