Quality Medical Donations & Minimizing Drug Disposal

1. Quality Medical Donations & Minimizing Drug Disposal Anthoula Randopoulos Vice President of Philanthropic Investment Direct Relief International

2. Quality Medical Donations & Minimizing Drug Disposal Bad Donations – A preventable cause and effect. PQMD Drug Donation Guidelines – A prevention strategy. How we can work together

3. 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.

4. Where do the donations go?

5. 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.

6. Six problems associated with drug donations. Donated drugs often are not relevant to the situation of the recipient. Many donated drugs arrive unsorted and inappropriately labeled. 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). Donor agencies sometimes ignore local administrative procedures. Donated drugs may have a high declared value, based on the market value in the donor country, leading to high customs charges for recipients. Drugs may be donated in incorrect quantities, creating disposal problems.

7. PQMD Seven Components of Quality Donation Practices

8. 1. NEEDS ASSESSMENT • Event • Demographics • Existing health care • Human resources • Customary modes • Location • Regulatory environment • Contacts

9. 2. APPROPRIATENESS OF THE DONATION • Requested • Comparable • Consistent • Suitable

10. 3. Quality and Quantity • Quality • Proper Storage • Generic Name • Sufficient Dating • Proper Disposal • Special Equipment Available • Correct Language • No Donation of Returns

11. 4. PACKAGING • Clear and understandable • Reflect climatic conditions • Cold-chain labeled • Protective packing • Small and light • Content list/instructions/inserts • Language easily understood

12. 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

13. 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.

14. 7. EVALUATION • Evaluation plan • Ready access to recipients • Public access

15. 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

16. 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

17. Working Together • Distribute: • Mission Possible • Logistics Training Video • Information on proper drug donations and disposals • Joint PSA

18. Questions? Visit www.pqmd.org Contacts: Lori Warrens – Executive Director Sara Christopherson – Director of Programs and Communication