The provision of organ donation in the license was not implemented even after 4 years of correspondence

However, it seems that neither the Department of Transportation has shown any interest in this, nor the Ministry of Health and Population has taken any initiative.

In coordination between the Ministry of Physical Infrastructure and Transport, Ministry of Health and Population, Law, Justice and Parliamentary Affairs, Ministry of Home Affairs and Finance, although there is a legal system for organ donation under license, it is difficult to remove and transplant the organs of people with brain death. More than 30,000 kidney sufferers are waiting for organ transplants across the country, while 3,000 new patients are added for dialysis every year, according to the data of the Ministry of Health.

According to Dr. Rishikumar Kafle, a kidney disease specialist, in developed countries including the US and the UK, arrangements for organ donation have been made in licenses and passports. Dr. Kafle, a kidney disease specialist, says that if there is a legal system in Nepal where organ donation can be done in license and passport, it will be easy to remove and transplant the organs of people with brain death, apart from disagreeing that they will not donate organs while they are alive.

Now, if the organ of a brain dead person has to be removed, written consent must be obtained from the family of the deceased. Even if there is a legal provision for organ donation in the license, consent must be obtained from the family of the deceased to remove and transplant the organs of the brain dead. HOTC says that if there is a provision in the license, the family of the deceased with brain death will agree to organ removal and transplantation in the belief that the last wish of the deceased should be fulfilled, social service will be done, etc.

Brain Death Donor Central Transplant Coordination Unit President Dr. Kalpana Shrestha said that even though she requested the transport management department several times to make arrangements for the license related to organ donation, they are ignoring her. The attention of the Ministry of Health has also been repeatedly drawn to this issue. But no one has taken it seriously," she said. "Due to accidents, 4-5 people die of brain death every day. According to

HOTC, if the government agency addresses this issue, kidney disease sufferers will get a new life, and the government's annual expenditure of more than 4 billion rupees on dialysis will be saved. .

A separate unit to coordinate brain death has not yet been formed as there have been complaints of delays in arrangements for voluntary organ donation in driving licences. Currently, there is no coordination unit with the police administration including the doctors who do the organ harvesting and transplantation, even if the families of the brain dead people give their consent in writing.

In 2072, the Ministry of Health amended the Transplantation of Human Body Organs (Regulation and Prohibition) Act 2055 and made a legal provision to allow transplantation of brain dead persons, but according to the provision in section 17 (b) of the Act, the organ removal of brain dead persons, the removed organs are preserved. Keeping records of patients who need organ transplants and distributing the received organs according to the priority order as specified has not been arranged .

For this purpose, there is a provision to appoint a separate coordination unit to look after organ transplants for people with brain death . However, even after 8 years of the Act, the Ministry of Health has not been able to form a coordination unit. Also, there is no clear legal provision on who will bear the expenses of the person with brain death who is given medicine, placed on a ventilator, doctor, nurse, etc .

The national waiting list of organ recipients has not been made . In the absence of this, the patient undergoing dialysis has to go to the Human Organ Transplantation Center Bhaktapur and register his name to receive the brain dead organ. Currently, all the organs of people who are brain dead are taken by the Human Organ Transplantation Center . Only patients of Bhaktapur Human Organ Transplantation Center get the organs donated by the donor . Other hospitals complain that patients do not get treatment in other hospitals.

However, HOTC Brain Death Donor Central Transplant Coordination Unit President Dr. Kalpana Shrestha said that the Ministry of Health has been ignoring the need to set up a separate coordination unit for organ transplants for people with brain death. "Now, the work of the organ transplant coordination unit has been entrusted to the Human Organ Transplant Center Bhaktapur. But, we are busy with our own work,' she said.

Dr. Prakash Budhathoki, spokesperson of the Ministry of Health and Population, said that the Brain Death Donor Central Transplant Coordination Unit of the Dharmabhakta Human Organ Transplantation Center did not take enough care. The Ministry is also aware of the correspondence with the Department of Transportation. However, it has only been a matter of removing weeds by correspondence once,' he said, 'There are many legal obstacles in this . To blow, the office of the Prime Minister and the Council of Ministers, Law, Justice and Parliamentary Affairs, and the Ministry of Home Affairs should go together . However, the Human Organ Transplantation Center has not been able to take the initiative.'

Ishwaridatta Paneru, the spokesperson of the Department of Transportation, said that they would understand which of the Vehicle and Transportation Management Act, 2049 or Regulation, 2054 should be amended to make arrangements for organ donation in the license. "For this, it is necessary to discuss with the relevant ministries such as law, finance, and health," he said. I will understand more about this

kidney disease specialist Dr. Kafle said that top leaders of political parties should be interested in this. "Political instability is also causing problems," he said, "Due to government neglect, kidney sufferers are forced to die prematurely." Those with brain death can be transplanted with at least 8 organs, including kidneys, liver, lungs, heart, and small intestine. In the 8 years when the law was passed to allow people with brain death to be transplanted, only 10 kidneys and 2 livers have been transplanted in 5 people . Ironically, brain death is often the result of car accidents. According to the police head office, 21 thousand people have died in vehicle accidents since 2072/73 till February 2080.