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24 Feb 2026·Source: The Indian Express
4 min
Social IssuesPolity & GovernanceNEWS

Organ Donation in India: PM's Call Addresses Deceased Donor Shortage

PM Modi's appeal spotlights India's organ donation gap, especially deceased donors.

India has witnessed a fourfold increase in organ transplants, reaching nearly 20,000 by 2025, up from fewer than 5,000 in 2013. This surge is spearheaded by the National Organ and Tissue Transplant Organisation (NOTTO). Since September 17, 2023, over 4.8 lakh citizens have registered to donate organs and tissues after death through an Aadhaar-based verification system.

In 2024, the country recorded its highest number of transplants using organs from deceased donors, with a 16% increase compared to previous years, totaling 3,403 transplants, according to NOTTO data. However, the deceased organ donation rate in India remains low at 0.77 per million population. Tamil Nadu leads in deceased donor transplants, while Delhi tops in living donor transplants.

NOTTO has implemented measures such as removing domicile requirements and age limits for organ recipients. The government is also creating a national portal and uniform organ allocation policy. Prime Minister Narendra Modi has addressed organ donation in his ‘Mann Ki Baat’ radio address, which has been linked to increased willingness to donate. Despite progress, there is a significant gap between the need for transplants and the availability of organs, with an estimated need for 1.75 to 2 lakh kidneys each year, but only 13,476 kidney transplants performed in 2024.

This progress strengthens India's vision of self-reliance in advanced healthcare and is relevant for UPSC exams, particularly in the context of social issues and healthcare (GS Paper II).

Key Facts

1.

Living donations are relatively common in India.

2.

The number of deceased donors remains low.

3.

Lack of awareness, cultural beliefs, and logistical difficulties contribute to the shortage.

4.

Prime Minister Modi has called for increased organ donation.

UPSC Exam Angles

1.

GS Paper II: Social Justice, Healthcare, Government Policies and Interventions

2.

Ethical and legal aspects of organ donation and transplantation

3.

Role of government and NGOs in promoting organ donation

4.

Socio-economic factors influencing organ donation rates

In Simple Words

Organ donation is when someone gives their organs to help others who are sick. In India, many people need organ transplants, but there aren't enough organs available, especially from deceased donors. PM Modi is asking people to donate organs to save lives.

India Angle

In India, many rely on living donors within their families, but this isn't always possible. A shortage of deceased donors means many Indians die waiting for transplants. Increasing organ donation can give a new lease on life to fellow citizens.

For Instance

Think of it like blood donation. Just as donating blood can save someone in an accident, donating organs can save someone with a failing liver or heart. It's a way to help others in need.

Organ donation can save lives and improve the quality of life for many people in India. It's a way to give back to society and make a real difference.

Donate organs, save lives: A simple act of generosity can create a lasting impact.

Prime Minister Modi's recent call for increased organ donation has highlighted the ongoing challenges India faces in meeting the demand for organs. While living donations are relatively common, the number of deceased donors remains low. This shortage is attributed to factors such as lack of awareness, cultural beliefs, and logistical difficulties in organ retrieval and transportation. The article also presents data on organ donation rates in India compared to other countries.

Expert Analysis

To fully grasp the recent surge in organ donations in India, several key concepts need to be understood. The National Organ and Tissue Transplant Organisation (NOTTO), established under the Ministry of Health and Family Welfare, is the apex body responsible for coordinating and promoting organ donation and transplantation activities nationwide. NOTTO plays a crucial role in streamlining processes, maintaining a national registry, and creating awareness, all of which have contributed to the increase in transplants from under 5,000 in 2013 to nearly 20,000 in 2025. NOTTO's efforts are central to addressing the critical shortage of organs in India.

Another important concept is the idea of deceased donor transplantation. This involves retrieving organs from individuals who have been declared brain dead. While living donor transplants are more common in India, organs like the heart and lungs can only be obtained from deceased donors. Increasing deceased organ donation is crucial to meeting the needs of patients with end-stage organ failure. The Prime Minister's repeated mentions of organ donation in ‘Mann Ki Baat’ aim to increase awareness and willingness to donate, addressing cultural and social barriers that hinder deceased donation rates, which currently stand at a low 0.77 per million population.

