Living and cadaver donor transplant programs in the Maghreb

In the Maghreb, organ failure constitutes a major public health problem, especially given the increasing number of patients with chronic renal failure and the high cost of care. In this study, we attempted to seek the recommendations, through a questionnaire, of various officials related to organ tr...

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Bibliographic Details
Published in:	Saudi journal of kidney diseases and transplantation Vol. 24; no. 1; pp. 150 - 156
Main Authors:	Kharrat, Mahmud, Sharaf al-Din, Khalid, Bin Hamidah, Muhammad, Mhiri, Muhammad Nabil, Hamidah, Muhammad Jalil, Karui, Abd al-Hamid, Bin Ammar, M. S., Bin Abd Allah, Tayyib, Shibl, Muhammad, Yaich, Sumayyah, Hachicha, Jamil, Kammun, Khawla, Jarraya, Faisal, Masmud, Mundhir
Format:	Journal Article
Language:	English
Published:	Riyadh, Saudi Arabia Saudi Center for Organ Transplantation 2013 Medknow Publications and Media Pvt. Ltd Wolters Kluwer Medknow Publications
Subjects:	Africa, Northern Cadaver Cadavers Care and treatment Chronic renal failure Cross-Sectional Studies Graft Survival Health aspects Humans Kidney failure Kidneys Living Donors - supply & distribution Organ Transplantation - statistics & numerical data Patient outcomes Program Development Registries Tissue and Organ Procurement - organization & administration Tissue Donors - supply & distribution Transplantation Transplantation of organs, tissues, etc Treatment Waiting Lists الجراحة الفشل الكلوي الكلى المرضى زراعة الأنسجة زرع الأعضاء Africa, Northern
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Summary:	In the Maghreb, organ failure constitutes a major public health problem, especially given the increasing number of patients with chronic renal failure and the high cost of care. In this study, we attempted to seek the recommendations, through a questionnaire, of various officials related to organ transplantation as well as leaders of ethics committees and religious groups in different countries of the Maghreb. The objective was to improve the rate of organ donation and transplantation. We received 36 replies (62 %) within the prescribed time limit. In our survey, 83 % of the respondents felt that living donor transplantation should be promoted initially, followed gradually by measures to increase cadaver donor transplantation to achieve a target of about 30 transplants with cadaver kidney donors per million inhabitants. To expand the donor pool, 83 % of the respondents proposed to expand the family circle to include the spouse and inlaws. To improve the cadaver donation activity, one should improve the organizational aspects to ensure at least 50 renal transplantations per year (100 %) and provide material motivation to the treatment team proportional to the activity of organ donation and transplantation. Finally, 93 % of the respondents suggested suitable moral motivation of the donors.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1319-2442 2320-3838
DOI:	10.4103/1319-2442.106316