Using Consumption Data to Inform Supply Management

1
Using Consumption Data to Inform Supply Management

• The Injection Register Book A Mozambican
  Experience
• Arturo Sanabria, MD, MPH
• Country Director
• Making Medical Injections Safer/Mozambique

June 3, 2005
2
Supply Forecast Based on Consumption Data is
Essential to Create a Sustainable System in
Countries Like Mozambique
3
(No Transcript)
4
Parallel Systems and Institutions for Purchase
and Distribution of Commodities in Mozambique
? One to supply drugs ? One for medical
supplies
CMAM
DAG
5
One Injectable, One Syringe
6
No Registration System

• National Injection Safety Survey (March 2004)
  shows no formal or regular system to register
  injections administered, nor syringes and needles
  used in health facilities

7
Use of Material
Source Injection Safety Survey 03/04
TI Therapeutic Injections
8
Register Book

• Introduced to determine
• Quantity and sizes of syringes needed
• Injectable medications used most frequently
• Other information

9
The latest estimates used data collected with the
Register Book
The 1st forecast was based on an average of 1.5
syringes per person per year
10 3 ml 60 5 ml 30
10 ml
35 2 ml 55 5 ml 10
10 ml
38 3 ml 37 5 ml 24
10 ml
The 2nd forecast used data from health facilities
in the project sites
10
Another Important Finding from the Register Book

• The injectable drugs used most (90 of total)
  are
• Benzathine Penicillin
• Procaine Penicillin
• Kanamycin

These drugs require more than one syringe for
preparation administration (1 for the dilution
and 2 shots using different syringe and needle)
11
Conceptual Problem Defining Supply Needs At the
beginning we thought we could define supply need
by providing one syringe for each injectable, but
we found that for 90 of injectables we usually
provide 3 syringes
12
An Average Health Center in Mozambique May Give
up to 500 Injections per Month
For 500 injections we need to provide 500
(500 .90) (500 .90) 500450450 1,400
1.33 1,862 So instead of 5 boxes we will need
19
13
Supply Forecasts Based on Consumption Data Will
Help Create a Sustainable System in Countries
Like Mozambique
14
The Register Book Useful in Health Centers and
Posts
Only injections are recorded
Material for blood samples needs to be recorded
too
Hospital wards, labs and HIV outpatient services
also use syringes for blood sampling, and
syringes are distributed to them first
15
The Register Book is a First Step
Towards Informed Supply Management