I will be honest with you, most times I have no clue what my next blog will be about. It is hard to explain the writing process but unless inspiration strikes most times I just stare on a blank page with a blinking cursor. So as you can imagine it is always a pleasure and relief to come across a subject I can explore and hopefully stimulate a discussion on. I am not a movie lover; in fact you do not want to watch a movie with me because I have to know the ending before I watch one and most times than not I will be talking your ears off about the different characters. I will admit though there are times my nose is pulled out of a book long enough to watch one. This week it was John Q, a movie about a desperate father played by Denzel Washington trying to get his dying son on top of a heart transplant list. A really sad story with a happy dramatic ending, but it raised my interest on organ and tissue donation in Africa.
A quick search on Google gave me very little to go on. In fact, I mainly got statistics from South Africa whose donation ratio is estimated to be 2 to every 1 million. Shocking, I know! Kenya’s situation is worse with for example people suffering from corneal blindness getting their cornea transplants from the USA at a cost of 2000 USD which roughly translates to 200,000 KES. This is an exorbitant fee for most of those seeking a new lease in life so most are condemned to a life of blindness. All the organ banks in Kenya are mostly empty and those who donate are usually living relative trying to save the life of a loved one. The law in most African countries I came to find out is not clear on the guidelines for organ donation so those who can afford it opt to seek medical care outside the continent. So dire is the situation that the black market in organ harvesting is thriving in places like Egypt and South Africa where the poor and refugees are targeted. Their organs are either harvested through coercion, consent or downright theft.
It is clear that there is a big gap between the number of those waiting to receive organ and tissue transplants and those willing to be donors. So why are the majority of us not registered as organ donors when we die? I believe it is for a number of reasons mostly cultural, legal and religious. African cultures believe in the continuity of life and there is really no distinction between the soul, spirit and the body. Giving a part of your body is considered giving up a part of your whole being. On the other hand most religions believe in the continuity of the human spirit yet no one is talking about the benefits our mortal bodies could bring to this world. Over all there is very little information within our belief system for people to begin questioning about the possibilities that exist and what they can do to help. Sadly in this case belief marks the end of reasoning.
I admit signing up as an organ donor after death makes us confront our mortality and it is a hard truth to face. I have flirted with the idea of visiting an organ donation center in Kenya but I have never really committed to it. If I died tomorrow, donating my organs could help give up to seven people a chance to live longer; donating my soft tissue could improve the quality of life of up to 50 more people. I think that is an empowering and selfish thought at the same time. I acknowledge that our cultures and religious beliefs are deeply ingrained in us and sometimes our loved ones may prove to be the biggest obstacles to overcome. What I wish to do is to start a conversation on how we can make lives better even when we are gone or how we can ease our family into the idea that it is alright to share us with the world. I hope that you will visit your physician and have a candid discussion on the alternatives available in your country. Let us be part of the change and the better Africa we want to see even in death!