Save 1 million lives

by Donation & Transplantation Institute
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Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives
Save 1 million lives

DTI Community, along with DTI Foundation, have the mission of saving lives. At DTI (Donation and Transplantation Institute), we believe in the power of education, respect, diversity, and transparency. Our way of doing this is by promoting knowledge transfer through our training courses to have more competent professionals specialized on organ donation and transplantation.


Our main goal is - through our project on GlobalGiving, Save 1 Million Lives - to facilitate access to practices and training related to organ donation and transplantation and help healthcare professionals who find themselves in developing countries. With the main goal of raising $50.000 to ensure that under-resourced countries in Asia, Central and South America, and Africa can be trained and receive help to develop organ donation and transplantation processes and protocols.

 

Through the project on GlobalGiving, Save 1 Million Lives, DTI Foundation has been able to grant various scholarships to healthcare professionals from all over the world. In doing so, we have created amazing relationships and a strong network of friends, alumni and volunteers all inspired to save lives.

 

The money that has been raised since our last report hasn’t been enough to give more grants, however we keep helping and supporting those who have been helped previously and willing to help more people once we have raised more money.

 

For now we are helping two doctors from Vietnam: Dr. Nhieu, from the Neurosurgical Intensive Care Unit at Cho Ray Hospital, in Ho Chi Mihn; and Dr. Linh, also from Ho Chi Mihn, from the Intensive Care Unit.

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DTI Community, along with DTI Foundation, have the mission of saving lives. At DTI (Donation and Transplantation Institute), we believe in the power of education, respect, diversity, and transparency. Our way of doing this is by promoting knowledge transfer through our training courses in order to have more competent professionals specialized on organ donation and transplantation. 


Our main goal is - through our project on GlobalGiving, Save 1 Million Lives - to facilitate access to practices and training related to organ donation and transplantation and help healthcare professionals who find themselves in developing countries. With the main goal of raising $50.000 to ensure that under-resourced countries in Asia, Central and South America, and Africa can be trained and receive help to develop organ donation and transplantation processes and protocols.

 

Through the project on GlobalGiving, Save 1 Million Lives, DTI Foundation has been able to grant various scholarships to healthcare professionals from all over the world. In doing so, we have created amazing relationships and a strong network of friends, alumni and volunteers all inspired to save lives.

 

Two doctors from Vietnam, benefited from our grants: Dr. Nhieu, from the Neurosurgical Intensive Care Unit at Cho Ray Hospital, in Ho Chi Mihn; and Dr. Linh, also from Ho Chi Mihn, from the Intensive Care Unit.

 

And how are these two doctors from Vietnam performing in their local hospitals?

 

The professor Tran Quang Vinh was a chief of Neurosurgery ICU and Spine Surgery. He retired. Dr. Nhieu, one of the granted doctors, replaced his position at the end of 2020. He works in the Intensive Care Unit in Chao Ray Hospital, the largest general hospital in Ho Chi Minh City, Vietnam; and also the largest in Vietnam.

 

On the other hand, Dr. Tran Thanh Lihn has strongly supported organ recovery when in the hospital they have a case of brain death donor. They are both preparing the training program for ICU staff in the South of Vietnam for 2021. Dr. Linh is a leader of the ICU team of COVID-19 program. For that reason, the training program for ICU staff is waiting him to join.

 

Professionals of the Intensive Care Unit in this hospital are trying to complete the protocol taught by DTI Foundation. It says that ICU doctors must have a brain death diagnosis for every patient when they are discharged from hospital with brain death clinical signs. The protocol also says that they must call the ICU coordinator. 

 

On the 20th of December 2020, the Chao Ray Hospital team has had one DBD at one hospital in the East of Vietnam. One team from Chao Ray went there. It included: ICU doctor, brain death diagnosis team, coordinator, and a medical social worker. 

They also assist the retrieval team to receive heart, liver, kidney. The team delivered the heart to Hue, the capital of the Thua Thiên Hue Province in central Vietnam. The liver was delivered to Ha Noi, the capital city of Vietnam situated in the north of Vietnam. And the kidney to Cho Ray Hospital where Dr. Nhieu and Dr. Linh work.

