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Section-VII : Essential Drugs and Supplies

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Section-VII : Essential Drugs and Supplies Section‐VII Essential Drugs and Supplies 7. Essential Drugs and Supplies 7.1 EDL available and displayed‐ State level Availability and prominent display of essential drug list (EDL) are important means to ensure all required/ essential drugs are available at the FRU. The ELD was found to be displayed at 100 percent SDHs, while over a fourth of BMCs, CHCs, DWHs and MCs either did not have the EDL or did not display it. EDL available and displayed‐ Division wise Division wise analysis of availability and display of essential drug list (EDL) shows that one in every four facilities in the state did not comply with the instructions of displaying the EDL prominently. Gonda on the other hand was the only division with 100 percent compliance. Gorakhpur (36%) followed by Azamgarh (50%) and Jhansi (50%) were at the bottom of the chart. In DWH Firozabad, Etah, Mau, Budaun, Deoria, Jhansi, Hardoi, Meerut, Mirzapur, Varanasi. In CHC Farah (Mathura), Kasganj (Kasganj), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), Bisalpur (Pilibhit), Khalilabad (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Rath (Hamirpur), Rudauli (Faizabad), Tanda (Ambedkar Nagar), Jagdishpur (Amethi), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), KALYANPUR (Kanpur Nagar), Anoopshahar (Bulandshair), Dadri (GB Nagar), HAPUR (Hapur), Najibabad (Bijnour), Deoband (Saharanpur), Fatehpur (Saharanpur), Chakiya (Chandauli), Badlapur (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur). In DCH Maharajganj, Kannuj, Veerangna Awantibai Mahila Chikitsalya , (Lucknow). In BMC Faizabad Road (Lucknow), Silverjublie (Lucknow) Essential Drug List was not available. 109 7.2 Computerized Inventory management‐ State level The graph portrays a grim picture of use of computerized inventory management, an important management tool for overall supply chain management in Uttar Pradesh. Only 56 percent of DCHs, 41 percent of DWHs and a very small number of CHCs and BMCs were found to be accessing/using the computerized inventory management. None of the SDHs was found to be accessing it. Division wise‐ The overall situation of computerized inventory management in the state needs major improvement with little over one fourth facilities in the state doing it. Aligarh division presents the best picture with one in every two facilities having access to and using computerized inventory management while Basti and Jhansi have none. In Sub Divisional Hospital Khurja and Sikandrabad (Bulandshair), DWH Mathura, Mainpuri, Firozabad, Etah, Pratapgarh, Azamgarh, Mau, Bareilly, Budaun,, Sidharth Nagar, Basti, Hamirpur, Mahoba, Faizabad, Sultanpur, Balrampur, Bahraich, Gorakhpur, Jhansi, Jalaun, Etawah, Farrukhabad, Hardoi, Unnao , Meerut, Moradabad, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi, Farah (Mathura), Ghosi (Mau), Rasra (Ballia), Bisalpur (Pilibhit), Khalilabad (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Rath (Hamirpur), Tanda (Ambedkar Nagar), Jagdishpur (Amethi), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Anoopshahar (Bulandshair), HAPUR (Hapur), Najibabad (Bijnor), Deoband (Saharanpur), Fatehpur (Saharanpur), Chakiya (Chandauli), Badlapur (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), DCH Shikohabad (Firozabad), District Combined Hospital (Kaushambi), District Combined Hospital (Chitrakoot), District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Maharajganj), M.K.R. HOSPITAL (Kanpur Nagar). In BMC District Combined Hospital (Auriya), Rani Laxmi Bai Combned (Lucknow), District Combined Hospital (GB Nagar), DCH Sonebhadra (Sonebhadra), LBS (Varanasi). In BMC Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), Aliganj (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow), Aishbagh (Lucknow) computerized inventory is not available. 110 7.3 IFA Tablets‐ State level Availability and access to adequate quantity of IFA tablets is critical for managing high level of anemia prevalent in the state, particularly among pregnant women and adolescent girls. SDHs and BMCs are the only facilities ensuring 100 percent availability of IFA tablets while at all other facilities the percentage availably was in eighties. Division wise‐ The graph shows the division wise availability and access to IFA tablets. On average 13 percent facilities in the state reported stock out of IFA tablets at the time of survey, while there were 6 divisions where the availability was 100 percent. Jhansi division was an exception with more than 83 percent of its facilities not having IFA stock available which is alarming. In DWH Mau, Banda, Jhansi, Jalaun, Sitapur, Rae Bareli, Rampur, Varanasi. In CHC Atrauli (Aligarh), Kasganj (Kasganj), Husainganj (Fatehpur), Bikapur (Faizabad), Sohawal (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Jagdishpur (Amethi), Amethi (Amethi), Babina (Jhansi), TALBEHAT (Lalitpur), KALYANPUR (Kanpur Nagar), Badalpur (GB Nagar). In DCH District Combined Hospital (Maharajganj), District Combined Hospital (Kannuj), DCH‐Sanjay Nagar (Ghaziabad) IFA tablets were not available. 