Situational Analysis Report Vol-I

Development of Standard Specification of Medical Equipment, Drug/ Medicines and General Goods for the Provincial and Special
Areas Health Department Situational Analysis Report
Development of Standard Specification of Medical Equipment, Drug/ Medicines and General Goods for the Provincial and Special Areas Health Departments
Volume-I: Situational Analysis Report
Acknowledgements
Development of Standard Specification of Medical Equipment, Drug/ Medicines and General Goods for the Provincial and Special Areas Health Department Situational Analysis Report
The consultants are grateful for the assistance of TRF, officials of provincial health departments and special area in this research. Their constant support for the consultants in this research helped in formulation of this report. Provincial coordinators of TRF and their staff provided unrelenting support in achieving this task, their dedication and hard work made this possible.
Authors Disclaimer
This report has been prepared by Dr. Shehzad Nazir Leghari, Biomedical Engineer & Team Leader and Dr. Amer Umer Nagi, Pharmacist, in response to a Terms of Reference provided by the Technical Resource Facility, Pakistan. The analysis is based on the information provided by the Provincial Health Departments. The authenticity and accuracy of
information is not the responsibility of the Consultants. However, the analysis based on this and the recommendations deriving from the analysis are the sole responsibility of the authors and do not represent the view(s) of the TRF.
Group Disclaimer
This document has been prepared for the titled project or named part thereof and should not be relied upon or used for any other project without an independent check being carried out as to its suitability and prior written authority of HLSP being obtained. HLSP accepts no responsibility or liability for the consequences of this document being used for a purpose other than the purposes for which it was commissioned. Any person using or relying on the document for such other purpose agrees, and will by such use or reliance be taken to confirm his agreement, to indemnify HLSP for all loss or damage resulting there from. HLSP accepts no responsibility or liability for this document to any party other than the person by whom it was commissioned. Dr. Shehzad Nazir Leghari Biomedical Engineer & Team Leader shehzad@pro-health.biz
Dr. Amer Umer Nagi Pharmacist amernagi1@hotmail.com
Contents
1. 2. 3. 4 Introduction and Background ..................................................................................... 5 Objective ....................................................................................................................... 5 Methodology and Strategy .......................................................................................... 6 Visit Assessment .......................................................................................................... 8 4.1 Sindh ........................................................................................................................ 8 Outcome of the Discussions ............................................................................... 8
4.1.1 4.2
Baluchistan ............................................................................................................. 10 Outcome of the Discussions ............................................................................. 10
4.2.1 4.3
PUNJAB ................................................................................................................. 11 Outcome of the Discussions ............................................................................. 11
4.3.1 4.4
AZAD JAMMU AND KASHMIR ............................................................................... 13 Outcome of the Discussions ............................................................................. 13
4.4.1 4.5
Federally Administered Tribal Area ......................................................................... 14 Outcome of the discussions ............................................................................. 14
4.5.1 4.6
Khyber Pakhtoonkhwa ............................................................................................ 14 Outcome of the discussions ............................................................................. 14
4.6.1 4.7 5 6 7
Gilgit-Baltistan ........................................................................................................ 15
Analysis ....................................................................................................................... 15 Issues and Risks ......................................................................................................... 18 Recommendations ...................................................................................................... 20
Annexure I ......................................................................................................................... 22 Annexure II ........................................................................................................................ 43
Abbreviations
ADB ADP AusAID, Asian Development Bank Annual Development Program Australian Development BHU DFID DG DHQ DTL DUHS FATA FDA KPK LRH MCC MSD OBGY RHC SEML THQ TOR TRF UNICEF UPS Basic Health Unit Department for International Development Director General District Headquarter Drug Testing Laboratory Dow University of Health Sciences Federally Administered Tribal Area Food and Drug Administration Khyber Pakhtunkhwa Lady Reading Hospital Medicine Coordination Cell Medical Store Depot Obstetrics and Gynaecology Rural Health Centre State Essential Medicine List Tehsil Headquarter Terms of Reference Technical Resource Facility United Nations Children's Fund Uninterruptible Power Supply Agency for International
1. Introduction and Background

The provincial and Special Areas (Gilgit-Baltistan, AJK and FATA) Health Departments are committed to improve the health status of the people of their respective provinces, with focus on systems strengthening and staff performance to ensure quality and transparency. The recent devolution of functions from federal to the provincial governments includes procurement of goods and services. Procurement of medical equipment, drugs/medicines, hospital supplies and general goods (like Information Technology (IT) equipment, furniture and electronic items) is crucial for the Health Department to ensure delivery of quality services to the general public. Timely availability and quality assurance of the goods are highly important factors, which need to be addressed during the procurement process. Supply and acceptance of inferior quality goods will not only affect the performance of Health Department, but may also lead to audit observations. One of the most significant steps to ensure the quality of goods to be purchased consists in the development of clear and welldefined specifications. Development of standard specifications in the procurement process is one of the critical requirements explained under rules framed by the
federal as well as provincial governments. During the process of need identification and meetings of the Executive Committees, all the provincial and Special Areas health departments requested the Technical Resource Facility (TRF) for detailed, generic and standard specifications for all the items listed in the approved lists available with the departments.
