Abstract
India’s organ donation rate remains under 1 per million population, markedly lower than the consent rates observed in Canada and Spain. This narrative review synthesizes evidence from Indian and global literature to explore systemic, sociocultural, and individual factors influencing consent for deceased organ donation in India. Systemic barriers include delayed referrals, inadequate hospital infrastructure, and a shortage of trained transplant coordinators. Sociocultural factors, such as family decision-making under the Transplantation of Human Organs Act (1994), religious misconceptions, and concerns about bodily integrity, significantly hinder consent. Individual factors, including low awareness and a knowledge–action gap despite altruistic intentions, impede progress. Comparative analysis with Canada and Spain highlights the efficacy of structured referral systems and presumed consent models. We recommend mandatory physician training and the adoption of uniform hospital protocols. In addition, culturally sensitive awareness campaigns led by religious leaders and establishment of a national donor registry are essential. Bridging India’s organ donation gap requires addressing these barriers at multiple levels. Coordinated medical, cultural, and policy reforms will be essential.
Recommended Citation
Vijayalakshmi, Preetha and M, Yashfeen
(2025)
"Consent for Organ Donation in India: Factors, Challenges, and Opportunities – A Review,"
Journal Of Indian Physician Associates: Vol. 1:
Iss.
1, Article 3.
Available at:
https://digitalshowcase.lynchburg.edu/jipa/vol1/iss1/3