A government run Regional Organ and Tissue Transplant Organisation (ROTTO) will be set up at the King Edward Memorial Hospital in Mumbai. The ROTTO will coordinate and facilitate organ transplants between Maharashtra, Gujarat, Goa, Union Territories of Dadra and Nagar Haveli, Daman, Diu, Madhya Pradesh and Chhattisgarh, thereby creating a larger network of donors and recipients, increasing the chance for organ failure patients to find donors. The KEM Hospital center has already received funding from the Center.
The central idea behind setting up ROTTO is to create regional and state level registries of waitlisted organ failure patients. ROTTOs responsibility in the years ahead will be to penetrate the organ and cadaver donation programmes into states and regions where there is very little awareness about it. Doctors, surgeons and medical social workers will be trained to network with each other.
Another important objective will be to encourage organ donations in municipal hospitals that have maximum numbers of brain death cases.
At present, the job of maintaining a database of end-stage organ failure patients and coordinating with them about an organ availability is done solely by the state-based non-governmental organization Zonal Transplant Coordination Committee (ZTCC). In the next two years, ZTCC will be dissolved and the role of facilitating organ transplants within the states will be solely be with ROTTO.