{"presentation":{"slides":[{"elements":[{"x":3.2679738562091507,"y":4.326393088552916,"width":92.5925925925926,"height":34.557235421166304,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

The National TB Elimination Programme (NTEP) strives to ensure an uninterrupted supply of drugs, and stocking norms have been developed by the Central TB Division (CTD) to help achieve this goal. The drug stocks equivalent to 10 months of consumption, shall be maintained with implementing states.<\/strong><\/p>\n\n

<\/p>\n"},"subContentId":"073bfef6-7819-47a8-8357-2b6b525835ac","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":88.55291576673866,"width":93.24618736383442,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Table shows quantity of reserve stocks at each level at the start of the quarter (considering the receipt from one higher level).<\/span><\/p>\n"},"subContentId":"f67f2be5-1805-4952-b2ec-4002ccbd74e0","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":21.598272138228943,"width":94.77124183006536,"height":62.634989200863934,"action":{"library":"H5P.Table 1.1","params":{"text":"

\n\t\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t

Level<\/strong><\/span><\/td>\n\t\t\t

Stock for Utilisation (Months)<\/strong><\/span><\/td>\n\t\t\t

Reserve Buffer Stock (Months)<\/strong><\/span><\/td>\n\t\t\t

Drug Requirements<\/strong><\/span><\/td>\n\t\t<\/tr>\n\t\t

State Drug Store (SDS)<\/td>\n\t\t\t

0<\/td>\n\t\t\t

3<\/td>\n\t\t\t

(Quarterly consumption \/ 3) X 10 \u2013 (existing stock in SDS including stocks at all districts at end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t

District Drug Store (DDS)<\/td>\n\t\t\t

0<\/td>\n\t\t\t

3<\/td>\n\t\t\t

(Quarterly consumption \/ 3) x 7 \u2013 (Existing stock in District TB Centre (DTC), TB Unit (TU) and Peripheral Health Institution (PHI) drugstores at end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t

TU Drug Store<\/td>\n\t\t\t

0<\/td>\n\t\t\t

2<\/td>\n\t\t\t

(Quarterly consumption \/ 3) x 4 \u2013 (existing stock in TU including PHI drug stores at end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t

PHI<\/td>\n\t\t\t

1<\/td>\n\t\t\t

(Monthly consumption x 2) \u2013 (existing stock in PHI at end of the month)<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n"},"subContentId":"d9d4e9b8-e0e9-4070-8cb9-49c1fc1be1cc","metadata":{"contentType":"Table","license":"U","title":"Stocking norms for First line anti-TB drugs for adults to be followed at each level"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":28.077753779697623,"width":93.68191721132898,"height":66.95464362850971,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

At the start of the quarter, PHIs are supplied with a stock of 2 months<\/span><\/strong> (as shown in table above)<\/span><\/li>\n\t
Every month, they are supplied with stock from the TU based on consumption<\/strong><\/span>, which helps to maintain 1 month reserve stock for utilization at the PHI<\/span><\/li>\n\t
This reserve stock helps the PHI to provide drugs if more patients are put on treatment <\/span><\/strong>in a particular month and to provide cover for delays in supplies from TU<\/span><\/li>\n\t
Thus, no patient is sent back due to a lack of drugs<\/span><\/strong><\/span><\/li>\n\t
For the TU level to ensure that the PHIs have 1-month utilization stock plus 1-month reserves, it needs to have a reserve stock of 2 months<\/strong><\/span> at the beginning of the quarter<\/span><\/li>\n\t

