BUILDING A NATIONAL DECEASED ORGAN DONATION SYSTEM IN BANGLADESH: A MULTI-STAKEHOLDER WORKSHOP AND SUBSEQUENT OPO TRAINING INITIATIVE

 

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https://storage.unitedwebnetwork.com/files/1099/f847434c88de420a6baf68d620f73fd8.pdf
BUILDING A NATIONAL DECEASED ORGAN DONATION SYSTEM IN BANGLADESH: A MULTI-STAKEHOLDER WORKSHOP AND SUBSEQUENT OPO TRAINING INITIATIVE

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FARNAZ
NOBI
FARNAZ NOBI nobifarnaz@gmail.com Kidney Foundation Hospital and Research Institute Nephrology Dhaka Bangladesh *
TASNUVA SARAH KASHEM tasnuva.kashem@gmail.com Kidney Foundation Hospital and Research Institute Nephrology Dhaka Bangladesh -
NURA AFZA SALMA BEGUM nuraafzanupur@yahoo.com Kidney Foundation Hospital and Research Institute Nephrology Dhaka Bangladesh -
HARUN UR RASHID rashid@bol-online.com Kidney Foundation Hospital and Research Institute Nephrology Dhaka Bangladesh -
CURIE AHN curiekt@gmail.com National Medical Centre Nephrology Seoul Korea (Republic of) -
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Bangladesh faces significant challenges in meeting the demand for kidney transplants due to a limited deceased organ donation (DOD) system. With a high number of daily fatalities from road traffic accidents, a significant potential donor pool exists. To address this, the Kidney Foundation Bangladesh, in collaboration with Vital link Academy and Raphael International of Seoul, Korea convened a multi-stakeholder workshop focused on building a sustainable DOD framework.

A two-day workshop (May 4-5, 2025) brought together nephrologists, transplant surgeons, ethicists, legal experts, and policymakers to: (1) identify critical obstacles hindering DOD in Bangladesh, and (2) develop actionable strategies for system development. The workshop included expert lectures, interactive discussions, and collaborative vision-setting exercises. As a follow up the top 5 participants will be sent to  Korea for extensive OPO training.

Key obstacles identified include: lack of a formalized organ procurement organization (OPO), inadequate legal framework surrounding brain death declaration, social stigma and lack of public awareness, and limited funding for transplant programs.  Prioritized strategies included: (1) establishing a national regulatory body for organ donation, (2) increasing public awareness and education campaigns, (3) training healthcare professionals in brain death declaration and organ donation procedures, and (4) securing dedicated financial support for transplant programs.  A vision was established to increase deceased donor transplants to 20% of total transplants within three years.

This workshop represents a crucial first step in building a comprehensive and ethical deceased organ donation system in Bangladesh. The identified obstacles and developed strategies, combined with the planned OPO training in Korea, provide a roadmap for advancing the national transplantation program. Increased collaboration among all the parties and governmental financial support will boost the availability of life-saving kidney transplants for patients with end-stage renal disease.

 

Kewords