The Kerala government has made the presence of government doctors mandatory during certification of brain death in hospitals. State Health Minister K K Shylaja gave directions to empanel doctors for certification procedure. 

As per new guidelines, the presence of at least one doctor in government service is mandatory while certifying brain deaths. The move aims to bring in transparency in organ donation process and to ensure that the procedure of brain death adheres to international protocols. 

Deputy District Medical Officers have been empanelled as nodal officers. The team will also include 10 to 15 specialist doctors. The guidelines were introduced following complaints regarding brain death certification and organ donation in the state. 

Doctors included in the panel will get special training at Government Medical College on procedures to certify stem death certification. The training also included international protocols and processes to be followed during certification.

Kerala Network of Organ Donation (KNOS), the state government's nodal agency for organ retrieval and sharing gave training to doctors after dividing them into three zones, Thiruvananthapuram, Ernakulam and Kozhikode. Doctors belonging to Thiruvananthapuram zone completed their training. 

Cadaver transplantation has gained more acceptance in the state recently. As many as 253 brain death cases were reported from August 2012 to February 2017. The number of donors increased from nine in 2012 to 72 in 2016.