Download THET's medical equipment donations toolkit in full or by chapter.

Making it Work Toolkit

The toolkit includes good practice guidance for each stage of the donation process. Also available to read online here



  • About THET and Health Partnerships
  • About medical equipment in low-resource settings
  • About medical equipment donations
  • Equipment donations globally
  • Who makes donations in the UK?
  • Legislative context for equipment donations from the UK

Section 1: Deciding whether or not to donate

  • What is needed and what can partners provide?
  • Asking the right questions
  • How can suitability of the donation be determined?
  • Considering donations of complex equipment
  • Deciding whether or not to proceed

Section 2: Planning the donation

  • Agreeing the terms of the donation
  • Developing a project plan for the donation
  • Drafting a donation agreement

Section 3: Supplying the equipment

  • Deciding where to source the medical equipment from
  • Including usage and maintenance supplies
  • Sourcing biomedical engineering tools and test equipment

Section 4: Verifying the quality & safety of the equipment

  • For equipment supplied in the UK
  • For equipment supplied in the DC

Section 5: Storing, packing & shipping the equipment

  • Storing and packing the equipment
  • Shipping Options
  • Carrying the equipment with the UK Partner on a support visit
  • Finding suitable shipping agents and customs clearing agents
  • What is the export/shipping process?

Section 6: Receiving the equipment

  • Clearing customs
  • Transporting to the DC partner
  • Receiving the equipment at the facility

Section 7: Putting the equipment into service

  • Training the equipment users
  • Training the maintenance staff
  • Using and maintaining the equipment

What next?

  • Learning from and evaluating the donation
  • Share stories of successes and challenges
  • Support biomedical engineering capacity building

Glossary of key terms


Useful resources


Appendix A: UK Medical Device Regulations and MHRA Guidance

Appendix B: Legislative Context for Pre-Owned Equipment Transfers Outside of the EU

Appendix C: To Donate or Not to Donate?

Appendix D: Overview of the Equipment Donation Process

Appendix E: Meeting the WHO’s Suitability Criteria

Appendix F: Sample Project Plan

Appendix G: Donation Agreement Template

Appendix H: Sample Letter of Waiver or Indemnity

Appendix I: Example of Clearing a Container at Mombasa Port, Kenya

Appendix J: Post-Donation Assessment Form

Making It Work