Donations are usually provided as part of humanitarian assistance to save lives and alleviate suffering. Some donations were given with good intentions but due to lack of proper communication between donors and recipient, such donations may cause problems. Pharmaceuticals may arrive past or near their expiry date, may be inappropriate for the needs, unrecognizable because they are labeled in a foreign language or may have been sent in unwanted quantities. Donations with long shelf life may be mismanaged, particularly in the confusion during and after armed conflict or a natural disaster. Staff and storage space may be lacking and pharmaceutical management system in disarray. Smaller.