training module for medical officers primary health centre - NVBDCP

4.8: LOGISTICS MANAGEMENTPlanningPlanning for logistics management must include planning for the following:Supplies and equipment:o Diagnosticso Drug Therapyo Insecticides and equipment for bednet treatmento Insecticides and equipment for IRSo LLINsTraining and manpower for aboveTransport and storage needsContracts with NGOs and other sub-contractorsTimetable of activities at PHC levelRDTs and ACTRDTs and ACT differ from the microscopy and therapy which were until recently used for malariadiagnosis and treatment in that:They are vulnerable to heat and humidityThe shelf-life is relatively short, about two years for both productsThe costs are higher.There is a higher risk of sub-standard or counterfeit products sold in the market.Quantification of drug requirementsFor a PHC, in a given period, the number of ACT doses required would be about the average number ofP. falciparum cases in the PHC over the three past years. The past figures should be broken down byage. Multiplying the estimated number of cases in each age group with the number of tablets perpatient for that age group (as given in table below) gives the number of tablets needed by age group.This can then be summed to provide the total number of tablets.Age group (years)Tablets per patientAresunateSulfa-Pyrimethamine0 - 1 1 ½ ¼1 - 4 3 15 - 8 6 1 ½9 - 14 9 215 and above 12 386