DAKSHATA Supplies Essential for Life Saving Practices Ensuring

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DAKSHATA Supplies Essential for Life Saving Practices

DAKSHATA Supplies Essential for Life Saving Practices

Ensuring Resource Availability • • • Understanding supply situation Tools Process Bottleneck analysis Action

Ensuring Resource Availability • • • Understanding supply situation Tools Process Bottleneck analysis Action matrix Improving supply availability at the point of use

Assessing Supply Situation • Assessment of supplies will be completed every month/quarter by the

Assessing Supply Situation • Assessment of supplies will be completed every month/quarter by the quality improvementor/nodal person • Will be completed only based upon physical verification • Will only take into account items that are functional • The tool has a list of core supplies as per the Supportive Supervision Checklist of Go. I and additional supplies essential as per the MNH toolkit • Assessment of resource availability. xlsx

List of Essential Supplies • Total 24 essential items • Some additional items as

List of Essential Supplies • Total 24 essential items • Some additional items as per MNH toolkit S. Items no 1 Magnesium sulphate 2 Antibiotics for mother 3 Antibiotics for baby 4 Oxytocin 5 Vitamin K Res pon s. no. Items se 13 Sterile scissors 14 Pads 15 Towels for receiving newborns 16 Syringes 17 IV Sets 6 IV Fluids 18 FP options 7 Antiretroviral 19 Ambu bag for babies 8 Soap & Running water 9 Gloves 20 BP Apparatus 10 Uristick 22 Thermometer 11 Partograph 23 Mucus extractor 12 Cord Ligature 24 Suction device 21 Stethoscope Resp onse

Process of ensuring supplies Facility visit by QI mentor Facility level Physical verification of

Process of ensuring supplies Facility visit by QI mentor Facility level Physical verification of supply Bottleneck identification for non-availability at point of use Prepare facility specific action plan District level State level Poor ability to use by provider Poor indenting Non-availability at facility level Supply issue from state Procurement delayed Not a part of state supply mechanism

Resource Availability Actions • Non-rotation of trained HR • Identifying need for relocating existing

Resource Availability Actions • Non-rotation of trained HR • Identifying need for relocating existing HR for rational deployment • Planning for additional HR & PIP support State District Facility • Addressing local bottlenecks • Availability at point of use User • Improved supply chain for essential supplies • Improved commodity monitoring Manager • Inclusion of essential supplies in existing supply chain • Introduction of new essential supplies/ packages of supplies/ management tools • Planning/PIP support Policy maker

Major Actions at the Facility Level • Streamline indenting process from within the facility

Major Actions at the Facility Level • Streamline indenting process from within the facility • Periodic monitoring and audit of supply availability and functional status at the point of use • Timely supply requests from district level • Onsite support to staff for appropriate use • Rapid replenishment of essential supplies at the point of use