In this way, the continuous supply of drugs is maintained<\/span><\/li>\n<\/ul>\n"},"subContentId":"86dc284a-4a45-4a8e-b972-dadc3749066a","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":6.479481641468682,"width":9.803921568627452,"height":19.22246220302376,"action":{"library":"H5P.Image 1.1","params":{"decorative":true,"contentName":"Image","file":{"path":"images\/file-64200b787e33a.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"958fffd0-2ef1-4cfa-9462-8ea89c7b3a8d","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":16.337363834422657,"y":6.519978401727862,"width":80.61002178649238,"height":19.43844492440605,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Based on the state stock availability and consumption, the stock is supplied from SDS to the district drug store to its TUs and then to the PHIs. This stocking pattern may be denoted as the 3-3-2-2 (SDS-District-TU-PHI) inventory-stocking norm<\/strong>, aggregating 10 months of inventory at the state level.<\/p>\n"},"subContentId":"9aded8b6-21b3-4fd2-b1de-a3281dc108eb","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":3.2679738562091503,"y":8.639308855291576,"width":27.233115468409586,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Paediatric Stocking Norms<\/strong><\/span><\/p>\n"},"subContentId":"be9a5189-9d8c-4a18-9e26-b0b73af994c3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":19.43844492440605,"width":14.270152505446623,"height":28.077753779697623,"action":{"library":"H5P.Image 1.1","params":{"decorative":true,"contentName":"Image","file":{"path":"images\/file-64200c2620f3f.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"5058750d-f3f3-487d-9694-3fb76bbd43f0","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":18.51851851851852,"y":19.478941684665227,"width":78.43137254901961,"height":28.077753779697623,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Paediatric drug stocks<\/span><\/strong> equivalent to 10 months' consumption will also be kept, but paediatric boxes are not expected to be kept at PHI levels. The stocking of paediatric boxes has been limited to the TU level only.<\/p>\n\n
The paediatric stocking pattern<\/strong><\/span> may be denoted as the 3-3-4 (SDS-District-TU) inventory stocking norm, aggregating 10 months of inventory at the state level.<\/p>\n"},"subContentId":"46ac769f-eeab-47c1-af01-dfef0822838d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":75.5939524838013,"width":79.520697167756,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Figure: Stocking Norms for Second-line Anti-TB Drugs for Adults; to be Followed at Each Level<\/span><\/p>\n\n
Abbr: TU: TB Unit; DTC: District TB Centre; SDS: State Drug Store; PWB: Patient-wise Box; HF: Health Facility.<\/em><\/span><\/p>\n"},"subContentId":"be8f56bc-8906-41cb-86a6-76b9156ea787","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":13.080453563714903,"width":91.50326797385621,"height":58.31533477321815,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t
Level<\/span><\/th>\n\t\t\t Stock for utilisation<\/span><\/th>\n\t\t\t Reserve stock<\/strong><\/span><\/th>\n\t\t\t Drug requirements<\/span><\/th>\n\t\t<\/tr>\n\t<\/thead>\n\t
SDS<\/td>\n\t\t\t 0 Months<\/td>\n\t\t\t 3 months<\/td>\n\t\t\t (Quarterly consumption\/3) X 12 \u2013 (existing stock in SDS including stokes at all districts at the end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t
DTC drug store<\/td>\n\t\t\t 0 Months<\/td>\n\t\t\t 3 months<\/td>\n\t\t\t (Quarterly consumption\/3) X 9 \u2013 (existing stock in DTC drug store including TU & HF drugs stores at the end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t