2. Objective
The objectives of the situational analysis were as follows: The main objective of this assignment is to develop Provincial and Special Area wise detailed generic/standard specifications of medical equipment, drugs/medicines, hospital supplies and general
goods listed in the approved lists of Health Departments, which will be used for all procurements within the provinces. To visit the provincial/regional offices to gather information on prevailing system of and specifications. Review the specifications already prepared by the respective health departments. To get the viewpoint of procurement personnel and other stake holders on existing list of supplies and their level of satisfaction. To identify and understand the issues and risks in the field in regard to existing specifications that affect on the implementation of transparent procurement. Based on the feedback from the visits, develop situational assessment report indicating detailed analysis of the existing situation, issues and risks and recommendations for mitigation. This report will be followed by detailed generic /standard specifications of agreed list of medical equipment, drugs / medicines and goods.
3. Methodology and Strategy

The methodology is based on the following: Assessment of the data collected from the Provincial Health Departments. Meetings and interviews with and information gathering from the provincial health departments management and technical s taff including Procurement officials, MSD officials, Pharmacists, Biomedical Engineers, Drug Testing Laboratory officials, health service providers and committee members of various notified procurement committees. Consultative Interviews with Donor Agencies. Study of PPRA and Provincial procurement guidelines. Study of standard procurement specification of various governments
According to the scope of assignment following geographical areas were covered;
Health Department at Provincial capital of KPK Secretary Coordination Office of FATA Health Department at Provincial capital of Punjab Health Department at Provincial capital of Sindh Health Department at Provincial capital of Baluchistan Health Department at capital of State of Azad Jammu and Kashmir
To the date of this report and submitted work plan, GB was not covered due to unavailability of concerned staff and unfavourable law and order situation.
Following persons were interviewed during filed visits Khyber Pakhtunkhwa Secretary Health, KPK DG Health, KPK Professor Masood Rehman Head of Department Medicine, LRH, Peshawar Dr Seemi Fayyaz Associate Professor. OBGY.- LRH Dr Gohar Ali Associate Professor Anaesthesia LRH Dr Zia ul Hussain - Deputy Director Public Health Dr M. Hussain Assistant Professor Paediatrics LRH Dr M. Irshad Senior Registrar Paediatrics LRH Mr M. Yasin Head of Electro medical Engineering KPK Mr Saif ur Rehman Electro-medical Engineer Mr M. Shoaib Electro-medical Engineer Mr Aurangzeb Khan Pharmacist, MCC Dr M. Khalid Senior Government Analyst, DTL, KPK
Baluchistan Dr Tariq Jaffer Deputy Director, Director General Health Department, Ministry of Health , Baluchistan. Dr Masood Nosherwani, D. G. Health, Baluchistan Mr Saif ur Rehman, Pharmacist, MSD, Baluchistan
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Azad Jammu and Kashmir
Dr Abid Shah Dr Manzoor Mr Abdul Rasheed Office Superintendent
Punjab Mr Shahbaz Yasin, Pharmacist, PSO-I, Punjab Health Department. Mr Abdul Razzaq Mr. Suhail Hassan PSO-III (ME)
Sindh Dr Abdul Haq Memon, DG Health, Sindh, Hyderabad. Mr Shafqat Hussain, Procurement Officer Dow University Hospital Karachi. Dr Insaf Magsi, Deputy Secretary Procurement Dr Abdul Jabbar Memon,(DDD) Deputy Director Development Professor Masood Hameed, member purchase committee
Federally Administrated Tribal Area Dr. Nauman Mujahid
4 Visit Assessment
4.1 Sindh
4.1.1 Outcome of the Discussions Central purchase and Drugs formulary were abolished in 2004 after devolution of powers to District governments. After devolution, only tender to tender purchases are done, no prequalification process is in place. Standard
