**5.2 Comprehensive legislation and regulation**

Transplantation has significant medico-legal implications requiring robust legal framework. This should cover organ donation legitimacy, regulatory bodies, criteria and processes of accreditation, certification and standardization of transplant centres [98]. Transplantation programmes afford SSA opportunities to learn and adapt legislation from other regions. In 2008, Israeli parliament accepted two laws from their Ministry of Health - the Brain-Respiratory Death for determination of brain death and the Organ transplantation laws [99]. These laws defined the ethical, legal and organizational aspects of organ donation, allocation and transplantation with prioritization of registered donors, donor reimbursement and life insurance [99]. These and stoppage of illegal TT reimbursement significantly increased living and deceased organ donation by 2011 [99, 100].