TU drug store<\/td>\n\t\t\t 0 Months<\/td>\n\t\t\t 2 months<\/td>\n\t\t\t (Quarterly consumption\/3) X 6 \u2013 (existing stock in TU including HF drugs stores at the end of the quarter)<\/td>\n\t\t<\/tr>\n\t\t
Health facility<\/td>\n\t\t\t 0 Months<\/td>\n\t\t\t 2 months<\/td>\n\t\t\t Reserve stoke in HF at the end of the month<\/td>\n\t\t<\/tr>\n\t\t
Treatment supporter<\/td>\n\t\t\t 2 months<\/td>\n\t\t\t 0 Months<\/td>\n\t\t\t Two-monthly PWB under utilisation<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n"},"subContentId":"3e0e0070-1809-4ec9-b9e6-6385f12f7239","metadata":{"contentType":"Table","license":"U","title":"Stocking Norms for Second-line Anti-TB Drugs for Adults; to be Followed at Each Level."}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":3.2679738562091507,"y":10.81939524838013,"width":93.68191721132898,"height":84.23326133909288,"action":{"library":"H5P.Table 1.1","params":{"text":"\n\t\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t
Level <\/strong><\/span><\/td>\n\t\t\t Stock for utlizutilisation<\/strong><\/span><\/td>\n\t\t\t Reserve stock in months of full TPT courses<\/strong><\/span><\/td>\n\t\t\t Reserve stock in months of full TPT courses<\/strong><\/span><\/td>\n\t\t<\/tr>\n\t\t
Treatment supporter<\/span><\/span><\/span><\/td>\n\t\t\t One full TPT course per beneficiary<\/span><\/span><\/span><\/td>\n\t\t\t 0 month<\/span><\/span><\/span><\/td>\n\t\t\t Full TPT course underutilization<\/span><\/span><\/span><\/td>\n\t\t<\/tr>\n\t\t
HF drug store<\/span><\/span><\/span><\/td>\n\t\t\t 0 month<\/span><\/span><\/span><\/td>\n\t\t\t 2 month<\/span><\/span><\/span><\/td>\n\t\t\t Reserve stock in HF at end of the month
\n\t\t\t(2 x total TPT beneficiaries on Full TPT course for HF)<\/span><\/span><\/span><\/td>\n\t\t<\/tr>\n\t\t
TU drug store<\/span><\/span><\/span><\/td>\n\t\t\t 0 month<\/span><\/span><\/span><\/td>\n\t\t\t 3 month<\/span><\/span><\/span><\/td>\n\t\t\t (Quarterly consumption\/ 3) x 5 \u2013 (existing stock in TU including HF drug stores at end of the quarter)<\/span><\/span><\/span><\/td>\n\t\t<\/tr>\n\t\t
DTC drug store<\/span><\/span><\/span><\/td>\n\t\t\t 0 month<\/span><\/span><\/span><\/td>\n\t\t\t 3 month<\/span><\/span><\/span><\/td>\n\t\t\t (Quarterly consumption\/ 3) x 8 \u2013 (existing stock in DTC drug store including TU & HF drug stores at end of the quarter)<\/span><\/span><\/span><\/td>\n\t\t<\/tr>\n\t\t
SDS<\/span><\/span><\/span><\/td>\n\t\t\t 0 month<\/span><\/span><\/span><\/td>\n\t\t\t 3 month<\/span><\/span><\/span><\/td>\n\t\t\t (Quarterly consumption\/ 3) x 11 \u2013 (existing stock in SDS including stocks at all districts at end of the quarter)<\/span><\/span><\/span><\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n"},"subContentId":"73dac534-66f7-4488-b706-4b16b93b0376","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":92.87257019438445,"width":51.19825708061002,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Figure: Stocking norms for full TPT courses at various stocking points<\/span><\/p>\n"},"subContentId":"269cf1dc-72cb-4462-bd0f-051dd2f6c188","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":8.639308855291576,"width":91.50326797385621,"height":79.91360691144709,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Resources:<\/strong><\/p>\n\n
\n\t
NTEP Training Modules 5-9 for Programme Managers & Medical Officers, 2020<\/a>.<\/span><\/li>\n\t
Standard Operating Procedures Manual for State Drug Stores, NTEP, 2012<\/a>.<\/span><\/li>\n<\/ul>\n"},"subContentId":"8c57ecb1-c7fa-4665-89fc-430f16f71066","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":true,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Senior DR-TB/TB-HIV Supervisor: Stocking Norms

Target Audience

Stocking Norms of Drugs and Supplies

Paper-based Format: Stock Register