Management of Drugs at Health Centre Level - Training Manual
(2004; 84 pages) Ver el documento en el formato PDF
Índice de contenido
Ver el documentoForeword
Ver el documentoAcknowledgements
Ver el documentoObjectives
Ver el documento1. Introduction
Abrir esta carpeta y ver su contenido2. Management of drugs
Abrir esta carpeta y ver su contenido3. Selection of drugs
Cerrar esta carpeta4. Drug procurement
Ver el documento4.1 Estimation of drug requirements
Ver el documento4.2 Determining drug types and quantities required
Ver el documento4.3 Delivery (lead) time
Ver el documento4.4 Monthly consumption
Ver el documento4.5 Request indicator (re-order)
Ver el documento4.6 Quantity to be requested
Ver el documento4.7 Price of drugs
Abrir esta carpeta y ver su contenido4.8 Requisition, supply and receipt of drugs
Abrir esta carpeta y ver su contenido4.9 Supply of drugs from medical stores
Abrir esta carpeta y ver su contenido4.10 Drug storage
Abrir esta carpeta y ver su contenido5. Drug distribution
Abrir esta carpeta y ver su contenido6. Use of drugs
Abrir esta carpeta y ver su contenido7. Drug stock management support tools
Ver el documento8. Definitions
Ver el documento9. References
Abrir esta carpeta y ver su contenido10. Annexes
Ver el documentoBack cover
 

4.6 Quantity to be requested

The type and quantity of drug to be ordered will depend on the disease pattern of the area served by the health centre, the quantity for each dosage form previously consumed, when drugs were not out of stock, the period for which the new stock is to serve and the number of patients. In determining the quantity to be requested:

• Consider the lead or delivery time.

• Consider the number of patients to be treated (using national treatment guidelines).

• Collaborate with the head of the health centre (prescriber) when making a new request. The prescriber is better placed to know for which item an extra quantity has to be requested because of epidemics or seasonal changes in disease pattern.

• Look through all the stock cards in a systematic manner and compare the RI with the current stock balances.

• Request only those items where the stock balance approaches the RI, equals the RI or is below the RI.


Examples:

(a.) RI = 6 tins; Balance: 8 tins (number of patients = 100)
(b.) RI = 6 tins; Balance: 6 tins (number of patients = 100)
(c.) RI = 6 tins; Balance: 0 tins (number of patients = 100)

In the above three situations, consider the existing lead time of three months and add one month as RESERVE for unforeseen circumstances such as delay in deliver y, breakdown of delivery vehicle, stock rupture at the central store, bad roads, unforeseen epidemic and so on.

Examples:

(a.) RI = -6 tins; current stock balance = 8 tins
In this case the RI is above by 2 tins.
Therefore, make the normal request less by 2 tins
Request quantity = 2 tins × 3 months + 1 month consumption (2 tins)
= (2 × 3) + 2 - 2
= 6 tins

(b.) RI = 6 tins; current stock balance = 6 tins
Average monthly consumption is 6 tins/3 = 2 tins
The quantity to be ordered is:
Average monthly consumption × Lead time + 1 month consumption for unforeseen events
= (2 tins × 3 months) + 2 tins
= 8 tins

(c.) RI = 6 tins; current stock balance = 0 tins
In this case an extra quantity must be requested to cover the RI.
Request quantity = 2 tins × 3 months + 1 month consumption (2 tins) + RI (6 tins) quantity
= (2 × 3) + 2 + 6
= 14 tins

In each case above, if previous data show that the number of patients would increase (e.g. malaria cases due to seasonal variations), then the quantities should be increased proportionally.

If the number of patients is expected to double, then the quantity should be multiplied by 2.
If the number of patients is expected to drop by half, then the quantity should be multiplied by 1/2.

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Última actualización: le 3 mayo 2013