Guidelines on stock records for immunization programme - Path
Guidelines on stock records for immunization programme - Path
Guidelines on stock records for immunization programme - Path
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A min/max system makes sure that the amount of quantity in hand is always between<br />
established maximum and minimum <strong>stock</strong> levels. Maximum and minimum levels are<br />
expressed in number of m<strong>on</strong>ths of supply rather than quantities. For example,<br />
an intermediate store might be required to keep a maximum of four m<strong>on</strong>ths’ worth<br />
of supplies in hand of all products and a minimum of <strong>on</strong>e m<strong>on</strong>th. To find out the<br />
maximum and minimum quantities <strong>for</strong> each product, we have to multiply the level<br />
given in m<strong>on</strong>ths of supply by that product’s average m<strong>on</strong>thly c<strong>on</strong>sumpti<strong>on</strong> (AMC).<br />
There are generally two methods <strong>for</strong> inventory c<strong>on</strong>trol: the periodic review system<br />
and the c<strong>on</strong>tinuous review system.<br />
In the c<strong>on</strong>tinuous review system, the inventory level is reviewed <strong>on</strong> an <strong>on</strong>going<br />
basis <strong>for</strong> every transacti<strong>on</strong> or usage. When the amount of <strong>stock</strong> reaches a<br />
predetermined reorder level, an order is initiated to replenish the <strong>stock</strong>s to the desired<br />
maximum level. This system is based <strong>on</strong> <strong>stock</strong> levels rather than <strong>on</strong> time intervals.<br />
In the periodic review system (also called the fixed-order interval system), the<br />
inventory status is reviewed at regular intervals (usually at the time of a scheduled<br />
reorder). The inventory is counted and the order quantity is calculated by subtracting<br />
the level of quantity in hand from the desired maximum inventory level. A manager<br />
using this system determines the resupply schedule by establishing a reorder interval,<br />
and places orders based <strong>on</strong> this schedule.<br />
Reordering the same amount as used last m<strong>on</strong>th often is not an adequate strategy.<br />
2.4 Types of <strong>records</strong> and reports<br />
From the management point of view, <strong>on</strong>ly three things can happen to commodities in<br />
the cold chain; they are either stored, moved (received, dispatched or lost) or used<br />
(c<strong>on</strong>sumed). Vaccine stores receive, store and dispatch items, there<strong>for</strong>e c<strong>on</strong>sumpti<strong>on</strong><br />
applies <strong>on</strong>ly to facilities where immunizati<strong>on</strong> services are delivered.<br />
Resp<strong>on</strong>sible staff in stores should prepare two types of reports based <strong>on</strong> the above<br />
menti<strong>on</strong>ed <strong>records</strong>: reports <strong>for</strong> decisi<strong>on</strong> makers in higher levels and feedback reports<br />
<strong>for</strong> the lower level facilities served. Details of these reports and their uses are discussed<br />
in Chapter 4.<br />
2.5 Minimum in<strong>for</strong>mati<strong>on</strong> required to be recorded<br />
It is essential to keep complete and accurate <strong>stock</strong> <strong>records</strong> in order to maintain the<br />
quality of vaccines. Resp<strong>on</strong>sible staff should know the quantity in hand, rate of<br />
c<strong>on</strong>sumpti<strong>on</strong>, losses and adjustments. In order to be able to have correct data <strong>on</strong><br />
these, <strong>stock</strong> c<strong>on</strong>trol involves the following three steps, each of which must be<br />
per<strong>for</strong>med regularly, accurately and completely.<br />
8<br />
Vaccine <strong>stock</strong> management – <str<strong>on</strong>g>Guidelines</str<strong>on</strong>g> <strong>on</strong> <strong>stock</strong> <strong>records</strong> <strong>for</strong> immunizati<strong>on</strong> <strong>programme</strong> and vaccine store managers