Korean J Transplant.  2022 Nov;36(Supple 1):S370. 10.4285/ATW2022.F-5093.

Increasing the consent for brain death donor family members

• Bayaraa A

• KMID: 2535234
• DOI: http://doi.org/10.4285/ATW2022.F-5093

Abstract

Background
Mongolia’s Donor Law was first adopted in 2000 and amended in 2012 and 2018 respectively. The Regulatory Department of Cell, Tissue and Organ Transplantation of the Center for Health Development has been established in 2018. There are three donor hospitals and two transplantation hospitals in Mongolia. Our department gets information daily from the donor hospital’s brain death diagnosis committee, if there is a donor with brain death, we make consultations with family members. It may be rejected because of religion, superstition, or personal opinion. Changing such factors will increase the number of family members’ consent and the number of transplantations.
Methods
The study included 20 family members of the last three years approved by the brain death diagnosis committee for three donor hospitals.
Results
After meeting with those 46 family members, 26 (65%) of them accepted and 20 (35%) of them denied. Organ harvesting of 29 kidneys and 20 livers was successfully done from 23 out of 26 consented donors and thus saved 49 lives. The reasons for the rejection of family members are lamas (5 families), shamans (5 families), family opinion (3 families), and lack of information about this (7 families). As well from the studies of organ transplantation and donor awareness, 10 of these families (22%) were knowledgeable, of which 5 were approved donor families. Twenty-three families (50%) did not have any understanding, of which 7 were members of refused families.
Conclusions
From these, we could say that knowing 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 the major opposing factors to give a proper understanding of donations to the public.