specifications of Medical Equipment and drugs/medicines are not maintained. Only Dow University of Health Sciences is formally developing specifications for its allied healthcare facilities. Before devolution MSD Sindh used to issue three kinds of tenders for drugs/medicines Proprietary Tender Only Multinational Products for Teaching Hospitals(for10 -15 products) Limited Tender Competition between multinational companies. Open Tender All Companies for OPD Medicines
There is a central biomedical Lab. in Hyderabad, this facility is inadequately staffed and equipped and has no role in procurement exercise and specification development. The technical staff is neither qualified nor properly trained to service Medical Equipment at different levels. The Specifications are made on ad-hoc basis as need arises and no organized record was available. The specifications from DUHS were collected and analysed but they are mostly for the tertiary care and research needs with some useful specifications for items falling in the sphere of Primary and Secondary level health facilities. Equipment and General Items specifications for DUHS will be consulted in development of standard specifications of medical equipment and furniture On mutual discussion with health department personals met the general consensus was that budgeted amount for required specification of Medical Equipment for any PC-I does not meet the requirements, leading to compromises on quality and functionality hence the healthcare needs are not met appropriately.
Due to procedural delays, Budget release for any purchase is generally by the 4th Quarter. This eventually leads to compromises and errors in purchase, and delayed payments to suppliers, resultantly quality manufacturers abstain from competition.
Recently, in the month of February 2012, MoH Sindh has issued a notification; again reinstating central purchase system. Health Department has started structuring policies for the new central purchase system which was abolished and does not exist. 4.2 Baluchistan
4.2.1 Outcome of the Discussions Health Department is maintaining centralized purchase system and system in Baluchistan was never devolved. Medical Store Depot is a functioning body. Additional Secretary Health is in charge of MSD but at the time of visit D.G. Health was in charge of MSD. D.G Health is also chairman of MSD and Secretary Health is the Principal Purchase officer.
Pre-qualification of Companies and Medicine Renewal is on yearly basis. Prequalifications were not done in last 3 years. Old medicine list is being continued with charges on need basis. MSD Drugs List is not regularly revised.
Tertiary care institutions are not autonomous in Baluchistan and they submit their requirements for medicines. These institutions include Bolan Medical Complex, Sundemon Provincial Hospital, Helpers Eye Hospital, Fatima Jinnah General and Chest Hospital and Sheikh Khalifa Bin Zayed Medical Complex. Sheikh Khalifa Bin Zayed Medical Complex is recently transferred on devolution under 18th amendment to Provincial Government and is being equipped by the UAE Government. There has been no purchase of equipment in the recent years and we were told that the last purchase of equipment was done some 8 years ago. The list of last year demand of Medical Equipment amounting to Rs. 3.0 Billion from the province and tertiary care hospitals were under review for procurement but no structured specifications were available for tendering. DHO has the powers to purchase drugs/medicines for District Hospitals, according to the approved list, issued by MSD.
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MSD gives preference to Quality over price, although lowest price is considered but this is not a preferred parameter of selection. High End and latest generation drugs/medicines are purchased from Multinational
Companies and Low End general use medicines are purchased from Local Manufacturers. One Company is selected for one Generic Medicine.
