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CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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SECTION 12: PROBLEM SOLVING AND PRACTICAL SOLUTIONS TO COMMON<br />

PROBLEMS<br />

MANAGING DRUG STOCK OUTS<br />

There are a limited number of causes <strong>for</strong> drug stock outs at the clinic. The flow chart below can help<br />

you figure out why your clinic does not have drugs from time to time and how you can address the<br />

problem.<br />

6 Clinic Supervisor’s Manual<br />

DRUGS RUN OUT<br />

Drug on EDL<br />

YES NO<br />

Drug order on time<br />

YES NO<br />

Correct levels ordered<br />

YES NO<br />

Correct levels received<br />

YES NO<br />

Drug order received on time<br />

YES NO<br />

Was there an epidemic<br />

YES NO<br />

Correct the expectation of drug<br />

being on EDL by referring to EDL<br />

Book<br />

Review and rein<strong>for</strong>ce ordering<br />

schedule<br />

Review bin cards to determine<br />

whether correct ordering levels<br />

are calculated<br />

Determine whether dispensaries<br />

are supplying adequate amount<br />

of drugs to clinic<br />

Review drug distribution<br />

mechanism<br />

Review appropriateness of drug<br />

use by staff prescribing drugs

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