'I sold my kidney... to repay the loans'

In a small village near Joypurhat in northern Bangladesh, Selina Akther sold a kidney to repay her husband's microcredit loans and now suffers from daily pain and the scorn of fellow villagers. Her husband, brother-in-law and father-in-law also sold a kidney.

The brother-in-law, Mohammed Saharul Islam, said he was in a "dire economic situation" because he couldn't pay back multiple microcredit loans. The collateral-free loans (with an average size of about $50) allow villagers to start small businesses such as a chicken farm or food stand, although critics say the popular program can quickly lead to a dangerous cycle of debt.

"I sold my kidney from the pressure to repay the loans," Islam said.

Monir Moniruzzaman, a medical anthropologist at MSU, is documenting the disturbing trend as part of his latest research.

Twelve years ago, when Moniruzzaman started researching human organ trafficking in his native Bangladesh, it was relatively rare from village to village, an underground phenomenon. Today, the illegal sale of organs from living donors is so pervasive in the impoverished country that entire families have been exploited, transplant centers are much easier to find and husbands commonly pressure their wives to sell an organ, Moniruzzaman said.

"The market has widely expanded since I began looking into it," said Moniruzzaman, whose fieldwork in 2005 exposed the black market for human organs and led to a seminal paper last year in Medical Anthropology Quarterly. "Unfortunately, it's a mundane practice now – in Bangladesh and other poor regions around the world."

With his latest research Moniruzzaman is documenting the many ways organ trafficking has infiltrated Bangladesh. This includes the growth of the human liver trade in which poor, vulnerable residents are fooled into selling part of their livers under false promises that they will get rich from the sale and that the liver will grow back.

Other findings:

• In Bangladesh, a patriarchal society where arranged marriages are common, husbands regularly persuade wives to sell a kidney or part of their liver in hopes of paying off debt and climbing out of poverty. Because organ-sellers often remain in poor health and unable to perform manual labor, these men argue they cannot donate another organ themselves and that it falls to the wife.
• While the wives are the initial "target," Moniruzzaman said the men also persuade other family members by promising them wealth from the recipient that rarely materializes.
• Many organ sellers, realizing they can no longer work, have become organ brokers – the intermediary between seller and transplant doctor, who turns a blind eye to the illegality of the sale. In a country where more than a third of the workforce can't find a job, Moniruzzaman said "it's a common and consistent theme that the sellers turn into brokers – they feel they have no choice."
• The number of transplant hospitals in the Bangladesh capital of Dhaka has increased from one in 2005 to nearly 10 today, as hospital officials and doctors realize how lucrative the black market for human organs has become.

Moniruzzaman has delivered his research findings and recommendations on organ trafficking to both the Tom Lantos Human Rights Commission of the U.S. Congress and the U.S. Senate Committee on Foreign Relations.

Among his recommendations, he said the United States should play an active role in helping the global community recognize and crack down on organ trafficking in Bangladesh and elsewhere.

Provided by Michigan State University