manual on management of drugs

CHAPTER 10
MONITORING OF CONSUMPTION OF DRUGS
1. .Monitoring is important to ensure continuous availability of drugs in
medical institutions.
Monitoring implies
a) identification of gaps or deficiencies and
b) taking of timely corrective action.
Continuous monitoring prevents;
a) out of stock situations of supplies and
b) accumulation of excess quantities of drugs and obsolete items.
Monitoring should also be aimed at
a) quality suspected drugs,
b) drugs causing adverse reactions
c) drugs which are withheld / withdrawn.
2. The reasons for a drug being “Out of Stock” are many. These include:
i. non-indenting of the drug.
ii. under estimation of the requirement of drugs.
iii. actual consumption has exceeded the estimate.
iv. withdrawal/withholding of a drug due to quality issues
v. non- compliance to the delivery schedule with regard to
quantity and time by the procurement agency.
3. Possible reasons for non-compliance to the delivery schedule include:
Inability to find a prospective supplier/manufacturer through normal
procurement process due to limited sources in the market or the quantity
indented being commercially unattractive.
Late awarding of the tender
Administrative or financial problems
Partial award (eg. 25%) of tenders to suppliers with a history of
quality failures/new suppliers, and keeping the balance pending subject to
good performance of the product.
Request for price increases after awarding the tender or inability to
provide quality certification required for shipment/customs clearance
causing delay in supply.
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