Transplantation is a complex and expensive procedure; the success of which depends on the availability of good medical infrastructure, trained professionals, and a public sensitized to the concepts of deceased organ donation and live donation. Many countries in Asia and Africa with limited resources do not have these structures in place. Basic public health problems among children such as malnutrition and infectious diseases are given precedence over transplantation in these countries. A viable and equitable pediatric organ transplant program requires a system-wide approach – starting with early diagnosis, timely referral, and coordination between the public and private healthcare sectors. This chapter discusses the issues involved in setting up pediatric transplant facilities in countries with limited resources, using the example of pediatric liver transplantation in India.
Liver transplantation Countries with limited resources Deceased donation Living donation Biliary atresia Public private partnership
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