MSD store acts as a Quarantine Area for the purchased stocks, for Quality Assurance Sampling is done at MSD store before releasing the stocks to Hospitals, by area Drug Inspector. Batch numbers are used to track distribution of stocks to the Hospitals. MSD is not aware of storage facilities at district level and below. MSD desires support from TRF regarding evaluation of storage facilities at District level and below. Expiry of stocks is minimal/rare. Local Hospital Management is responsible for dispensing drugs to the patients and control expiries. HD and MSD have a desire for Inventory Control System, linking HD, MSD to Districts. Currently conventional system of report generation is being used. Computers are available at all levels, but not linked to provide comprehensive, real time MIS reports. There is no Indent scrutiny system, and a strong need is felt at HD and MSD. 4.3 PUNJAB
4.3.1 Outcome of the Discussions There was a prequalification process for suppliers of Medical Equipment in place but after adoption of PPRA rules the tenders are floated on open competition basis. The PV List existed some 4 years ago but has not been updated since and is now redundant. The procurement in the last two years has not followed a defined pattern and is mostly carried out by Health Department Purchase wing. Punjab Health Department has nominated officers mostly working is the tertiary care facilities as biomedical engineers who act as technical resource for specification generation and technical evaluation. The only set of recent specifications developed and available with
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health department are for Rawalpindi Institute of Cardiology which were developed by Punjab Institute of Cardiology clinical and technical staff. These specifications only serve the specific needs of Rawalpindi Institute of Cardiology and can not be used for primary and secondary care facilities.
In case of Drugs and Medicines, health department has a list of pharmaceutical products for drugs/medicines for District level and below and EDOs follow this list for purchases. EDOs purchase drugs/medicines according to this list but have financial independence. Tertiary Care Hospitals/Teaching Hospitals have 100% Autonomy on purchase of medicines.
Medicines directly purchased by HD on annul basis, for DHQ, THQ, and below are for vertical programs like Hepatitis, T.B and EPI.
Validation of Specifications and Suppliers profile is difficult due to lack of expertise and redundant data at hand.
There is acute shortage of Trained Biomedical Engineers for EM service and maintenance after expiry of warranty period. For capital equipment, service contract is always done but general equipment repair and maintenance has no defined protocol except utilisation from meagre repair and maintenance budget, which always falls short. HD is maintaining Biomedical Equipment Repair Workshop at Lahore and Multan but this infrastructure is insufficient to provide ME service for the whole province leading to frequent interruption in service. Infrastructure and HR evaluation before establishing a Specialty Centre, like Dialysis Centres in Punjab needs to be looked into as some centres like Pakpatan, were established without addressing the afore mentioned mandatory requirement.
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Equipment enlisted in any PC-1 does not correlate with the healthcare facility in quantity and budgetary allocation for equipment is not realistic so the equipment procurement is delayed due to revision of PC-1 costs or equipment procured is substandard and inadequate when budgetary allocation is followed.
4.4
AZAD JAMMU AND KASHMIR
4.4.1 Outcome of the Discussions DG Health has a Central Rate Contract system is in place for the procurement of Medical Equipment and drug/medicines. Prequalification of suppliers is mandatory for participation in tenders issued by HD. Renewal of Company registrations is after 2 years. Medicines are purchased through an Open Tender, as policy only registered companies can participate.
Central Purchase Committee approves prices for the Medicines.
End users make specifications for the Medical Equipment and existing Purchase Manual and State Essential Medicine List are followed for procurement. DHQ, RHC purchases are made by the DHO, THQ by MS. Autonomous Institutions like AIMS have their own Medical Equipment and drug/medicines specifications and are not bound to comply with the SEML. In case of emergency, delayed supplies or on supply of substandard Medicines, medicines are purchased on the basis of second lowest approved rates of previous years. HD has adequate and well-equipped storage facilities at all levels for drugs/medicines.
HD Budget is used for purchase of General Medicines, Reimbursements; Local Purchase is used for Insulin, Hepatitis, Anti Cancer Medicines, Dialysis, Antirabies Vaccines and Anti-snake venom.
