RNTCP Annual Report 2012 - TBC India

Decentralized procurement:
As part of strengthening decentralized procurement, states
have been repeatedly communicated to follow World
Bank procurement guidelines strictly and the revised
threshold limits for state/district level procurement of
Goods / Works have been communicated to them. States
are sending information about state/ district level procurement
through "Procurement Reporting Format" circulated
to them earlier by CTD, at the end of every quarter
through the email ID i.e. distprocurement@rntcp.org.
Capacity building for Decentralized Procurement :-
The Bi-annual National STO-RNTCP Consultants Review
Meet was held at Surajkund, Faridabad, Haryana in
May, 2011 and at Dwarka, Delhi in November 2011.
The May Review Meet had a session on "Decentralized
Procurement in TB II" which was conducted by the Chief
Medical Officer dealing with RNTCP Procurements in
CTD. During this Meet, a session on the Roles and Responsibilities
of the STOs and the Medical Consultants
in drug management was also highlighted. All the participants
were also apprised of the general bottlenecks in
this area. During the November Review Meet, the topic
of procurement and supply chain were covered through
a quiz which generated a very good response.
During the year 2010, trainings on "Decentralized Procurement
in TB II" were also conducted for State level
officials in Punjab, Chandigarh, Maharashtra, Tamil Nadu
by concerned officials from Central TB Division. Training
on "Decentralized Procurement in TB II" was also
conducted by Consultant (Procurement), CTD for the
Accountants of all the States in February, 2010 at New
Delhi.
Post Procurement Reviews:-
Four Post Procurement Reviews of the Contracts in the
States have been undertaken by CTD. Based on the reports
of the Post Reviews, follow-up corrective actions
are being taken by the concerned States. Post Procurement
Review of State/ District level procurements are
also being done during Central Internal Evaluation, Annual
Financial Audit and visit to the States by officials
from Central TB Division.
Procurement Management Information System
(ProMIS) Software:-
The web based software (ProMIS) to streamline procurement
systems, developed by Empowered Procurement
Wing (EPW) of the MOHFW has addressed all
the key components of International best practices in
procurement and logistics. The various modules of the
RNTCP: Implementation status and activities in 2011
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software include Forecasting, Planning, Bid Processing,
Bid Evaluation, Supply Orders, Quality Assurance, Stocks,
Inter warehouse transfers, Bills & Invoices etc. Live data
entry by RNTCP for the procurement details of 1st line
and 2nd line anti TB drugs for the year 2010-11 has been
completed.
Drug Logistics Management:
Drug requirements, consumption and stock positions,
both at State and district levels are monitored at the Central
TB Division (CTD) through the Quarterly Reports
submitted by the districts. The 1st Line Anti-TB Drugs
procured are stored at the six Government Medical Store
Depots (GMSDs) across the country and issued to the
States based on the Quarterly District Programme Management
Reports and the monthly State Drug Stores
(SDS) Reports. The States are required to maintain defined
buffer stocks at each levels i.e., at the PHIs, TUs,
DTCs & the SDS. The District Quarterly Reports are
analyzed in detail at CTD and any discrepancies arising
are notified to the concerned districts & States for necessary
corrections.
For long-term sustainability of the programme, decentralization
of inventory management practices is very
important. To ensure that the States are able to manage
their drug logistics as per RNTCP guidelines, regular
trainings & re-trainings on Drug Logistics Management
were conducted by Central TB Division for the State &
district level staff during the year. These trainings were
imparted to State level officials, District TB Officers
(DTOs), State and District level pharmacists alongwith
respective RNTCP Medical Consultants. Such trainings
were conducted for the officials in Uttar Pradesh,
Meghalaya, Mizoram, Manipur, Nagaland, Himachal
Pradesh, Chhattisgarh, Bihar, Assam, Arunachal Pradesh,
Sikkim and Tripura. About 350 RNTCP officials/ Consultants
have been trained during the year on Drug Logistics
Management. The DTOs are expected to further
train their sub-district level staff involved in drug logistics
in their respective districts.
Suggested- place for insertion of 2-3 photos on
Drug Stores and Drug Logistics Training
To study the impact of such trainings, CTD is also regularly
re-visiting and doing field visits to some of the States
already trained. Gujarat, Jharkhand, Andhra Pradesh,
Uttar Pradesh, Meghalaya, Chhattisgarh and Assam were
visited during the year by teams from CTD. Some improvements
have been noticed but the lack of commitment
by concerned officials at State and District levels is
still seen as a major drawback. Some of the common
observations noticed are:-