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Quality Medical Donations &
Minimizing Drug Disposal
Anthoula Randopoulos
Vice President of Philanthropic Investment
Direct Relief International
Quality Medical Donations &
Minimizing Drug Disposal
1. Bad Donations – A preventable cause and effect.
2. PQMD Drug Donation Guidelines – A prevention strategy.
3. How we can work together
Mission Statement
The Partnership for Quality Medical Donations
and its members, in alliance with related organizations,
is dedicated to the development, dissemination and adherence
to high standards in the delivery of medical products to
underserved people and disaster victims around the world.
Where do the donations go?
Figure 5. Percentage of Shipments Sent Overseas for Emergencies and Development by PQMD
NGO Members in 2005
Figure 6. Number of PQMD NGOs Shipping to Various Regions of the World
16.0%
Former Soviet Republics
Western Pacific
Eastern Mediteranean
Percentage of Shipments for Emergencies
Percentage of Shipments for Development
Europe
Southeast Asia
84.0%
Africa
The Americas, Excluding the US
0
2
4
6
Number of PQMD NGOs
8
10
12
Not all donations are good donations!
Harvard School of Public Heath Study:
Drug donations make up 50% of medicine in some nations.
As much as 40% of donations can be inappropriate.1
1 Pharmaceutical
donations by the USA; An assessment of relevance and time-to-expiry, Department of Population
and International Health, Harvard School of Public Health.
Six problems associated with drug donations.
1. Donated drugs often are not relevant to the situation of the recipient.
2. Many donated drugs arrive unsorted and inappropriately labeled.
3. The quality of donated drugs does not always comply with standards in the donor
countries (including expired drugs, drugs returned from patients, or free samples).
4. Donor agencies sometimes ignore local administrative procedures.
5. Donated drugs may have a high declared value, based on the market value in the
donor country, leading to high customs charges for recipients.
6. Drugs may be donated in incorrect quantities, creating disposal problems.
PQMD Seven Components
of Quality Donation Practices
1. Needs Assessment
2. Appropriateness of the Donation
3. Quantity and Quality
4. Packaging
5. Transportation
6. Utilization of Human Resources
7. Evaluation
1. NEEDS ASSESSMENT
•Event
•Demographics
•Existing health care
•Human resources
•Customary modes
•Location
•Regulatory environment
•Contacts
2. APPROPRIATENESS OF THE DONATION
•Requested
•Comparable
•Consistent
•Suitable
3. Quality and Quantity
•Quality
•Proper Storage
•Generic Name
•Sufficient Dating
•Proper Disposal
•Special Equipment Available
•Correct Language
•No Donation of Returns
4. PACKAGING
•Clear and understandable
•Reflect climatic conditions
•Cold-chain labeled
•Protective packing
•Small and light
•Content list/instructions/inserts
•Language easily understood
5. TRANSPORTATION
•Appropriate means
•Costs addressed
•Clear shipping documents
•Duties addressed
•Clearance Status obtained
•Follow receiving country's policies.
•Emergency - expeditious means
•Insured.
•Storage arranged
•Qualified transport companies
6. UTILIZATION OF HUMAN RESOURCES
•Assess available staffing and field conditions.
•Provide generic name, the expiration date and other
relevant information for the staff.
•Provide name(s) of donor contacts who can respond to
questions.
7. EVALUATION
•Evaluation plan
•Ready access to recipients
•Public access
In Summary……….
Donations should be made by/to organizations with
Institutional memory
Pharmacological experience
Established relationship with government
Established relationship with other NGOs
Strong field presence
Understand disposal and environmental issues
Working Together – ANSI/SDO
PQMD will become an
ANSI Accredited Standards Development Organization
Benefits:
•Provides an umbrella organization
•Government/industry recognition
•Voluntary, transparent and consensus
driven process
•Speeds up the process
Possible Standards:
•Pharmaceutical donations
•Pharmaceutical disposal
•Medical product recycling
•Data dictionary or taxonomy of
terms
Working Together
Distribute:
•Mission Possible
Logistics Training Video
•Information on proper drug
donations and disposals
•Joint PSA
Questions?
Visit www.pqmd.org
Contacts:
Lori Warrens – Executive Director
Sara Christopherson – Director of Programs and Communication