World Health Organization : Year 1997 ; World Health Organization, Tuberculosis, No. 97.230: India ; Rntcp Logistics and Distribution of Drugs

By N. Ravichandran

Book Id: WPLBN0000150641
Format Type: PDF eBook
File Size: 0.9 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1997 ; World Health Organization, Tuberculosis, No. 97.230: India ; Rntcp Logistics and Distribution of Drugs
Author:	N. Ravichandran
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Ravichandran, N. (n.d.). World Health Organization : Year 1997 ; World Health Organization, Tuberculosis, No. 97.230. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Executive Summary Tuberculosis, a completely curable communicable disease. is a major health hazard in several developing countries, particularly in India. Recognizing the grave consequences associated with the spread of TB. Govemment of India, in 1962 launched National Tuberculosis programme (NTP), to control the spread of TB in India. After three decades of intervention through the NTP it was observed that the effectiveness of the NTP was moderate. According to an estimate india records approximately 500.000 deaths a year due to TB. Concerned with this situation, Govemment of lndia with the help of World Health Organization (WHO), using a team of experts conducted a review of the NTP in 1992. As a result, the Revised National Tuberculosis Control Project (RNTCP) has been launched.

Table of Contents
Table of Contents Executive Surnrnary 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 . 2E.x1i stingD Desrcurg.i ps ti.S ounp p.l.y. S.y.s.te.m. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 33 2.2 O2.b2.s1e rvaOtirognasn i.. z.at..io .n. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 44 7.2.2 Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.2.3 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.2.4 Related Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.3 Suggested Modifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.3.1 Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.3.2 Stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2.3.3 Response Time . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . 7 2.3.4 Vendor Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.3.5 Non-Value Added Activities . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.3.6 Management Information System . . . . . . . . . . . . . . . . . . . . . . 8 2.3.7 People lnvolvernent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 3. Tamil Nadu Govenunent Mode1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 4. Revised Drugs Supply System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.1 Stmcture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.2 Procurement Strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.3 Distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II 4.4 Inventory Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II 4.5 Payment Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 4.6 Redistribution of Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 4.7 Potential Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 . . 4.8 Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 5. Other Options. Not Recommended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Appendicies 1. List of Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2. Institutes Visited and Persons lnterviewed . . . . . . . . . . . . . . . . . . . . . . . . . 15 3. Procurement Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 4. Anributes That May be Considered in Selecting a VendorIDistributor . . . . . . 18 5 . Extracts from the World Bank's Staff Appraisal Report on the Indian RNTCP 19