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EPI Programs are being managed at the state level. Directorate for Communicable Diseases AJK is performing its duties. AIDS Control Program, funded by World Bank is stopped. 4.5 Federally Administered Tribal Area
4.5.1 Outcome of the discussions Despite efforts the concerned person from FATA was not available for the interview and this portion would be covered during the course of assignment. 4.6 Khyber Pakhtunkhwa
4.6.1 Outcome of the discussions There is keen interest on part of the HD to improve on the existing system of procurement. To this, standardized specifications of Medical Equipment and drugs/medicines are required to maintain an optimum level of health service. This would facilitate the health providers in performing their duties, resulting in prompt, quality treatment to the patients.
There is prequalification of companies with MoH for drugs/medicines. Medical Equipment and drugs/medicines are purchased through a central contract through MCC. EDOs are bound to follow this approved list of drugs/medicines for their districts, Tertiary Care Institutions have some autonomy.
Since KPK had not adopted PPRA rules to date, the prequalification of medical equipment suppliers is still undertaken and on review of list of suppliers and their prequalification it was noted that the companies pre qualified for various equipment had no market standing relevant to their prequalification.
The Medical Equipment is currently purchased after seeking the expert opinion of the end users. The Biomedical Equipment Workshop staff has a vast data of specifications that was shared with the consultants. The end
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users and clinical staff from tertiary care hospitals are consulted and notified for specification development of each purchase on need basis. Data base is not structured and lately used specifications are consulted for each tendered and modified where required. In many instances the specifications are not updated according to the technology advancement e.g. Anaesthesia machines procured are not efficient, compared to the new generation of Anaesthesia machines, having inbuilt ventilators and monitoring. Similarly, surgical instruments have out lived their effective life, but are still being used due to non-availability of standardized specifications for new instrument sets.
There is clear understanding that qualified staff is not at the disposal of MoH, and Doctors/End Users are purchasing Medical Equipment and Medicines to their liking. At EDO level, there is limited control of MoH, in procurements, issuing of indents and limited inventory controls and consumption, especially for drugs/medicines. There is also no control on NGOs donations in the form of Drugs, Medical Equipment and supplies at the DHQ level. Purchase is done on quarterly and yearly basis, based on availability of funds. There is a concern of Budget lapse, due to lack of performance. 4.7 Gilgit-Baltistan
Visit to GB was planned but due to repeated unrest, law & order situation the visit is still pending, the required information would be gathered during the course of assignment.
5 Analysis
Related Health department executives from all the areas except GilgitBaltistan were interviewed during the visits. Except for some specific issues the problems are common which are enlisted as follows. The data also provided in-depth analysis of specification and mistakes thereof
Mostly Members of procurement and related committees including pharmacists, biomedical engineers and health service providers are
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involved in designing/developing standard specifications of medicines, medical equipment and general items who are not skilled in the specification development. The end result is either proprietary specification based on the experience of one end user on one specified make and model or very basic specification which do not address the needs of service provider due to errors in specifications. Majority of interviewees were not fully satisfied with the existing specifications and felt the need for continuing support in renewal of standard specifications due to introduction of new medicines and medical equipment. Based on their practical experience, most of the service providers suggested additions in the list and improvement in the specifications. Indent scrutiny is the key element missing in the supply chain, leading to imbalances in supply and demand at different levels of health services. At the time of PC-1 preparation the cost of equipment is not taken seriously and budgetary cuts are applied to the revenue portion of the PC-1. This although ensures the infrastructure development but once complete the facility lacks quality equipment due to o Nomenclature being wrong in PC-1 and equipment procured is not what is required o The BOQ development in PC-1 does not correlate with the facility built as the it is a general practice that each stakeholder is requested to produce their demand for inclusion in PC-1 and the resultant demand is not shared with the architect / designer of facility hence there is a mismatch of facility and
equipment/furniture o There is no structured data available in with any health department where the budgeting of equipment can be rationalised in revenue portion of PC-1 o The demand raised by end stakeholders is based on their wish list and not requirement both in case of PC-1 development and
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general raising of indent. There is no document available where prices can be rationalised and demand justified. The specifications are almost always developed on ad hoc basis in line with existing demand. The end result is mostly either proprietary specifications or much generalised specifications preventing quality purchase. The health administrators have no reference document to neither consult in correcting error nor have qualified staff to develop specification themselves. Drugs/medicines storage and inventory controls are manual and inconsistent with modern needs, leading to shortage or expiries. Officials of the HD showed concern about the existing specifications of drugs/medicines lists and stressed on improvement and designing of detailed standard specifications for ensuring supply of quality products. Some Executives were generally satisfied with the existing specifications but they couldnt justify as to why they were satisfied. The additional drugs list would be reviewed technically with WHO essential drug list and national essential drugs list. Involvement of service providers in development of technical and standard specifications has been minimal. There is no Inventory control at District level and below for Drugs and Medical supplies. Lack of standard specifications leads to duplication, irrelevance to the current needs of end users. Donations from NGOs at District Hospital Level in the form of Drugs, Medical Equipment and supplies leads to duplication. There is a lack of concept regarding environmental control particularly with reference to basic factors like heat, humidity and light controls which may result in chemical and physical degradation of drugs at drug storage facilities of primary and secondary care levels.