111 7.4 IFA tablets (blue) ‐ State level Availability of blue IFA tablets shows all SDH facilities had the same available while all other facilities had much less. Only 13 percent of the BMCs reported having blue IFA tablets in their stock. Division wise‐ Division wise availability of blue IFA tablets shows that little over one third FRUs had the same available. None of the divisions have reported more than two third of facilities with Blue IFA supply. Jhansi and Mirzapur divisions have reported complete stock‐out of the same at all of their facilities. In DWH Agra, Mathura, Mainpuri, Etah, Azamgarh, Mau, Budaun, Shahjahanpur, Sidharth Nagar, Banda, Barabanki, Bahraich, Deoria, Jhansi, Jalaun, Etawah, Sitapur, Unnao , Kheri, Meerut, Ghaziabad, Mirzapur, Rampur, Moradabad,Muzaffar Nagar, Chandauli, Jaunpur, Varanasi. In CHC Farah (Mathura), Tundla (Firozabad), Jasrana (Firozabad), Atrauli (Aligarh), SADABAD (Hathras), Sarai Akeel (Kaushambi), Husainganj (Fatehpur), Kunda (Pratapgarh), Patti (Pratapgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Bisalpur (Pilibhit), Uska Bazar (Sidharth Nagar), Khalilabad (Sant Kabir Nagar), Haisar Bazar (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Bikapur (Faizabad), Sohawal (Faizabad), POORABAZAR (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Tanda (Ambedkar Nagar), Kadipur (Sultanpur), Jagdishpur (Amethi), Amethi (Amethi), Tulsipur (Balrampur), Kaisarganj (Bahraich), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur), BHIDNOO (Kanpur Nagar), KALYANPUR (Kanpur Nagar), Jaswant Nagar (Etawah), PUKHRAYA (Kanpur Dehat), KAKORI (Lucknow), Gosaiganj (Lucknow), Sidhauli FRU (Sitapur), Nawabganj (Unnao ), Gola (Kheri), Sardhana (Meerut), Baghpat (Baghpat), Badalpur (GB Nagar), Bhangel (GB Nagar), HAPUR (Hapur), Chunar (Mirzapur), Chopan (Sonebhadra), BHADOHI (SRNo‐ Bhadohi), SAMBHAL (Sambhal), Najibabad (Bijnor), Fatehpur (Saharanpur), Jansath (Muzaffar Nagar), Sakaldiha (Chandauli), Chakiya (Chandauli), Badlapur (Jaunpur), Kerakat 112 (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), Arajiline (Varanasi). In DCH District Combined Hospital (Chitrakoot), District Combined Hospital (Maharajganj), District Combined Hospital (Auriya), District Combined Hospital (Kanpur Dehat), District Combined Hospital (Kannuj), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), DCH‐Sanjay Nagar (Ghaziabad), District Combined Hospital (GB Nagar), DCH Sonebhadra (Sonebhadra), DCH Gyanpur (SRNo‐ Bhadohi), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli). In BMC LBS (Varanasi). In BMC Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), Silverjublie (Lucknow), Aliganj (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow) IFA (Blue) tablet is not available. 7.5 IFA syrup with dispenser ‐ State level The availability if IFA syrup with dispenser shows 100 percent SDH facilities have it in their stock, followed by BMC (88%). Only 20 percent medical colleges had IFA syrup with dispenser and less than 50 percent CHCs and DCHs have reported availability of the same. Division wise‐ The divisional analysis of shows a little over half of the facilities in the state have reported the availability of IFA syrup with dispenser. Chitrakoot was the only division with 100 percent availability at all it facilities, while Azamgarh, Jhansi, Mirzapur and Faizabad divisions had less than 20 percent facilities reporting stock availability of IFA syrup with dispenser. In DWH Mainpuri, Azamgarh, Mau, Budaun, Shajahanpur, Faizabad, Barabanki, Sultanpur, Bahraich, Jhansi, Jalaun, Sitapur, Unnao , Mirzapur, Rampur, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi. In CHC Jasrana (Firozabad), Atrauli (Aligarh), Kasganj (Kasganj), Sarai Akeel (Kaushambi), Bindki (Fatehpur), Husainganj (Fatehpur), Lalganj (Azamgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), Khalilabad (Sant Kabir Nagar), Haisar Bazar (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar),, Bikapur (Faizabad) 113 POORABAZAR (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Dewa (Barabanki), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Kadipur (Sultanpur), Jagdishpur (Amethi), Amethi (Amethi), Colonelganj (Gonda), Tulsipur (Balrampur), Kaisarganj (Bahraich), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur),
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