 

All the recipient patients have been discharged. They are doing well with the transplant. It is a successful case. Thanks to that experience doctors have closely joined between Cho Ray Hospital, Ba Ria Hospital, National Organ Transplantation coordination centre, Police officer and Vietnam airline.

 

 

***Dr. Thu Du has given us permission to use these pictures of the activities at Cho Ray Hospital (CRH) for this report.

All the constituents gave us consent to having their names published in this report. ***

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DTI Community, along with DTI Foundation have the mission of saving lives. At DTI (Donation and Transplantation Institute), we believe in the power of education, respect, diversity and transparency. Our way of doing this is by promoting knowledge transfer through our training courses in order to have more competent professionals specialized on organ donation and transplantation.

Our main goal is - through our project on GlobalGiving, Save 1 Million Lives - to facilitate access to practices and training related to organ donation and transplantation, to healthcare professionals who find themselves in developing countries. With the main goal of raising $50.000, we have been able to grant several scholarships to healthcare professionals living in under-resourced countries in Asia, Central and South America, and Africa.

It has been through our project on GlobalGiving, Save 1 Million Lives, that we have been able to grant various scholarships to healthcare professionals from all over the world. In doing so, we have created amazing relationships and a strong and vast network of friends, alumni and volunteers all inspired to save lives.

Dr. Martínez benefited from one of our grants last year.

On October 24th , 2019, we granted a scholarship for the TPM Advanced Course, to Dr. Martínez, from México. His time in Barcelona was of much importance to all of us. Dr. Martínez has made some progress towards improving their organ donation system after the training in Spain (February 2020).

According to Salvador Martínez, the experience of having participated in the postgraduate course was very good. "The advanced TPM program as well as the teachers are high-level, they bring all their experience to the course and leave a great learning for the Coordinators who come from countries where the donation has not had the strength that it should". Salvador did the internship at the Hospital Clínic of Barcelona, where he participated in 7 donation processes, "which allowed me to see the dynamics of the processes that are carried out in Spain", he says.

Dr Martínez is organizing training sessions among his colleagues at the hospital, transferring the knowledge he acquired during his training in Barcelona. Salvador Martínez has participated in projects where he has been able to help raise awareness about organ donation and transplantation: "I have participated in virtual talks in the sessions of the Mexican Transplant Society at the national level in the donation chapter where I have been able to share some of what I learned in Spain".

“The type of organization Spanish health care professionals have for work, as well as the scientific approach to the work of donation and transplants in research is what served him best as a profesional”. This experience helped him implement changes in the hospital where he works: "I re-organized some aspects of our protocol in terms of detection and process logistics. I’m trying to implement an improvement for the end of life care treatment”.

The challenges that Salvador Martínez has faced are the lack of proper counseling to the families. This scholarship and training were able to provide and teach Dr. Martínez about detection, identification and selection of donors; clinical approach of brain death diagnosis; instrumental tests for brain death diagnosis; donor management; bioethics and legislation in transplantation and other topics that will give him the chance to increase and expand his professional knowledge and skills in organ donation and transplantation. Thus, taking this expertise back to Mexico and applying it.

***Dr. Martínez has given us permission to use his name and picture for this report. 

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Dr. Sathyadas during his training in Barcelona
Dr. Sathyadas during his training in Barcelona

Dr. Anil Sathyadas, Associate professor in the Critical Care and Anaesthesiology depts of the Government Medical College Thiruvananthapuram, benefited from one of our grants last year.

It is important to highlight the changes in the government’s guidelines that have simplified the process of organ donation and transplantation.

Dr.Sathyadas’s team has made some progress towards improving their organ donation system: seven potential donors were identified after the training in Spain (November 2019), and one donation consented that offered a lifesaving transplant to many patients in the region.

The challenges that Dr.Sathyadas’s faced are the lack of proper counseling to the families: not accepting the demise of their dear ones, lack of training in the field among specialty doctors, residents, and house surgeons, late detection which makes donor maintenance difficult, and fear to declare brain death.

In order to improve the organ donation process, more awareness of brain death in staff nurses and resident doctors in trauma ICU will be raised.Dr Sathyadas is organizing training sessions among his colleagues in the hospital, transferring the knowledge he acquired during his training in Barcelona.

