INCREASING THE CONSENT FOR BRAIN DEATH DONOR FAMILY MEMBERS

Abstract

Introduction: Mongolia’s Donor Law was first adopted in 2000 and amended in 2012 and 2018 respectively. The Regulatory department cells, tissues and organs transplantation of Center for Health Development has been established in 2018. There are 3 donor hospitals and 2 transplantation hospitals in Mongolia. Our department gets information daily from donor hospital’s brain death diagnosis committee, if there is a donor with brain death, we make consultation with family members. It may be rejected because of religion, superstition, or personal opinion. Changing such factors will increase the number of family members consents and the number of transplantations. Method: The study included 13 family members of the last six months approved by the brain death diagnosis committee for 3 Donor Hospitals. Result: After meeting with those 13 family members, 4 /30.7%/of them accepted and 9 /69.3%/ of them denied. Organ harvesting of 4 kidney and 3 liver was successfully done from 3 out of 4 consented donors and thus saved 7 lives. The reasons for the rejection of a family members are from lamas /4 families/, from shaman /2 families/, and from family opinion /3 families/. As well as from the studies of organ transplantation and donor’s awareness, 4 /30.7%/ of these families were knowledgeable, of which 2 were approved donor families. The 9 /69.3%/ families did not have any understanding, of which 7 were members of refused families.Conclusion: From these, we could say that having a knowledge about organ donation is increasing the likelihood of approval of becoming a donor. Therefore, it is important to meet with the religious representatives, which is one of major opposing factors in order to give proper understanding of donation to the public.