116.8: Organ donation in the Yunnan province in China- SEUSA program.

Abstract

Background: As stated by the World Health Organisation (WHO) in 2010 every country is responsible for meeting their transplantation needs and that donation from deceased donors is the primary source of organs. Self-sufficiency in organ donation (OD) is every nation’s goal. Understanding OD as every patient’s right is the first step towards achieving the goal of self-sustainability in OD. The Yunnan province in China has made efforts to reach the self-sustainability. The main barriers faced are unbalanced healthcare infrastructure and coverage, complex political policies, insufficient public awareness, low religious engagement and shortage of trained healthcare professionals (HCP). The Donation and Transplantation Institute (DTI) has been cooperating with the Organ Procurement Organisation of First People’s Hospital of Kunming City (KMOPO) over the last four years for the establishment and consolidation of a deceased OD program. The SEUSA cooperation model has been the method followed when coordinating the project. Methods: SEUSA is a consultancy program addressed to countries, regions or local institutions to ensure self-sufficient transplant programs. Its methodology is based on a comprehensive model combining the best practices of the Spanish, European and USA models and it has been designed to be tailored to the local needs. The implementation of specialised training program for the HCP based on Transplant Procurement Management (TPM) model is fundamental in the SEUSA methodology. Starting in 2014 yearly TPM trainings have been organized targeting especially physicians and nurses involved in OD process. To add a stronger layer of supports the SEUSA will introduce regular DTI experts visits to the hospitals. Prior to the visits, Organ Donation Diagnostic Surveys (ODDS) are completed to assess the OD potential in each hospital. During the visits, interviews with HCP were conducted and an alert system for donor identification was outlined. Further recommendations for the establishment of in-hospitals organ procurement units were presented. Results: A total of 193 HCP, mainly from the high potential hospitals, have been trained as Transplant Procurement Managers (TPMs). The information collected by the ODDS showed high potential donor detection. The donation rate increased from 0.3 in 2014 to1.3 donor per million population in 2018.