**4.10 Poor coordination and management**

Functional organizational mechanism for transplant programmes including authorization for transplant services; ethics committees, guidelines and protocols, etc. are few in the region [41, 93]. Additionally, transplant is not sufficiently integrated into national health services and collaboration between SSA countries is limited.

Absence of functional and reliable registries militate against planning and implementation of policies due to lack of data. Most countries do not include performance indicators for organ donation and transplantation in their national health information systems. In addition, there is insufficient multisectoral (schools, transport departments, NGOs, Civil Society Organizations, etc.) involvement in transplantation programmes in SSA.
