This book shows how a successful public health policy designed to foster the culture of brain
death diagnosis and improve the interaction between Organ Procurement Organizations and
Intra-Hospital Organ and Tissue Donation Committees for Transplants led the Brazilian state of
Paraná to reach one of the highest rates of effective organ donors per million population in
the world. Brazil has the largest public transplant system in the world and each of the
country's 26 states is responsible for organizing its own transplant system. The state of
Paraná with 11 million inhabitants has stood out in this regard in the last decade. It
reached 47.7 effective donors per million population (pmp) performing better than countries
such as the United States (33.3 pmp) Canada (21.9 pmp) Portugal (33.6 pmp) and Croatia (41.2
pmp). The remodeling of Paraná's transplant system between 2011 and 2020 was based on the
recognized Spanish model but has some unique characteristics.This book seeks to describe all
the steps of this remodeling describing its characteristics and explaining how the new system
was built. By presenting an in-depth analysis of a local successful case Effective Public
Health Policy in Organ Donation: Lessons from a Universal Public Health System in Brazil seeks
to provide useful information to policy makers health professionals and students from
different fields within the health sciences interested in understanding how public health
policies can improve organ donation rates especially in developing countries.
