ZONAL TRANSPLANT CO-ORDINATION CENTRE
ABOUT ZTCC, MUMBAI

Home/About Ztcc, Mumbai

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Our Goal

ENSURING FAIR EQUITABLE DISTRIBUTION OF AVAILABLE CADAVERIC ORGANS

ZTCC is a not-for-profit, government organization started to promote organ donation in 2000 in Mumbai. ZTCC is an organization impart with international standards with following main aims.

  1. To promote cadaver transplant.
  2. Optimal use of all cadaveric available organs.
  3. To reach out to every needy waiting recipient with fair distribution of organs as per government guidelines.

ZTCC was formed as a coordinating agency for Mumbai and suburbs in 2001, as per the Maharashtra State Guidelines issued for cadaver Transplant in 1999.It is registered under the Charity Commissioner’s Office.

Human Organ Transplantation Act was passed in 1994 in India and it was adopted by Maharshtra in 1995. In the meeting which was called by Directorate of Health Services to discuss about implementation of deceased donor programme in Maharashtra on 24thMay 1995 it was proposed by the experts present ( Late Dr V N Acharya, Dr A Kriplani, Dr G B Daver and Dr S K Mathur) that the regulation of transplant should be done at three levels.

  1. There should be central coordinating body at state level incorporating Appropriate Authority and authorisation committee and others.
  2. There can be a Coordinating body formed by an NGOs such as National Kidney Foundation and other like-minded bodies.
  3. Registered Transplant Hopsitals where organ transplants and Organ Retrievals will be done.

In Maharashtra , Directorate of Health Services is Appropriate Authority and Directorate of Medical Education and Research is Authorisation. The Appropriate authority gave registrations to the hospitals for retrieval and transplants of the organs.

On 9th July’ 1999, Mahrashtra Government issued Government Resolution ( GR) for the implementation deceased donor transplant programme in state of Maharshtra.

This GR of 1999 also notified the formation of the, “Maharashtra Confederation for Organ Transplant” (MCFOT) was formed as state level advisory body with the aims to promote deceased donor transplant programme in the state, to cooperate with the Appropriate Authority for implementation of deceased donor programme and to coordinate with the city level coordinating agencies,[ ZTCCs] and to create awareness about organ donation.

The 1st meeting of MCFOT was held on 31st August 1999 under chairmanship of Mr T. C. Benjamin Secretary Madical Education and Drug Department with following agenda:

The Zonal Transplant Coordination Centres were proposed at four cities, Mumbai , Pune , Nagpur and Aurangabad. Presently all the four ZTCCs are functioning efficiently

Mumbai ZonalTranspalnt Coordination Center, was the first ZTCC which was created by MCFOT in its meeting held on 31st March’ 2000 and started functioning in the same year under the chairmanship of Mr, Julio Reberio IPS(Retd.) and Dr Vatsala Trivedi HOD Urology LTM Medical college and Hospital was nominated as Secretary. First meeting was held on 18th Dec.2000 under the chairmanship of Mr. Julio Reberio, 13 registered hospitals participated. Mrs Sujata Ashthekar became the first Hon. Transplant Coordinator with ZTCC Mumbai. In Year 2001, Memorandum of Association and Rules Regulations were framed and registered with Charity Commissioner. The Constitution of ZTCC Mumbai was subsequently amended in Year 2005 and 2013.

Other ZTCCs followed similar memorandum, rules and regulations.

Composition of ZTCC, Mumbai

Members- - All the registered Transplant Hospitals in Mumbai suburbs and Thane city are the members of the ZTCC, Mumbai.(it is made mandatory for them by the State.) It also has the membership of NGOS who are promoting organ donation and deceased Donor Transplant.

A.Executive Council:-It consists of following members.

  • President[ elected]
  • Two Vice President[ elected]
  • Gen. Secretary[elected]
  • Joint Secretary[elected]
  • Treasurer

Chairpersons of expert subcommittees are also the members of executive council.

Meeting of executive council is held once a month.

B.Governing Council:-

It consists of following members.

  • CEOs/Deans/Commandants of all recognized member hospitals.
  • Representative from NGOs .
  • Chairpersons of all expert committees
  • Representative of State Appropriate Authority
  • Invitee members.

Meeting of Governing Council is held every three months.

C.General Body:-All members of various committees are the members of General Body.

The meeting of the general body is held once a year.

ZTCC formed expert committees for providing technical guidance. Experts members [one physician and one surgeon] of this committees are from all recognized institution and form subcommittee for each organ e.g.

  • Kidney and pancreas
  • Liver
  • Heart
  • Bone marrow
  • Cornea
  • Skin and tissue bank
  • Social workers/Transplant Coordinators committee
  • Any other organ

The meeting of the expert committee is called by a chairperson as and when required.

Miscellaneous Subcommittee formed by the nomination.

  • Internal audit committee
  • Ethics committee

The chairman and the Secretary are elected by individual committees.

The term of each committee is for three years.

The members have right to get re-nominated for totally 2 terms only.

ZTCC is an organization impart with international standards with following main aims.

  • To promote deceased donor [cadaver] transplant.
  • Optimal use of all cadaveric available organs.
  • To reach out to every needy waiting recipient with fair distribution of organs as per government guidelines.

Main Objective

  1. To coordinate, monitor and supervise the cadaver organ transplant programme.
  2. To create transplant registry and maintain computerized waiting list of recipients for each organ.
  3. To promote and improve recognition and awareness about organ donation.

Transplant Registry- The ZTCC, Mumbai maintains the computerized waiting list blood group wise for each organ like kidney, liver, heart and lung as per the priority criteria given in the Maharashtra State guidelines. All the registered transplant hospitals send the information of the patients required cadaver organ in the prescribed form for listing. For kidney each patient is given priority score as per the guidelines.[refer guidelines] For liver priority is mainly as per the blood group and date of registration if there is no patient in super urgent category. The patient’s name is registered through hospital and the patients cannot get registered directly to the ZTCC. When the organ is available the organ is offered to the patient only in the hospital from where it is registered with the ZTCC. As on January 2015, 2776 patients waiting for kidney, 199 for liver[with repeated registration].

Organ Distribution When there is a brain death in the registered hospital, the ZTCC is informed. The first kidney goes to the donor hospital patient having highest priority score in that blood group. The second kidney is offered to the patients on city waiting list as per the priority score. The liver is first offered to the patient listed in the super urgent category [ this listing is done after the expert committee approval],if there is no super urgent category patient then the liver is offered to the donor hospital. If there is no patient from the same blood group on the hospital list then the liver is offered to the city waiting list.

The ZTCC Co-ordinators contact hospital co-ordinators who inform the patients about the availability of the organ. The distribution report and reason for refusal are written and filed in the ZTCC office.

Awareness Activities The ZTCC, Mumbai has been promoting organ donation by conducting various awareness activities. Pamphlet and Donor Card distribution – putting up stall at community meetings. Ganesh Mandals, Navratri Utsav , Colleges, corporate etc. Donor card pamphlet has mobile nos. which are contactable day and night. Awareness talks- ZTCC representatives go to various places to give talks or power point presentation on organ donation

Corporate Activities
  • Social groups like Rotary club, Lions club
  • Mahila Mandals, Ganesh Mandals
  • Community gatherings
  • Participated in Rallies, Marathon
  • Co-ordinate for role plays, street plays on organ donation with the help of college students, office workers.
  • Newspaper reports, magazines- The ZTCC members have written articles in magazines to promote organ Donation
Training programmes

We conduct CMES in the hospitals and for NTORCS to sensitize the professionals. Conduct training programme for MSWs/ para-professionals.