Health Status and Renal Function Evaluation of Kidney Vendors: A Report from Pakistan

Naqvi, Syed Arsalan Ahmed; Rizvi, Syed Adibul Hasan; Zafar, Mirza Naqi; Ahmed, Ejaz; Ali, B.; Mehmood, Khalid; Awan, Musaddiq J.; Mubarak, Bushra; Mazhar, Farida

doi:10.1111/j.1600-6143.2008.02265.x

Cited by 70 publications

(35 citation statements)

References 35 publications

(71 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Institute teams undertook studies on vendors in the province of Punjab and published findings on their poor socio-economic status and compromised renal function. 8, 9 Post law, the institute also helped to maintain transplant activity in the country by increasing its transplant rate by 2–3/week to 10–12/week thereby performing over 1000 transplants in the 2008 and 2009 period.…”

Section: Impact Of the Model On Transplantation Activity In Pakistanmentioning

confidence: 99%

A kidney transplantation model in a low-resource country: an experience from Pakistan

Rizvi

Naqvi

Zafar

et al. 2013

Kidney International Supplements

View full text Add to dashboard Cite

Pakistan is a low-resource country with a population of 185 million where expenditure on health is 1.3% of the gross national product. The estimated incidence of end-stage renal disease (ESRD) is 100 per million of the population. The paucity and high costs of renal replacement therapy render more than 90% of the ESRD population disenfranchised from replacement therapy. Our center, which is a government sector organization, established as an integrated dialysis and living related renal transplant program in the 1980s, where all services were provided free of cost to all patients with life-long follow-up care including medications. The model was based on a concept of community/government partnership where the contributions to funds vary between 40% and 60% for each partner. The model has been self sustaining for 25 years, with an annual budget of $28 million in 2010. Presently, over 600 patients are dialyzed each day and each week, 7–10 patients have received live related transplants. The overall 1- and 5-year graft survival rate of 3150 transplants is 92% and 85%, respectively. Free dialysis and transplantation established our institute as a focus of transplantation in the country. This model therefore allowed the institute to have a vital role in the campaign against transplant tourism and in the promulgation of the transplant law. It shows that in low-resource countries, specialized centers in the government sector can, with community support, provide high-quality ESRD care to the disenfranchised population.

show abstract

Section: Impact Of the Model On Transplantation Activity In Pakistanmentioning

confidence: 99%

A kidney transplantation model in a low-resource country: an experience from Pakistan

Rizvi

Naqvi

Zafar

et al. 2013

Kidney International Supplements

View full text Add to dashboard Cite

show abstract

“…In reality, the bargain may be far from advantageous: The kidney may be removed through force or coercion; following the kidney removal, paid donors often suffer a deterioration of their mental and physical health and a worsening of their economic situation. Yet such harms, documented in long-term studies (Naqvi et al 2008), are not as obvious to grasp as the deleterious impact of working in a brothel or suffering employer abuse. Many are thus supportive of a trade in organs as a means of overcoming the persistent shortage of altruistic organ donations.…”

Section: Resonance With Audiencesmentioning

confidence: 99%

Global Efforts against Human Trafficking: The Misguided Conflation of Sex, Labor, and Organ Trafficking

Efrat

2015

Int Stud Perspect

View full text Add to dashboard Cite

Human trafficking has been the subject of growing attention from both scholars and policymakers. The internationally accepted definition of human trafficking used by governments and international organizations identifies three purposes of trading in persons: sexual exploitation, labor exploitation, and the removal of organs. I argue that conflating sex, labor, and organ trafficking in policy initiatives and in the scholarly literature overlooks major differences between these practices-differences that greatly affect governments' willingness and ability to curb them. This article identifies three such differences: the social status and political influence of the perpetrators, the precision of norms and their resonance with audiences, and the costs of enforcement. Through these distinctions, I explain why Israel has been vigorous in combating sex trafficking, yet hesitant to tackle labor and organ trafficking. The Israeli experience highlights the different challenges posed by sex, labor, and organ trafficking and offers important lessons for the study of these phenomena.

show abstract

“…Also unknown are statistics on donor and recipient outcomes after such transplants. In these unregulated, underground markets, prospective donors are often poorly informed, inadequately screened, not allowed to change their minds, given little postdonation care and no follow-up, and are often not even rewarded with the incentive that was promised [3][4][5][6][7][8][9][10][11][12][13][14]. In general, reports from the countries that have underground markets indicate that many donors regret their participation; unknown is whether or not any donors from the same countries feel that they benefited.…”

Section: Unregulated Experiencementioning

confidence: 99%

“…Finally, some countries have maximized (or nearly maximized) both living and deceased donation -and still have a significant shortage. A consequence of the organ shortage is that unregulated, underground markets for donation have developed in many countries (over many continents) [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

The Rationale for Incentives for Living Donors: An International Perspective?

Matas

2015

Curr Transpl Rep

View full text Add to dashboard Cite

The organ shortage has become a crisis for transplant candidates with end-stage renal disease, and a significant number of them either die while waiting or become too sick to transplant. A consequence, worldwide, has been the development of unregulated markets for donation; these markets have been associated with poor outcomes for both donors and recipients. In contrast, a regulated system of incentives might increase donation rates while also providing a benefit to donors. Criteria for an acceptable system have been proposed: protection of the donor and recipient, regulation, transparency, and oversight. Many of the concerns about the implications and impact of such a system could be answered with a clinical trial in a country (or countries) that can meet the described standards. Yet the debate about the advisability of developing such a system continues, even as the waiting lists grow and candidates die while waiting.

show abstract

Health Status and Renal Function Evaluation of Kidney Vendors: A Report from Pakistan

Cited by 70 publications

References 35 publications

A kidney transplantation model in a low-resource country: an experience from Pakistan

A kidney transplantation model in a low-resource country: an experience from Pakistan

Global Efforts against Human Trafficking: The Misguided Conflation of Sex, Labor, and Organ Trafficking

The Rationale for Incentives for Living Donors: An International Perspective?

Contact Info

Product

Resources

About