E-DRUG: Literature on Drug Donations
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Hello,
I am an undergraduate research assistant at Duke University trying to find
information about drug donation policies from donor countries to recipient countries. Do you know where I might be able to find information the
specific policies on the national level for as many countries as possible?
Also I was wondering if you could give me any literature on drug donations that were inappropriate? PDF files for example or any documents/reports that
are more recent would help a lot.
Thank you very much.
Sincerely,
Braveen
Braveen Ragunanthan
research assistant
Duke University
Braveen Ragunanthan <br36@duke.edu>
[Many countries have produced their own guidelines for donors. Donor countries are encouraged to use the international guidelines or to adapt them for their own. Re inappropriate donations, a good start would be to look at the e-drug archives, there have been many discussions over the years- search on inappropriate donations http://www.essentialdrugs.org/edrug/archives.php
At this following site you will find examples of problems caused by inappropriate donations as well as
the international guidelines for Drug donations, Equipment donations
and Guidelines for disposal of medical waste, etc http://www.drugdonations.org/eng/richtlijnen/eng_richtlijnenmainpage.html
E-DRUG: Literature on Drug Donations (2)
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Dear Braveen,
I note your question on e-drug and wish to comment as follows:
Kenya developed drug donation guidelines like other countries around year
2000, and documented some interesting problems/experiences with donations
after the 1998 bomb blast. Kenyatta Hospital then had a donation center to
cater for the disaster in Kenya.
As expected, the donation related problems were similar to most of the
experiences all over the world,as some donations were found to be
inappropriate, of poor quality and as expected mostly unsolicited.
Thank You,
Dr Bilha Kiama- Murage
Pharmacist in charge
Kenyatta University
Health unit
Email bmurage2001@gmail.com
E-DRUG: Literature on Drug Donations (4)
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The global fund conducted two excellent studies on drug donations for the
global fund, one by Cherie Grace and another by Samia Saad. Perhaps you
can ask that Secretariat if they can share them.
And a WHO report from Gaza during the war, though main focus on medical
supplies:
Medical equipment in Gazas hospitals. Internal management, the Israeli
blockade and foreign donations http://www.emro.who.int/palestine/reports/monitoring/WHO_special_monitoring/
gaza/Medical%20equipment%20in%20Gaza%20EB%20report(July09).pdf
Ms Kirsten Myhr, MScPharm, MPH
Head
RELIS Medicines Info and Pharmacovigilance Centre
Oslo University Hospital, Ullevål
OSLO, Norway
kirsten.myhr[at]relis.ulleval.no
E-DRUG: Literature on Drug Donations (6)
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I did a study on the pharmaceuticals donated during the tsunami in 2004.
Here are the conclusions and recommendations
The expectation, the reality and the burden of drug donations: Evidence for action.
Conclusions
The great expectations of the Government of Sri Lanka were that the country would benefit both financially and materially from the donations. However, the results of our study shows the donations were more a burden than of benefit to the country. The study also highlights that although guidelines on “Good Donation Practices” (Christian Medical Commission, WHO and some country specific guidelines) have been in place and regularly updated on the available evidence since 1988 they have had very little impact to date on the quality of pharmaceutical donations in times of an acute emergency. This study has identified gaps in the process and proposed recommendations to reduce the negative and unintended consequences of drug donations in the future.
It is strongly recommended that the dumping practices of unwanted unused medicines, expired drugs and radioactive products be strictly prohibited and the all donor countries consider adapting the legal framework in the European Union, which prohibits the collection and export of drugs that have been issued to patients and returned to pharmacies.
Prof Rohini Fernandopulle
Prof in Clinical Pharmacology
Faculty of Medicine
University of Colombo
PO Box 271 Kynsey Road
Colombo 8 Sri Lanka
Telephone 94 112 501217
"Rohini Fernandopulle" <rohinifernandopulle@hotmail.com>
[Attachments cannot be included with e-drug messages. Professor Rohini's report is very detailed and comprehensive - 1.2 MB. You can contact the moderator or Professor Rohini if you would like a copy]
E-DRUG: Literature on Drug Donations (5)
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I also prepared a report on drug donations for the Global Fund from
the perspective of the donor. It too should be available from the
Secretariat and if not I am happy to supply it.
Michele Forzley, JD, MPH
Global Public Health Lawyer, Trainer & Consultant
Protecting public health with governance and rule of law principles
3120 Lee Street
Silver Spring, MD 20910
301-565-0680
michele@micheleforzley.com
E-DRUG: Survey of ORS market
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UNICEF Supply Division is conducting survey of current ORS market.
UNICEF is currently procuring ORS from following manufacturers: KBI
Germany, Ajanta Pharma India, FDC India, Renata Bangladesh and Shelys
Tanzania.
Are you aware of any other major ORS manufacturer (besides companies listed
on Rehydration Project: http://rehydrate.org/resources/suppliers.htm )?
Thank you for your kind assistance
Best regards,
Jan Komrska, MPH, MSc
Contracts Specialist, Essential Medicines & Nutrition
HIV-AIDS & Health Center
Unicef Supply Division, Freeport, 2100 Copenhagen
tel. +45 35 27 30 40
jkomrska@unicef.org