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    Material Management

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    Guna Ramya
    This document discusses material management in primary healthcare centers. It defines material management as providing supplies and equipment for health services. The goals are to have the right materials in the right place at the right time. Components include planning, procurement, storage, issue, maintenance, disposal, and accounting. Planning involves estimating needs. Materials are procured quarterly based on orders. Storage follows first-in-first-out principles. Inventory control methods like the two-bin system and buffer stocks are used. Equipment is received, inspected, and entered into logs. Maintenance and accounting ensure appropriate usage and tracking of materials and equipment.

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    © All Rights Reserved
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    Material Management

    Uploaded by

    Guna Ramya
    6K views27 pages
    This document discusses material management in primary healthcare centers. It defines material management as providing supplies and equipment for health services. The goals are to have the right materials in the right place at the right time. Components include planning, procurement, storage, issue, maintenance, disposal, and accounting. Planning involves estimating needs. Materials are procured quarterly based on orders. Storage follows first-in-first-out principles. Inventory control methods like the two-bin system and buffer stocks are used. Equipment is received, inspected, and entered into logs. Maintenance and accounting ensure appropriate usage and tracking of materials and equipment.

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    This document discusses material management in primary healthcare centers. It defines material management as providing supplies and equipment for health services. The goals are to have the right materials in the right place at the right time. Components include planning, procurement, storage, issue, maintenance, disposal, and accounting. Planning involves estimating needs. Materials are procured quarterly based on orders. Storage follows first-in-first-out principles. Inventory control methods like the two-bin system and buffer stocks are used. Equipment is received, inspected, and entered into logs. Maintenance and accounting ensure appropriate usage and tracking of materials and equipment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    6K views27 pages

    Material Management

    Uploaded by

    Guna Ramya
    This document discusses material management in primary healthcare centers. It defines material management as providing supplies and equipment for health services. The goals are to have the right materials in the right place at the right time. Components include planning, procurement, storage, issue, maintenance, disposal, and accounting. Planning involves estimating needs. Materials are procured quarterly based on orders. Storage follows first-in-first-out principles. Inventory control methods like the two-bin system and buffer stocks are used. Equipment is received, inspected, and entered into logs. Maintenance and accounting ensure appropriate usage and tracking of materials and equipment.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 27

    Material management in

    PHC, CHC and SC

    Definition
    It is concerned with providing the
    drug supplies and equipment needed
    by health personnel to deliver health
    services.

    Aims
    To maximize the availability of
    material of right quality at right time
    at the right place for accomplishing
    the objectives of an organization.

    Components
    Material planning and estimation of right
    quantity.
    Procurement of estimated demand for
    material
    Storage of the material
    Issue from store for use
    Maintenance
    Disposal
    Accounting and information system

    Material planning
    The demand estimation to be
    prepared at SC and PHC level based
    on identified service needs and
    submitted to the district level for
    supply main/ central store
    Regular supply to chc, phc and sc
    -- on quaterly basis.

    Required items at PHC level


    Drugs and vaccines
    Medical supplies and family planning
    supplies
    Non-medical supplies
    Equipment and instruments
    Should be procured by the medical
    officer

    Procurement
    Based on total requirement need for
    phc medical officer submits the list to
    the district medical officer.
    Lead time: the time lag between the
    placement of an order and getting
    supply of the same order.
    Supplies may be received in four
    instalments on quarterly basis.

    Storage
    Materials after being inspected and received,
    stored in store room till its consumption.
    At particular temperature
    Arrange the supplies on racks with both front
    and backsides are open, so that one can fill
    this rack from back side and take out from
    front side.
    This will help in maintaining the principles of
    first-in-first out to avoid getting material old,
    stale, and even expired

    Methods for inventory


    control
    Two-bin method
    Buffer stock

    Two-bin method
    Entire stock is separated in two boxes.
    One - main stock, other sub stock -holds
    quantity required during the lead time.
    As soon as the main box gets empty,
    another order should be placed for
    replenishment
    In CHC and PHC sub stock issued for a
    week or month from the main stock to the
    pharmacist who maintains the daily
    consumption

