Welcome to the repository of our published work. This section offers open access to all issues of the Journal of Crisis, Emergency, and Humanitarian Pharmacy, showcasing peer-reviewed research, field innovations, case studies, and reviews dedicated to pharmaceutical practices during times of crisis, emergency response, and humanitarian aid.
Featured Articles in the Latest Issue
- Volume 1 (Issue 2) JULY– DECEMBER 2025
Research Articles
2020 Consensus Recommendations for an Updated Framework for Advanced Clinical Pharmacy Practice in Critical Care
Vol.1(2); Pages:1-7. Published on July-2025
Abstract
The current position paper is an evidence-based modernization of the original 2000 guidance on critical care pharmacy services. The updated recommendations are the result of a multiorganizational effort by the major pharmacy and critical care societies, and they capture the changing standards and advancements in the pharmacy practice in intensive care units (ICUs). Through a systematic consensus method, 82 practice recommendations were developed and sorted into five domains direct patient care, quality improvement, research and scholarship, education and training, and professional development. These guidelines differentiate the key practices that are basic and those that are desirable, depending on the different levels of ICU and institutional environments. The paper highlights the strategic value of critical care pharmacists in achieving optimization of medication therapy, improvement of patient safety and interdisciplinary care. It advocates institutional implementation and continuous review of these suggestions in order to improve quality and consistency of care of the critically ill.
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Multi-country Implementation Study Rapid Deployment of Mobile Pharmacy Units in Disaster Zones
Vol.1(2); Pages:8-15. Published on July-2025
Abstract
Healthcare delivery that involves the access of essential medicines during disasters has a very serious role to play but it is often disrupted in a crisis environment. This paper assesses the implementation of mobile pharmacy units (MPUs) in three countries affected by disasters- Pakistan (floods), Sweden (wildfires) and the Philippines (typhoon recovery) as a scalable option in disruption of pharmaceutical services. Every MPU was fitted with essential medicines that were recommended by WHO, cold-chain storage as well as real-time soft digital inventory. Within 6 months duration, the MPU handling 18,500 patients were able to provide reach to 92 percent of the essential drugs and took an average of 48 hours to get deployed. High rates of patient satisfaction were observed as 88 percent of them evaluated services as affordable and trustful. Cross-country outcomes confirm that MPUs are a fast-deployed system, culturally responsive, and that they become assimilated in national emergency systems. The research gives credence to the view that MPUs is a strong and efficient strategy in maintaining pharmaceutical services in areas faced with disaster.
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Improving Emergency Vaccine Logistics In Humanitarian Crisis Via Cold Chain Drones
Vol.1(2); Pages:16-24. Published on July-2025
Abstract
Maintaining vaccine cold-chain during humanitarian emergencies is problematic in terms of logistic barriers mainly in conflict-prone areas or areas with poor infrastructure. This pilot feasibility study tested the application of cold-chain-equipped drones to deliver measures-up to 12 remote sites in Venezuela and South Sudan over a 3-month course of time. Drones were programmed to have an internal temperature of 2-8 o C over 8 hours and were monitored in terms of the durability, flight distance, Call path performance, and heat compliance. There were successful deliveries in 96 percent of the deliveries and no cold-chain breaches. Wastage of the vaccine was also lessened by 38 percent as compared to the common land transportation. Interventions of healthcare workers revealed heavy reliance upon and interest in the scale-up. The results back the idea of introducing cold-chain drones as a flexible and scalable logistic element of emergency vaccination that can be adopted in humanitarian settings where the traditional supply chains are closed or unsecure.
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Developing Emergency Pharmaceutical Supply Chains in Conflict Zones: What Field Experience in the Middle East Concentrate in Emergence
Vol.1(2); Pages:25-33. Published on August-2025
Abstract
One of the shared experiences of actors in humanitarian activity is the delivery of necessary medicines in conflict zones. It is a field operational research that summarizes five years of experience in the Pharmaceutical supply chains in operation across Syria, Yemen, and Iraq. It looks through logistical solutions: decentralized warehousing, secure convoys tracked by GPS, and negotiations with local networks, to combat the threat of access blockage, looting and the collapse of infrastructure. Information was obtained based on operational records and interviews among pharmacists with emphasis on prevalence of stock-out, delivery efficiency and loss. The results were that the stock-out was decreased by 42 percent and that deliveries were 30 percent earlier than before. Theft or spoilage losses reduced significantly as there were improved risk-averting steps. Field employees attached significance to agile procurement and locally based trusting collaboration. The research offers instrumental information on how to enhance an effective logistics of pharmaceutics in a potentially dangerous region and suggests a duplicable model that an organization with humanitarian purposes could apply to a volatile environment.
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The Importance of Field Pharmacists in The Medicines Shortage in The Event of Massive Refugee Disaster: A Transnational Investigation
Vol.1(2); Pages:34-41. Published on August-2025
Abstract
Shortage of medication is a common problem in the event of a mass refugee flow and it interferes with the treatment of chronic and acute diseases. This transnational observational design studies how field pharmacists can assist medicine supply in refugee camps in Poland, Romania and Ghana between 2022 and 2024. The information obtained was based on 14 camps and recorded practices in pharmacist led interventions as therapeutic substitution, emergency compounding of essential medication, and education to the patients. Pharmacists aligned with NGOs and national institutions to make the procurement process faster and use the limited resources efficiently. Results demonstrated an unfilled prescription to have reduced by 37 percent and 21 percent enhancement in treatment adherence after the intervention. The characteristics of pharmacists agility in the adaptation of the clinical procedures and communicating risk to vulnerable populations were highlighted through the field interviews. Such results reaffirm the importance of including pharmacists in emergency health planning and particularly where official healthcare systems are already overloaded.
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