Finally, the concept of a national organ registry and allocation policy is vital for ensuring transparency and equity in organ distribution. NOTTO is working on creating a national portal and uniform policy for organ allocation to reduce wastage and ensure that organs reach those who need them most, irrespective of their domicile. This is particularly important in a country as diverse as India, where disparities in access to healthcare can exacerbate existing inequalities. The Aadhaar-based verification system for donor registration, launched on September 17, 2023, is a step towards creating a more streamlined and transparent system.

For UPSC aspirants, understanding the role of NOTTO, the importance of deceased donor programs, and the need for equitable organ allocation policies are crucial for both prelims and mains exams. Questions may focus on government initiatives, ethical considerations, and the socio-economic factors influencing organ donation rates in India.

Visual Insights

Organ Donation Statistics in India

Key statistics related to organ donation in India, highlighting the gap between demand and supply and recent improvements.

Deceased Organ Donation Rate
0.77 per million population

Highlights the need for increased awareness and infrastructure to improve donation rates.

Transplants in 2024
3,403+16%

Represents the highest number of transplants using organs from deceased donors, indicating progress in the field.

Organ Donation Registrations (Since Sept 2023)
4.8 lakh

Demonstrates increased public engagement and willingness to donate organs after death.

More Information

Background

Organ donation and transplantation in India have evolved significantly over the past few decades. The Transplantation of Human Organs Act (THOA) was enacted in 1994 to regulate organ donation and transplantation activities, aiming to curb commercial dealings and promote ethical practices. Amendments were made in 2011 to broaden the definition of 'deceased' and simplify procedures for organ donation. Prior to the establishment of NOTTO, various regional and state-level organizations managed organ donation and transplantation. However, the need for a centralized national body to coordinate activities and ensure equitable access led to the creation of NOTTO. The Prime Minister's consistent advocacy for organ donation through platforms like 'Mann Ki Baat' has played a crucial role in raising public awareness and encouraging more people to pledge their organs. The right to health, though not explicitly mentioned as a fundamental right in the Constitution, has been interpreted by the Supreme Court under Article 21 (Right to Life) to include access to essential medical care, which encompasses organ transplantation. This interpretation places a responsibility on the government to ensure that citizens have access to life-saving treatments like organ transplants.

Latest Developments

In recent years, there has been a greater emphasis on strengthening the infrastructure for organ retrieval and transplantation across the country. This includes establishing more transplant centers and training healthcare professionals in organ donation and transplantation procedures. The government has also been promoting the use of green corridors to facilitate the rapid transportation of organs between hospitals.

NOTTO is actively working on creating a unified national registry for organ donors and recipients, which will help streamline the allocation process and reduce waiting times. The organization is also focusing on raising awareness among healthcare professionals about the importance of identifying potential organ donors and referring them to transplant centers. The government's goal is to increase the deceased organ donation rate to at least 1 per million population by 2030.

Looking ahead, there is a growing interest in exploring innovative technologies like 3D printing of organs and xenotransplantation (transplanting organs from animals to humans) to address the organ shortage. While these technologies are still in their early stages of development, they hold the potential to revolutionize the field of organ transplantation in the future.

Frequently Asked Questions

1. What's the key difference between 'living' and 'deceased' organ donation in India, and why does it matter for UPSC?

The critical difference lies in the source of the organ. Living donation involves a living person donating an organ (like a kidney or part of a liver), while deceased donation involves organs retrieved from someone who has been declared brain dead. For UPSC, the low rate of deceased donation (0.77 per million) is a significant concern, highlighting systemic issues in awareness, infrastructure, and cultural acceptance. Expect questions on the reasons for this disparity and government initiatives to address it.

Exam Tip

Remember the deceased donation rate (0.77 per million) as a key indicator of India's organ donation challenge. A common MCQ trap is to inflate this number or confuse it with the overall transplant rate.

2. PM Modi has called for increased organ donation. What specific obstacles prevent more people from donating organs after death in India?

Several factors contribute to the low rate of deceased organ donation in India:

  • Lack of Awareness: Many people are simply unaware of the process and its potential to save lives.
  • Cultural Beliefs: Some religious or cultural beliefs may discourage organ donation.
  • Logistical Difficulties: The process of identifying potential donors, obtaining consent, and coordinating organ retrieval and transplantation can be complex and time-sensitive.
  • Infrastructure Gaps: A shortage of trained medical professionals and well-equipped transplant centers limits the capacity for deceased organ donation.
3. How does the Transplantation of Human Organs Act (THOA) of 1994, as amended in 2011, address the ethical concerns surrounding organ donation and transplantation in India?