Finally, DTI Foundation in collaboration with the donation team will organize monographic webinars on the organ donation process, as well asEODS (essentials in organ donation), 15-minute lectures that will be taught by the donation team in every service of the hospital. This will be done every six months in a different department.

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TPM scholarship winner
TPM scholarship winner

REPORT: Increase in the organ donation rates in Kerala

*Dr. Muralee has granted us permission to us his complete name on this report*

Organ shortage is a major reason for the low number of organ transplants in India. An estimated four thousand people die in road traffic accidents in Kerala, about 70% of them could be declared brain dead and become potential donors. Due to the lack of professionals trained on deceased organ donation, all those potential donors are missed. Kerala achieved the highest number of donors in 2015, but in 2016 there was an important decline due to legal implications on brain death (BD) certification. In November of 2018, the Family and Health Welfare Department approved a government order to appoint an in-hospital transplant procurement manager (TPM) to coordinate potential donors at intensive care units in government medical colleges. As a consequence, a TPM was designated to create the first hospital-based organ procurement unit in a third level transplant hospital with a total of 560 beds and 60 ICU beds. The procurement manager became actively involved in the donor identification, supporting BD diagnosis and approaching donors’ families.

As a result, in 2018, 37% of the possible donors were converted to potential donors vs. 42% in 2019, this resulted in a 5% increase. From the total potential donors declared, 25% were actual donors, the rest of the cases were discarded primarily because of family refusals (religious barriers, inconsistencies among relatives, apathetic attitude towards the DP).

DTI Community, along with DTI Foundation have the mission of saving lives. Our way of doing this is by promoting knowledge transfer through our training courses in order to have more competent professionals specialized on organ donation and transplantation. It has been through our project in GlobalGiving, Save 1 Million Lives, that we have been able to grant various scholarships to healthcare professionals from all over the world. In doing so, we have created amazing relationships and a strong and vast network of friends, alumni and volunteers all inspired to save lives.

On October 2019, we granted a scholarship for the 25th TPM Advanced International Training Course, to Dr. Muraleedharan, intensivist from Kerala (India)(*Dr. Muralee has granted us permission to us his complete name on this report*). His time in Barcelona was of much importance to all of us.  Not only did he gain important training and knowledge for better organ donation and transplantation procedures and practices in his region, but also a strong bond with DTI Community family and staff. We communicate periodically and he reports to us about his experience in KIMS hospital, where he currently works, as well as updates on how they have been able to improve the methodology in regards to organ donation and transplantation in the region of Kerala. According to data from 2019, there were 10 organ donors, and this year 2020 they have had 6 organ donors so far. We can see a clear increase in the organ donation rates in the region since Dr. Muraleedharan participated in the TPM Advanced International Training Course.

The organ donation conversion rate increased from 0% in 2018 to 25 % in 2019, and we expect it to keep increasing on 2020.

*Dr. Muralee has granted us permission to us his complete name on this report*

 

To conclude, the role of the TPM provided clinical leadership and raised the value of deceased organ donation. Committed medical teams in addition to an efficient system helped reestablish the families´ trust to avoid the leakage of donors. Organ donation specialized training and international collaboration alongside institutional and regulatory support from the government are essential elements for the reconstruction of the DP in Kerala. 

In Kerala, deceased donor organ transplantation is suddenly hogging the limelight, raising hopes of a new revival for the State’s scheme Mrithasanjeevani. The State has done seven transplants this year, five of them in April-May in the cusp of COVID-19.

We are glad to have results like the ones in Kerala, this is great inspiration to keep going further with our project, Save 1 Million Lives. The donations to our project help us promote knowledge to professionals such as Dr Muraleedharan. We are always opening new spots for people to apply for scholarships to courses and master programs. Thanks to these contributions we keep sharing the gift of education and continue to save millions of lives.

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Donation & Transplantation Institute

Location: Barcelona - Spain
Website:
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Twitter: @dti_foundation
Project Leader:
Gemma Josa
Barcelona, Spain
$30,842 raised of $55,000 goal
 
210 donations
$24,158 to go
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