Drug Donations in Post-Emergency Situations

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dc.creatorAutier, Philippe
dc.creatorGovindaraj, Ramesh
dc.creatorGray, Robin
dc.creatorLakshminarayanan, Rama
dc.creatorNassery, Homira G.
dc.creatorSchmets, Gerard
dc.date2013-05-30T14:24:45Z
dc.date2013-05-30T14:24:45Z
dc.date2002-06
dc.date.accessioned2026-07-01T01:30:55Z
dc.descriptionThe objectives of this project were to conduct situation analyses on drug donations in East Timor (post-conflict country), El Salvador and Gujarat State in India (both affected by earthquakes), and Mozambique (floods), applying criteria derived from the Interagency Guidelines for Drug Donations; to determine how and whether the implementation of the Guidelines has affected the processes and outcomes of drug donations; and to build evidence to facilitate wider acceptance of the Guidelines. The study teams undertook to identify the organizations responsible for inappropriate donations, a step not often taken in earlier investigations. This information can now be used to facilitate educational initiatives aimed at preventing similar problems in the future. Awareness of the Guidelines was high and appropriate drug donations were made in El Salvador, Gujarat State in India and East Timor. In Mozambique, it was found that even with strong recipient awareness of the Guidelines and country ownership of the drug donation process, dumping and inappropriate donations occurred. International donors did not follow requests made by the Mozambique Government, and disruption of administrative systems by the floods affected capacity to ensure proper management of drug supplies. In the four countries, drug needs in the first few days following the emergency were often met through buffer stocks. A common feature noted in Gujarat, East Timor and El Salvador was that, in most instances, adequate drug supplies were provided during the acute phase of the disaster through the use of local buffer stocks, as well as by major donor agencies with expertise in providing immediate disaster aid of good quality. In the case of Gujarat, the presence of a large domestic pharmaceutical production capacity in India significantly aided the swift response following the occurrence of the earthquake. In Mozambique, warehouses that contained buffer stocks were flooded. The effectiveness of logistics software systems was closely dependent on local capacity and sustainability of the systems. The decision to use them for emergencies needs to be re-examined since the effectiveness of these tools is disputed. In India and Mozambique, elaborate manual record-keeping systems that the local staff were familiar with and experienced in maintaining, served as a better source of information than computer based systems that were not updated, lacked functioning equipment and required staff knowledgeable in the use of the program. In all four countries, no evidence was found to suggest that improvements are needed to the Guidelines. However, there is a continuing need for improved dissemination, mainly among specific donor groups such as bilateral organizations, diasporas and smaller organizations. Such targeting of information on drug donation practices would improve future outcomes.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2002/06/3424095/drug-donations-post-emergency-situations
dc.identifier1-932126-18-X
dc.identifierhttps://hdl.handle.net/10986/13673
dc.identifierhttps://doi.org/10.1596/13673
dc.identifier.urihttp://hdl.handle.net/123456789/418800
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, nutrition and population (HNP) discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectCARTONS
dc.subjectCENTRAL MEDICAL STORES
dc.subjectCOLLABORATION
dc.subjectDEVELOPMENT GOALS
dc.subjectDISASTERS
dc.subjectDONOR ASSISTANCE
dc.subjectDONOR COORDINATION
dc.subjectDONOR COUNTRIES
dc.subjectDRUG DONATIONS
dc.subjectDRUG STORAGE
dc.subjectEPIDEMIOLOGY
dc.subjectEQUIPMENT
dc.subjectESSENTIAL DRUGS
dc.subjectHEALTH OUTCOMES
dc.subjectHOSPITAL PHARMACIES
dc.subjectINFORMATION DISSEMINATION
dc.subjectINTERVENTION
dc.subjectMALARIA
dc.subjectMANAGEMENT METHODS
dc.subjectMEDIA
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICINES
dc.subjectMINISTRIES OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNGOS
dc.subjectNONGOVERNMENTAL ORGANIZATIONS
dc.subjectNUTRITION
dc.subjectPARTNERSHIP
dc.subjectPHARMACEUTICAL DONATIONS
dc.subjectPHARMACEUTICAL INDUSTRY
dc.subjectPHARMACEUTICAL PRODUCTION
dc.subjectPHARMACEUTICAL PRODUCTS
dc.subjectPHARMACEUTICAL SECTOR
dc.subjectPHARMACEUTICAL WASTES
dc.subjectPHARMACEUTICALS
dc.subjectPROCUREMENT
dc.subjectPROGRAMS
dc.subjectVACCINES
dc.subjectWASTE
dc.subjectWORKERS PHARMACEUTICAL DONATION GUIDELINES
dc.subjectPHARMACEUTICAL DONATION MANAGEMENT
dc.subjectPHARMACEUTICAL DONATIONS
dc.subjectPHARMACEUTICAL DONOR COORDINATION
dc.subjectDUMPING
dc.subjectINTERNATIONAL DONORS
dc.subjectDRUG EDUCATION
dc.subjectBUFFER STOCKS
dc.subjectDISASTER MITIGATION MEASURES
dc.subjectPHARMACEUTICAL ADMINISTRATION
dc.subjectPHARMACEUTICAL DISTRIBUTION
dc.subjectPHARMACEUTICAL DONATION VALUE
dc.subjectPHARMACEUTICAL FINANCING STRATEGIES
dc.subjectPHARMACEUTICAL IMPORT PROCEDURES
dc.subjectPHARMACEUTICAL INFORMATION EXCHANGE SYSTEM
dc.subjectLOCAL CAPACITY
dc.subjectLOGISTICS DOCUMENTATION
dc.subjectLOGISTICS PLANNING
dc.subjectLOGISTICS MANAGEMENT
dc.subjectEMERGENCY ASSISTANCE
dc.subjectRECORDING & REGISTRATION
dc.subjectRECORDS MANAGEMENT
dc.subjectBILATERAL AGENCIES
dc.subjectDIASPORA
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE REFORM
dc.subjectPHARMACEUTICAL DONATIONS
dc.subjectEMERGENCY MEDICAL SERVICES
dc.titleDrug Donations in Post-Emergency Situations

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