GS 2: Social JusticeGS 2: GovernanceGS 3: Science & Technology

Justice and equality , Pg6

NOTTO prioritizes women, relatives of deceased donors for organ transplants to address gender imbalance, raising implementation concerns and ethical questions.

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Key Highlights:

  • NOTTO issued an advisory prioritizing women and relatives of deceased donors as organ transplant beneficiaries.
  • Data from 2013-2023 reveals a gender disparity, with women comprising 63% of living donors but a smaller percentage of organ recipients.
  • In 2023, women constituted only 24% to 47% of heart and lung transplant recipients, respectively.
  • The advisory aims to address the gender imbalance in organ transplantation, but faces potential procedural challenges.

Detailed Insights:

  • The NOTTO advisory seeks to correct a gender skew where women are more often organ donors but less often recipients.
  • Current organ allotment protocols prioritize recipients based on health, posing a challenge to prioritizing women or relatives.
  • Concerns exist that the advisory could lead to out-of-turn allotments, given the history of organ harvesting rackets in India.
  • Implementation requires a participative approach, ensuring adherence to the Transplantation of Human Organs Act while widening access.
  • The primary principle of prioritizing those with the greatest health need must be maintained during implementation.

Key Concepts Involved:

  • Natural Justice: The principle that decisions should be fair and impartial, serving a specific social purpose.
  • Organ Transplantation: The surgical procedure of replacing a diseased organ with a healthy one from a donor.
  • Gender Skew: Disproportionate representation of genders in a particular activity, group, or statistic.
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