Living and cadaver donor transplant programs in the Maghreb.
In the Maghreb, organ failure constitutes a major public health problem, especially given the increasing number of patients with chronic renal failure and the high cost of care. In this study, we attempted to seek the recommendations, through a questionnaire, of various officials related to organ transplantation as well as leaders of ethics committees and religious groups in different countries of the Maghreb. The objective was to improve the rate of organ donation and transplantation. We received 36 replies (62%) within the prescribed time limit. In our survey, 83% of the respondents felt that living donor transplantation should be promoted initially, followed gradually by measures to increase cadaver donor transplantation to achieve a target of about 30 transplants with cadaver kidney donors per million inhabitants. To expand the donor pool, 83% of the respondents proposed to expand the family circle to include the spouse and in laws. To improve the cadaver donation activity, one should improve the organizational aspects to ensure at least 50 renal transplantations per year (100%) and provide material motivation to the treatment team proportional to the activity of organ donation and transplantation. Finally, 93% of the respondents suggested suitable moral motivation of the donors.
Department of Nephrology, Dialysis and Transplantation, Hedi Chaker Hospital, Sfax, Tunisia. jamil.hachicha@rns.tn
Jamil
J
Hachicha
Soumaya
S
Yaich
Khaled
K
Charfeddine
Mondher
M
Masmoud
Faical
F
Jarraya
Mahmoud
M
Kharrat
Khawla
K
Kammoun
Mohamed Ben
MB
Hmida
Mohamed Nabil
MN
Mhiri
Mohamed Jalel
MJ
Hmida
Abdelhamid
A
Karoui
M S
MS
Ben Ammar
Taieb Ben
TB
Abdallah
Mohamed
M
Chebil
D000352:Africa, Northern; D002102:Cadaver; D003430:Cross-Sectional Studies; D006085:Graft Survival; D006801:Humans; D019520:Living Donors / Q000600:supply & distribution*; D016377:Organ Transplantation / Q000706:statistics & numerical data*; D016730:Program Development; D012042:Registries; D014019:Tissue Donors / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014850:Waiting Lists