Shahid Dharmabhakta National transplant Center- SDNTC (Human Organ Transplant Center- HOTC) is situated at Dudhpati-17, Bhaktapur, a beautiful and a serene place at the distance of 12 kilometers from Kathmandu. It was established in 2012 by the Ministry of Health to strengthen and expand organ transplantation services in the country. The outdoor inauguration of the center was facilitated by the then Health Minister Rajendra Mahato, while the indoor service was instituted by the then Health Secretary Dr. Pravin Mishra. This center started its services merely with the out-patient and dialysis services, but within a few years of its establishment it has extended its services beyond dialysis and organ transplantation.
It is under the directorship of Senior Kidney/Liver and pancreas transplant surgeon Dr. Pukar Chandra Shrestha since 2012.
An estimated figure shows that the incidence of kidney failure in Nepal is 3,000. Likewise, 1,000 people develop liver failure annually. The estimated diabetic population who might be benefitted from pancreas transplantation in Nepal is 30% which is 10% of total population. Thus, increasing concern towards non- communicable diseases and organ failure resulted in the establishment of this center.
The specific objectives of this center are:
1. Strengthen and expand organ transplantation services in the country.
2. Provide and expand other specialized services
3. Provide high quality health care at a modest or free of cost
4. To adopt various measures to increase the rate of living and brain-dead organ donation and uplift gender equity in organ transplantation and.
5. Undertake research related to human organ transplant to understand the state of kidney and other organ failure in Nepal.
6. Advocate for policy interventions
7. Organize free health camps across Nepal to screen any kind of diseases.
8. Conduct educational activities to raise awareness regarding organ failure, organ transplantation and organ donation.
9. To produce high level human resources by providing structured training in various aspects of services to expand the services across the country.
With continuous hard work and world class results in transplantation, this center has become successful in leading the country in the field of organ donation and transplantation. In the Fiscal year 2016-17, this center created history by adding various milestones in the orbit of organ donation and transplantation.
1. Organ Transplant Act 2072 and regulation 2073 was passed opening doors for cadaveric organ donation, pair- exchange programs and expansion of living donor pool.
2. First liver transplant in the country was performed on December 7, 2016 after 3 days of approval of transplant regulations.
3. First brain death donor kidney transplant was performed on May 11, 2017.
4. Dialysis and kidney transplant were made totally free on 2016 and 2017 respectively.
5. The center performed 132 kidney transplants within 1 year period of FY 2016-17.
6. Performed first open heart surgery on November 17, 2016 in the preparation for heart and lung transplants in future.
1. Kidney and Liver transplantation:
This center is the only dedicated organ transplant center in the country carrying out more than 150 kidney transplants a year. It has already conducted more than 500 kidney transplants in half a decade of its establishment and is also the pioneer of liver transplant and deceased donor organ transplantation in the nation, having conducted three successful live donor liver transplantations and four kidney transplantation from two brain-dead deceased donors.
The average cost of renal transplant is up to $25,000 in neighboring countries, while this service is free for its citizens in Nepal. Likewise, the cost of liver transplant in neighboring countries is as high as $ 150,000 while it costs about $ 20,000 for its citizens in Nepal.
The flow of patients seeking kidney transplantation services from neighboring and overseas countries is also in increasing trend.
Free hemodialysis, CAPD, CRRT, Plasma exchange
Mini PCNL, Cystoscoy, TURP, TURBT, URS, Uroflowmetry
4. Gastroenterology and Hepatology:
Gastroscopy, Colonoscopy, ERCP, Endoscopic Ultrasound, Lap. Cholecystectomy, Liver and Pancreas resection.
5. Cardiology/ cardio-thoracic and vascular surgery:
ECG, TMT, ABP, Stress echo, Toe, Open heart surgery, Lung Resection, AV fistula, Video Assisted Thoracoscopy, Bronchoscopy, Cath. lab, Coronary Angiogram, Angioplasty
Ganeral lab, Serology, Microbiology, Immunohistology and Immunohistochemistry
X-ray, Ultrasound, CT-scan (256 slice)
Ultrasound therapy, TENS, Inferential Therapy, Muscle Stimulator, Laser therapy
9. Organ donation services
10. 24 hours pharmacy services
11. Free bus services for the patients
DEPARTMENTS OF SDNTC
Department of Nephrology and Renal Transplant Medicine
Department of radio diagnosis
Department of transplant and Hepato-pancreatic and Biliary surgery
Department of Pathology
Department of Urology
Department of Pharmacy
Department of Cardiothoracic and Vascular Surgery
Department of Physiotherapy
Department of Gastroenterology and Hepatology
Department of Nursing
Department of Anesthesiology and Critical care
1. To increase the bed capacity to 300 beds
2. To carry out more than 200 kidney transplants per year
3. To regularize liver transplantation and heart-lung surgeries
4. To develop the institution as a Post-graduate medical academy
5. To assist government in spreading transplant and dialysis services across the country.