Janet said that as a mom she often feels helpless as she watches her son struggle with physical activity and fatigue. But she also knows that God has a plan for his future. Matthew and his mom are using his situation to help raise awareness about organ donation and to get people to talk about it. There are a minimum of 4300 people on the organ transplant waiting list in South Africa. Sadly, only 0.3 percent of South Africans are registered as donors and donor referrals have declined significantly in the last 13 years in KZN. In 2002 a total of 115 solid organ transplants were done in KZN, and in 2014 a total of 18 solid organ transplants where done. The decline in donor referrals and transplants is significant.