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India Registers 330,000 Pledges as Deceased-Donation Rate Remains at 0.81 Per Million

New NOTTO surgical guidelines prioritize ICU readiness, coordinator training, conversion of pledges into actual organ donations

Overview

  • India performed over 18,900 organ transplants in 2024—third highest globally—yet hundreds of thousands die each year waiting for donor organs.
  • Deceased-donor rate stands at just 0.81 per million population, a fraction of rates in leading countries such as Spain (≈52 per million).
  • NOTTO’s Aadhaar-linked pledge portal has logged more than 330,000 potential donors since 2023, but family consent hurdles and cultural myths often block actual donations.
  • The August 2 NOTTO guidelines set new quality and safety standards to expand transplant-ready ICUs and train hospital coordinator teams under uniform protocols.
  • State initiatives such as Tamil Nadu’s donor recognition programmes and Andhra Pradesh’s Jeevandan mobile coordinator teams are held up as models for boosting deceased donations.