Drug Donations in Post-Emergency Situations
The 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 fro...
| Main Authors: | , , , , , |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2002/06/3424095/drug-donations-post-emergency-situations http://hdl.handle.net/10986/13673 |
| id |
okr-10986-13673 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
CARTONS CENTRAL MEDICAL STORES COLLABORATION DEVELOPMENT GOALS DISASTERS DONOR ASSISTANCE DONOR COORDINATION DONOR COUNTRIES DRUG DONATIONS DRUG STORAGE EPIDEMIOLOGY EQUIPMENT ESSENTIAL DRUGS HEALTH OUTCOMES HOSPITAL PHARMACIES INFORMATION DISSEMINATION INTERVENTION MALARIA MANAGEMENT METHODS MEDIA MEDICAL SUPPLIES MEDICINES MINISTRIES OF HEALTH MORBIDITY MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION PARTNERSHIP PHARMACEUTICAL DONATIONS PHARMACEUTICAL INDUSTRY PHARMACEUTICAL PRODUCTION PHARMACEUTICAL PRODUCTS PHARMACEUTICAL SECTOR PHARMACEUTICAL WASTES PHARMACEUTICALS PROCUREMENT PROGRAMS VACCINES WASTE WORKERS PHARMACEUTICAL DONATION GUIDELINES PHARMACEUTICAL DONATION MANAGEMENT PHARMACEUTICAL DONATIONS PHARMACEUTICAL DONOR COORDINATION DUMPING INTERNATIONAL DONORS DRUG EDUCATION BUFFER STOCKS DISASTER MITIGATION MEASURES PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL DISTRIBUTION PHARMACEUTICAL DONATION VALUE PHARMACEUTICAL FINANCING STRATEGIES PHARMACEUTICAL IMPORT PROCEDURES PHARMACEUTICAL INFORMATION EXCHANGE SYSTEM LOCAL CAPACITY LOGISTICS DOCUMENTATION LOGISTICS PLANNING LOGISTICS MANAGEMENT EMERGENCY ASSISTANCE RECORDING & REGISTRATION RECORDS MANAGEMENT BILATERAL AGENCIES DIASPORA HEALTH CARE HEALTH CARE REFORM PHARMACEUTICAL DONATIONS EMERGENCY MEDICAL SERVICES |
| spellingShingle |
CARTONS CENTRAL MEDICAL STORES COLLABORATION DEVELOPMENT GOALS DISASTERS DONOR ASSISTANCE DONOR COORDINATION DONOR COUNTRIES DRUG DONATIONS DRUG STORAGE EPIDEMIOLOGY EQUIPMENT ESSENTIAL DRUGS HEALTH OUTCOMES HOSPITAL PHARMACIES INFORMATION DISSEMINATION INTERVENTION MALARIA MANAGEMENT METHODS MEDIA MEDICAL SUPPLIES MEDICINES MINISTRIES OF HEALTH MORBIDITY MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION PARTNERSHIP PHARMACEUTICAL DONATIONS PHARMACEUTICAL INDUSTRY PHARMACEUTICAL PRODUCTION PHARMACEUTICAL PRODUCTS PHARMACEUTICAL SECTOR PHARMACEUTICAL WASTES PHARMACEUTICALS PROCUREMENT PROGRAMS VACCINES WASTE WORKERS PHARMACEUTICAL DONATION GUIDELINES PHARMACEUTICAL DONATION MANAGEMENT PHARMACEUTICAL DONATIONS PHARMACEUTICAL DONOR COORDINATION DUMPING INTERNATIONAL DONORS DRUG EDUCATION BUFFER STOCKS DISASTER MITIGATION MEASURES PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL DISTRIBUTION PHARMACEUTICAL DONATION VALUE PHARMACEUTICAL FINANCING STRATEGIES PHARMACEUTICAL IMPORT PROCEDURES PHARMACEUTICAL INFORMATION EXCHANGE SYSTEM LOCAL CAPACITY LOGISTICS DOCUMENTATION LOGISTICS PLANNING LOGISTICS MANAGEMENT EMERGENCY ASSISTANCE RECORDING & REGISTRATION RECORDS MANAGEMENT BILATERAL AGENCIES DIASPORA HEALTH CARE HEALTH CARE REFORM PHARMACEUTICAL DONATIONS EMERGENCY MEDICAL SERVICES Autier, Philippe Govindaraj, Ramesh Gray, Robin Lakshminarayanan, Rama Nassery, Homira G. Schmets, Gerard Drug Donations in Post-Emergency Situations |
