Transcript First National Course on Public Health Emergency Management

MANAGING MEDICAL SUPPLIES
NCPHEM – 19th March 2011
By:- PH. ANISA RASOOL
Director of Specifications & Supplies,
DGMS, Ministry of Health
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Objectives
You will be able to know about:
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Directorate General of Medical Supplies
Procurement cycle
Lead time for procurement
Information on Reserve Store
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Directorate General of Medical Supplies
Director General
Coordination &
Follow up
Administration &
Finance
Computer
Section
Inventory
Control
Specifications &
Supplies
Drug Stores
Medical Stores
Miscellaneous
Stores
Reserve Stores
Regional Stores
Nizwa & Salalah
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
SELECTION
USE
MANAGEMENT
SUPPORT
PROCUREMENT
DISTRIBUTION
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
SELECTION
WHO DECIDES TO APPROVE OR DELETE?
• DRUG AND THERAPEUTIC COMMITTEE (D&TC )
• CENTRAL DRUG COMMITTEE ( CDC)
• INCLUSION IN MOH FORMULARY
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
MOH Formularies
402 medicines
1057 medicines
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
PROCUREMENT
The procurement cycle involves the following:
• Determine quantities needed
• Choose procurement method
• Locate and select suppliers
• Monitor order status
• Receive and check drugs
• Make payment
• Distribute drugs
• Collect consumption information
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Procurement Methods
Type of Tender is dependent on the
estimated total value of items:
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Tender Board Tender >RO 250,000
MOH Tender < RO 250,000
DGMS Urgent Tenders < RO 10,000
Emergency Purchase :
Health Attache (UK)
Direct Purchase
95%
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
GOOD PROCUREMENT
PRACTICES
• Limitation to the MOH Approved Drug Formulary
• Procurement in bulk quantities
• Order quantities based on reliable estimate of
actual need
• Product Quality Assurance Program
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
LEAD TIME & ANNUAL TENDER CYCLE
Purchase
request
15 days
Quotation
Request
60 days
Opening of
offers
60 days
Analysis of
Tenders
Delivery
5 Months
LPO
Dispatch
15 days
15 days
Tender Board
Approval
15 days
MOH
Approval
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
DGMS Urgent Tenders
To meet urgent demands of limited quantities
• DGMS Less than 10,000 RO Tenders
(Delivery within 2 months)
• Local / Direct Purchase
(Delivery within 1 week)
• Health Attaché (UK & India)
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
STORAGE
• Central Medical Store (Muscat)
• Regional Sub-Store in Nizwa (2007)
– To cover Al Dhakhliya, Al Dhahira
& Al Wosta
• Regional Sub-Stores in Salalah (2010)
– To cover Dhofar Governorate
• Reserve Store at Bausher
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Storage Contd..
• Items are ordered for requirement of one year
in multiple lots.
• At least 2 months of stock is maintained in
each store (except Reserve Store)
• Minimum 6 months stock is maintained for
Narcotics, Psychotropics & Vaccines due to
stringent lengthy procedures of supply.
(Import/Export permits etc)
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
DISTRIBUTION
• Annual issue schedule is prepared by the
Directors of Stores and communicated to all
Regions & Governorates.
• Issues are on monthly bimonthly or quarterly
basis.
• Annual contract for Transportation is made for
arranging the vehicles as per the estimated size
of consignment.
• Refrigerated & Non refrigerated Trucks
• Stocks are insured.
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
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Reports to Manage Stocks
Items less than 6 months
More than 6 months
Items Approaching expiry
Slow moving non moving
Increase or decrease in consumption by 25%
Utilization of HIV, Renal Transplant, TB drugs etc.
RESULT: 98% availability
0.01% wastage due to expiry
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
RESERVE STORE
• National Strategic Reserve Stores for
Sultanate of Oman located in Bausher being
managed by DGMS.
• Unique store in the whole Region.
• Started in 1981 with budget of 1 million RO as
a National Reserve for consumption of 46months of vital items in case of emergencies.
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Reserve Store (Contd.)
• The Total budget was increased in 2004 to 4
million RO to meet the increased consumption
and maintain an average stock of 4 months
• Inventory – around 700 items.
• Drugs –79%, Surgical – 20%, Lab – 1% of total
value
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Reserve Store (Contd.)
Number of items category wise:
• Drugs – 315 (44%)
• Surgical – 196 (28%)
• Laboratory – 196 (28%)
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Reserve Store (Contd.)
Monitoring of shelf life
• List of items which are approaching expiry is
retrieved and reviewed, and if needed they are
exchanged with DGMS.
Rotation of Inventories
• Policy - maintain shelf life of 18-25 months
• Inventories are exchanged with DGMS on monthly
basis.
• Items having longer shelf life from DGMS is taken
for avoiding expiry.
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Reserve Store (Contd.)
Distribution system
• In times of emergency the items are issued to
DGMS on Loan basis through respective stores
to various Health units.
• The same quantities are replenished by DGMS
to Reserve Stores afterwards as Loan Return.
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Challenges in times of Emergency
• New outbreaks like H1N1 etc. which always
have some new requirements
• Forecasting the actual needs in case of
unexpected outbreaks
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman