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Table 3 Challenges to implementation of the WHO Guidelines

From: Medicine donations: a review of policies and practices

Area

Specific issues

Information management

• Transparent communication between stakeholders

• Poor operational oversight

• Lack of pharmaceutical product record keeping

• Irrelevant and unsolicited donations

Medication presentation

• Labels of pharmaceuticals written in languages unfamiliar to recipient countries

• Limited quality assurance

Influence from the pharmaceutical industry

• Large-scale donations could distort the global medicine commercial market

Belief that donations are inherently good

• Perception that there are benefits for recipients in all cases

Donation sustainability

• Short-term relief efforts are confined to providing assistance in a small window of time

• Long-term solutions can encourage recipients to become too dependent on external handouts