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

2. 1.Bad Donations – A preventable cause and effect. 2.PQMD Drug Donation Guidelines – A prevention strategy. 3.How we can work together Quality Medical Donations & Minimizing Drug Disposal

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. Drug donations make up 50% of medicine in some nations. As much as 40% of donations can be inappropriate. 1 Harvard School of Public Heath Study : Not all donations are good donations! 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. 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. Six problems associated with drug donations.

7. 1. Needs Assessment 2. Appropriateness of the Donation 3. Quantity and Quality 4. Packaging 5. Transportation 6. Utilization of Human Resources 7. Evaluation 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. Quality Proper Storage Generic Name Sufficient Dating Proper Disposal Special Equipment Available Correct Language No Donation of Returns 3. Quality and Quantity

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

12. Appropriate means Costs addressed Clear shipping documents Duties addressed Clearance Status obtained 5. TRANSPORTATION Follow receiving country's policies. Emergency - expeditious means Insured. Storage arranged Qualified transport companies

13. 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. 6. UTILIZATION OF HUMAN RESOURCES

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

15. 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 In Summary……….

16. Working Together – ANSI/SDO 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 PQMD will become an ANSI Accredited Standards Development Organization

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

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