This is in some ways the most important area of concern with any transport to third-world countries. Over the years, we have developed contacts in all of the hospitals to which we deliver medicines - usually the director of the hospital, or an important administrator.
Nothing really takes the place of personal knowledge.
In all cases, the person authorized to receive medicine is both responsible and accountable. Misappropriation by individuals in Cuba is a very serious offense. We send specific and detailed inventories with every shipment, and then check these inventories with the hospitals. We collect medicine from drug reps, pharmaceutical companies, doctors, clinics, hospitals, anywhere we can. If it is sent to a larger hospital, it may be repackaged with some supplies sent to other hospitals if the need is greater in the second hospital.