| geographic_facet |
Africa East Asia and Pacific Latin America & Caribbean South Asia El Salvador India Timor-Leste |
| relation |
Health, nutrition and population (HNP)
discussion paper series; |
| description |
The 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. |
| format |
Publications & Research :: Working Paper |
| author |
Autier, Philippe Govindaraj, Ramesh Gray, Robin Lakshminarayanan, Rama Nassery, Homira G. Schmets, Gerard |
| author_facet |
Autier, Philippe Govindaraj, Ramesh Gray, Robin Lakshminarayanan, Rama Nassery, Homira G. Schmets, Gerard |
| author_sort |
Autier, Philippe |
| title |
Drug Donations in Post-Emergency Situations |
| title_short |
Drug Donations in Post-Emergency Situations |
| title_full |
Drug Donations in Post-Emergency Situations |
| title_fullStr |
Drug Donations in Post-Emergency Situations |
| title_full_unstemmed |
Drug Donations in Post-Emergency Situations |
| title_sort |
drug donations in post-emergency situations |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/06/3424095/drug-donations-post-emergency-situations http://hdl.handle.net/10986/13673 |
| _version_ |
1764424437474525184 |
| spelling |
okr-10986-136732021-04-23T14:03:09Z Drug Donations in Post-Emergency Situations Autier, Philippe Govindaraj, Ramesh Gray, Robin Lakshminarayanan, Rama Nassery, Homira G. Schmets, Gerard CARTONS CENTRAL MEDICAL STORES COLLABORATION DEVELOPMENT GOALS DISASTERS DONOR ASSISTANCE DONOR COORDINATION DONOR COUNTRIES DRUG DONATIONS DRUG STORAGE EPIDEMIOLOGY EQUIPMENT ESSENTIAL DRUGS HEALTH OUTCOMES HOSPITAL PHARMACIES INFORMATION DISSEMINATION INTERVENTION MALARIA MANAGEMENT METHODS MEDIA MEDICAL SUPPLIES MEDICINES MINISTRIES OF HEALTH MORBIDITY MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION PARTNERSHIP PHARMACEUTICAL DONATIONS PHARMACEUTICAL INDUSTRY PHARMACEUTICAL PRODUCTION PHARMACEUTICAL PRODUCTS PHARMACEUTICAL SECTOR PHARMACEUTICAL WASTES PHARMACEUTICALS PROCUREMENT PROGRAMS VACCINES WASTE WORKERS PHARMACEUTICAL DONATION GUIDELINES PHARMACEUTICAL DONATION MANAGEMENT PHARMACEUTICAL DONATIONS PHARMACEUTICAL DONOR COORDINATION DUMPING INTERNATIONAL DONORS DRUG EDUCATION BUFFER STOCKS DISASTER MITIGATION MEASURES PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL DISTRIBUTION PHARMACEUTICAL DONATION VALUE PHARMACEUTICAL FINANCING STRATEGIES PHARMACEUTICAL IMPORT PROCEDURES PHARMACEUTICAL INFORMATION EXCHANGE SYSTEM LOCAL CAPACITY LOGISTICS DOCUMENTATION LOGISTICS PLANNING LOGISTICS MANAGEMENT EMERGENCY ASSISTANCE RECORDING & REGISTRATION RECORDS MANAGEMENT BILATERAL AGENCIES DIASPORA HEALTH CARE HEALTH CARE REFORM PHARMACEUTICAL DONATIONS EMERGENCY MEDICAL SERVICES The 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. 2013-05-30T14:24:45Z 2013-05-30T14:24:45Z 2002-06 http://documents.worldbank.org/curated/en/2002/06/3424095/drug-donations-post-emergency-situations 1-932126-18-X http://hdl.handle.net/10986/13673 English en_US Health, nutrition and population (HNP) discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa East Asia and Pacific Latin America & Caribbean South Asia El Salvador India Timor-Leste |