PCB -The third meeting
On Wednesday, October 31 this year at the hotel „Tuzla“ in Tuzla, the third PCB (Project- Coordinating Body) meeting was held as part of the ON’s project „Respect for the Laws= Organ Transplants“.
As on the previous ones, the meeting attended the representatives of all relevant stakeholders in the field of transplant medicine (Federal Ministry of Health, Ministry of Health and Welfare of RS, Clinical Center Sarajevo, Clinical Center Tuzla, Clinical Center Banja Luka, Donor Network of the Sarajevo Canton, etc).
This time, finally, the starting points in solving the problem of the implementation of the existing legislation in this field were clearly defined. All participants agreed once again that existing legislation, as well as those of the last government, are not the problem in this field nor the obstacle in the development of the transplant medicine in BiH (even more the participants agreed that these are very good legislative solutions although these do not provide the implementation of the so-called „Spanish model“). It is clear that existing legislation demand strong infrastructure and systematic support of the state, and simultaneously the adoption of the budget. Given that there are certain resources and professional staff required for this field, the participants agreed that it is necessary for the beginning to do the next important step, regardless of whether in the meantime the state supported it, and that is the improvement of the organization.
In this respect, it is concluded that it is crucial that at the next meeting all the directors of the Clinical Centers and hospitals from FBiH and RS gather as the responsible ones for (non) implementation of the Ordinance on Determining Brain Death. The participants considered that it is vital to determine the brain death at relevant medical centers in FBiH and RS in order to revive this story. According to the existing legislation, these centers are obliged to implement these rules (otherwise the fines are envisaged), and these either do not do it sufficiently or at all. The present representatives of the medical profession stressed that the adoption of the budget for the implementation of the existing legislation is not the obstacle for not determining the brain death at their centers and not performing the organ transplant surgeries. Also, it has been established that Ministry of Civil Affairs of BiH is, according to its respective jurisdictions, accountable for taking over the main role on the state- level for coordination between the entity-level ministries of health as well as for taking the responsibility in relations to European and world organizations in this field. The respective Ministry should establish a temporary body at the state- level which will coordinate the activities in this field while the infrastructure is not supported systematically through the budget. In this respect, we expect the representatives of the mentioned stakeholders at the next meeting, that will inform us on the concrete data from the practice as well present their capacities which will contribute to a clearer picture in practice.
At this meeting, the association „KYODO“ from Sarajevo has, as ON’s partner in this project, presented the preliminary draft of the analyses of the current situation in this field.
In the end, all participants agreed once again that it is essential that one such project is launched and that with these steps progress is made in a direction which will completely revive the field of transplant medicine in BiH.