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Brazil Launches PNDT and Funded Donation Campaign To Expand Transplants

The push targets a 45% family refusal rate that keeps roughly 80,000 people on waiting lists.

Overview

  • The Ministry of Health signed a portaria creating the Política Nacional de Doação e Transplantes (PNDT) and rolled out a national awareness campaign focused on families authorizing donation.
  • A R$20 million annual package includes R$7.4 million for Prodot to remunerate hospital teams that identify potential donors based on activity and performance indicators.
  • The PNDT formally incorporates and regulates intestinal and multivisceral transplants in the SUS, with an initial five centers in São Paulo and Rio de Janeiro authorized to perform the procedures.
  • New clinical measures include routine use of amniotic membrane for burn care with an estimated 3,300 beneficiaries per year, virtual crossmatching, prioritization for hypersensitized patients, and chimerism testing for bone marrow transplants.
  • Brazil performed 14,904 transplants in the first half of 2025 through a 24/7 centralized matching system, and private initiatives such as Rede D'Or's WhatsApp tool seek to help people inform families of their donor wishes.