Abstract
Introduction: Globally, there is a discrepancy between demand and availability of organs for transplantation. Transplantation is done from a living donor as well as a brain-dead/deceased donor. However, the World Health Organization (WHO) encourages deceased donor transplantation, since there is no risk to the donor. Although, the Transplant Act of Nepal 2016 opened the doors for deceased donor organ transplantation, the rate of transplantation from deceased donors is very low. Thus, this study assesses factors associated with willingness for deceased organ donation among post-graduate students of law, medicine, and mass communication streams.
 Methods: A total of 9 colleges, 3 from each specialty were selected via lottery method. The total sample size calculated was 440. Self- administered questionnaire was used to collect the data. 170, 140 and 130 forms were distributed in law, medicine and mass communication respectively via convenient sampling. Multivariate analysis among the variables that had p- value <0.05 in bivariate analysis was carried out to find out the strongest predictors of willingness to be deceased organ donors.
 Results: In all, 53.2% were willing to become deceased organ donors. Family permission in one's wish to donate organs, having someone in family with chronic disease, having attended any conference or general talk on organ donation, knowing a live organ donor and knowing that body will not be left disfigured after organ extraction were found to be the strongest predictors for willingness to be deceased organ donors; while lack of awareness was reported as the main barrier for the same reason.
 Conclusion: There is a need for extensive awareness programs and new strategies to motivate individuals and family members for organ donation.
 Key words: • Deceased Organ Donation • Willingness • Kathmandu • Nepal • Organ Transplantation • Living Donor • Deceased Donor
 
 © 2019 Paneru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Highlights
There is a discrepancy between demand and availability of organs for transplantation.Transplantation is done from a living donor as well as a brain-dead/deceased donor
The inadequate supply of cadaver organs is especially crucial for heart, lung and liver recipients, since these patients cannot be maintained for long on mechanical devices, unlike patients with end-stage renal disease (ESRD) who can be maintained on dialysis.[4]
Only 31.5% showed willingness towards donating a family member’s organs upon their death.The proportion of people willing to donate organs was found to be fairly high. How many of these will donate in a real scenario is unknown.This calls for making organ donation cards more readily available and motivating people to register their names for deceased organ donation, transforming their “willingness” into “commitment” to donate organs
Summary
There is a discrepancy between demand and availability of organs for transplantation.Transplantation is done from a living donor as well as a brain-dead/deceased donor. Organ donation is when a person allows an organ of their own to be removed and transplanted to another person, legally, either by consent while the donor is alive or dead with the assent of the of kin.[1] Organ transplantation is the most preferred treatment modality for end-stage organ disease and organ failures.[2] Technological advances in the past few decades have enhanced the feasibility of organ transplantation, which has pushed the demand for organs. Organ donation is a personal issue, the process has medical, legal, ethical, organizational and social implications.[6]
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