    BUFFER STOCK
    EMERGENCY STOCK for meeting demand
    during unforeseen situations resulting from
    either sudden increase in consumption of a
    particular material/drug or under extension
    of lead time i.e., failure of timely supply
    10 % of total requirements- very crucial
    items for providing services
    5% of the local stock is adequate as buffer
    stock

    Issue from store for use


    Medical officer will provide supplies to
    all the sub-centres on quaterly basis
    under his/her control after receiving the
    supplies from the district level officer.
    Always ensure that there is always
    stock for one or two months at each SCs
    If large quantity available at any SCsover indenting, non-performance or
    under utilization of services.

    Storage
    Material is stored in 2 places
    Main store and at place of use
    Main stock or reserve stock- idle
    items (items waiting to be used)

    Receiving of new equipment:


    Items are purchased at the district level and
    some of the items at centre and state level,
    then supplied to the PHC through district
    level authority.
    In the PHC- verify the right type of equipment
    Its functional condition
    Enter it in stock book or ledger with date of
    receipt of item, reference no. of item,
    quantity of item received

    Controlling and maintaining


    equipment
    Consumable items must be used economically
    to avoid wastage to the possible extent
    Detecting and interpreting discrepancies:
    discrepancy means difference between what
    is expected to be there and what is actually
    there?
    difference between the amount of
    consumable items used and the amount
    normally is expected to be use must be
    detected and reasons identified for taking
    appropriate actions.

    Maintenance of some important


    equipment
    At phc level, Equipment for cold
    chain- ice line refrigerator
    Deep freezer
    Cold box
    At sc, only vaccine carrier and day
    carrier

    Referral system
    A referral can be defined as a
    process in which a health worker at a
    one level of the health system,
    having insufficient resources (drugs,
    equipment, skills) to manage a
    clinical condition, seeks the
    assistance of a better or differently
    resourced facility at the same or
    higher level to assist in, or take over
    the management of, the clients

    Referral system
    Purpose:
    to seek expert opinion regarding the client
    to seek additional or different services for the client
    to seek admission and management of the client
    to seek use of diagnostic and therapeutic tools
    Providing specialists services to the patient
    Propagating the purposes of referral system among
    health workers.
    Teaching the nursing personnel for reviewing of
    patients, sent for referral.
    Preventing further complications and for appropriate
    treatment
    Sending the patient comfortably to the referral institute.

    Selection for referral


    First group or final patients.
    Second group or serious patients.
    Third group or general patients.

    First group or final patients.


    Patient cant survive despite the best
    treatment made available to them.
    Provide appropriate treatment at
    health centre itself with available
    resources.
    It is essential for the relatives of the
    patient to understand that it will not
    be beneficial to send the patient for
    referral

    Second group or serious patients.


    Condition of such patients is
    considered serious but immediate
    treatment can save their lives,
    Before referral reduce the
    seriousness of the condition

    Third group or general patients.


    Though the diseases may be serious in
    such patients still the condition of the
    patients are found to be normal
    Immediately sent for referral
    On the basis of patients condition, type
    of disease, objectives of treatment and
    the latest technique of treatment or
    need of diagnosis, the patient can be
    prepared for the referral system.

    Levels of referral system


    Village level primary level
    Sub Centre level
    Primary health Centre
    Community health Centre secondary level
    District hospitals
    Teaching or specialty hospitals tertiary level

    Inter-displinary referral
    system
    Referring the patient for another type
    of therapy for needful.
    Eg: Allopathy to AYUSH

    Elements of referral system

    Urgent referral

    Hyperpyrexia
    Severe pain in any body part(>3 days)
    Tetanus
    Convulsions(more than one attack)
    Haematemesis
    Complicated deliveries
    Coma
    Severe diarrhoea
    Chest pain in heart patients
    Fracture
    Poisonous conditions

    Role of nurse
    Knowledge of referral system
    Aware of limitations in referral
    system
    In case of emergency attempt should
    be made to save the life of the
    patient
    Entries in referral form.
    Life saving equipment and medicines
    should be arranged for serious
    patients

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