The THOA aims to regulate organ donation and transplantation activities and curb commercial dealings. The 2011 amendments broadened the definition of 'deceased' to include brain death, simplifying procedures for organ donation after brain death. The Act also criminalizes the commercial trade of organs. These measures are designed to ensure ethical practices, prevent exploitation of vulnerable individuals, and promote fairness in organ allocation.

4. Tamil Nadu leads in deceased donor transplants. What factors contribute to their success, and can other states replicate this?

Tamil Nadu's success is attributed to a combination of factors, including strong government support, well-established infrastructure for organ retrieval and transplantation, and public awareness campaigns promoting organ donation. Other states can replicate this by investing in similar infrastructure, training healthcare professionals, and launching public awareness initiatives. Sustained political will and community engagement are also crucial.

5. How does NOTTO's Aadhaar-based registration system impact organ donation rates, and what are the potential privacy concerns?

The Aadhaar-based system aims to streamline the registration process, making it easier for individuals to pledge their organs. This increased ease of registration has contributed to a significant rise in registrations. However, potential privacy concerns exist regarding the security and use of personal data linked to Aadhaar. Safeguards are needed to prevent misuse of this sensitive information and maintain public trust in the system.

6. Given the focus on NOTTO and national registries, what specific questions related to organ donation are most likely to appear in UPSC Prelims?

Expect questions on:

  • The full form and mandate of NOTTO (National Organ and Tissue Transplant Organisation).
  • The key provisions of the Transplantation of Human Organs Act (THOA) and its amendments.
  • The significance of the deceased organ donation rate as an indicator of organ donation success.
  • The role of Aadhaar-based registration in promoting organ donation.
  • States with high and low deceased organ donation rates.

Exam Tip

Focus on NOTTO and THOA. Examiners might create confusion by interchanging the functions of NOTTO with state-level organizations or misrepresenting the provisions of THOA.

Practice Questions (MCQs)

1. Consider the following statements regarding the National Organ and Tissue Transplant Organisation (NOTTO): 1. It is the apex body for coordinating and promoting organ donation and transplantation activities in India. 2. It functions under the Ministry of Science and Technology. 3. It maintains a national registry of organ donors and recipients. Which of the statements given above is/are correct?

  • A.1 and 2 only
  • B.1 and 3 only
  • C.2 and 3 only
  • D.1, 2 and 3
Show Answer

Answer: B

Statement 1 is CORRECT: NOTTO is indeed the apex body for coordinating organ donation and transplantation activities in India. Statement 2 is INCORRECT: NOTTO functions under the Ministry of Health and Family Welfare, not the Ministry of Science and Technology. Statement 3 is CORRECT: NOTTO maintains a national registry of organ donors and recipients to facilitate the allocation process.

2. Which of the following organs can ONLY be obtained from deceased donors?

  • A.Kidney
  • B.Liver
  • C.Heart
  • D.Bone Marrow
Show Answer

Answer: C

The heart and lungs are typically harvested only from deceased donors due to the complexity of the procedure and the need for the donor to be brain dead. Kidneys, liver, and bone marrow can be obtained from living donors as well.

3. The Transplantation of Human Organs Act (THOA) was enacted in which year?

  • A.1984
  • B.1994
  • C.2004
  • D.2014
Show Answer

Answer: B

The Transplantation of Human Organs Act (THOA) was enacted in 1994 to regulate organ donation and transplantation activities in India.

4. Which of the following is NOT a measure taken by NOTTO to increase organ donation and transplants?

  • A.Doing away with the requirement to register in the domicile state for receiving an organ.
  • B.Removing the age limit for receiving an organ.
  • C.Creating a national portal for organ allocation.
  • D.Providing financial incentives to organ donors and their families.
Show Answer

Answer: D

NOTTO has taken measures such as doing away with the domicile requirement and age limit for organ recipients, and creating a national portal for organ allocation. However, providing financial incentives to organ donors and their families is not a measure currently implemented by NOTTO.

Source Articles

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About the Author

Anshul Mann

Software Engineer & Current Affairs Analyst

Anshul Mann writes about Social Issues at GKSolver, breaking down complex developments into clear, exam-relevant analysis.

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