Internal Medicine Johns Hopkins School of Medicine Hanover, Maryland, United States
Background: Medical supply donation programs are crucial for addressing resource gaps in low-income settings, but their effectiveness depends on alignment with recipient needs, infrastructure, and operational capacities. This study evaluates the impact of a medical supply donation program implemented at Ndogbati Protestant Hospital in Douala, Cameroon, The objectives of this evaluation were threefold: first, to assess the program’s effectiveness in meeting the hospital’s needs and enhancing patient care; second, to identify the systemic and logistical challenges affecting the use of donated supplies; and third, to evaluate the alignment of the donations with the hospital’s operational requirements.
Methods: A multi-methods study design was used composing a post-donation survey with open text responses among hospital staff using REDCap. Data was analysed quantitatively and qualitatively through descriptive statistics, bivariate analyses, and thematic coding.
Results: The program was rated highly effective by respondents, with 79.7% describing the condition of donated equipment as “excellent” and 55.4% finding the supplies “very helpful” in improving patient care. However, 33% of donations were underutilised due to compatibility issues, a lack of training, and systemic barriers, including cost (67.6%) and the absence of transportation infrastructure (96.4%). Respondents emphasised the need for refresher training and localised training materials to improve equipment utilisation. Critical gaps in infrastructure and equipment, such as ambulances and laboratory tools, were also identified.
Conclusions: While the program has made a significant contribution to healthcare delivery, addressing systemic barriers and aligning with operational needs are essential for maximising its impact. Recommendations include tailored training, robust logistical support, and needs-based donation strategies to ensure sustainability and long-term benefits.