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Though majority of drugs required were common in all provinces, there were some specific requirements, which vary from area to area depending on disease prevalence pattern.
In the result of Information gathered during interviews from the HD officials, health service providers and review of available service requirements, rationalised lists of Medical equipment and Furniture (Annexure I) and Drugs/Medicines (Annexure II) is prepared which addresses the
comprehensive needs of primary and secondary health care facilities at provincial level. This list should be shared with all stakeholders for inclusion and deletion. The specification will be based on the final list received from stakeholders.
6 Issues and Risks

Due to out-dated lists, lack of standard specifications in all of the provinces, cumbersome renewal procedures, mismatch of budget and facility
requirement, lack of trained manpower there is an acute shortage of essential drugs, medical supplies and equipment. There is acute mismatch of facility and resource. Where equipment is available the trained staff is inadequate and where staff is available resources are deficient and not fulfilling the demand of health facilities. There is a large gap in budget allocation and release, which delays the process of procurement.
There is a justified concern of budget laps every year due to non existing standard specification and very late releases, and when release actually comes the time is too short to complete the process of tendering and hasty tender document specifications leave demand /supply gap at the health facilities.
Pre-qualification of companies supplying ME and drugs/medicines does not provide level playing field for healthy competition.
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Lack of automated Inventory control system at District level for Drugs and Medical supplies which results in the following; o Flying Invoices from MS, EDO offices, o Late or Partial Delivery o Expiry of Stocks due to Excess Purchase, Irrelevant Purchase, Short Expiry Purchase o No Inventory Control, consequently no system of verification of raised Indents/Demands for supplies. o Irrelevant purchase of drugs/medicines.
The HD policy in KPK dictates that for Sub-standard medicines supply, the same manufacturer will re-supply till the required standard is met. This leads to shortage of medicine and compromised treatment to the patient.
Lack of proper patient record system could lead to the misappropriation of funds.
Due to unavailability of detailed specifications and guidelines for use of specifications, various items, which were procured by the health departments, are out of service at different health facilities without being used. The reasons being that the items were selected without proper information about field requirement and lack of familiarity of service providers about the usage of equipment. The actual end user and service providers were not involved in any exercise related to development of generic specifications of drugs and equipment and most of them had limited knowledge of generic specifications of goods where as most of the concerned staff involved in the development of standard specifications of ME and drugs/medicine does not have ready reference to the available nomenclature of equipment in general and very few knew about the generic names of drugs, their strength / formulation / packaging details and technical parameters. This necessitates development of generic standard
specifications in order to procure quality items.

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The drugs/medicines being supplied lack proper storage facilities at health units and results in loss of efficacy during storage.
7 Recommendations
Standard Specifications in isolation will not address the issue of transparent procurement. A complete revamping of purchase process should be done simultaneously. Audit of existing Medical Equipment should be done, at Primary, Secondary and Tertiary Care. This will assist in proper allocation of resources at facilities according to the infrastructure and trained human resource availability. NGOs should also coordinate with the relevant health department for donations in the form of drugs/medicines and ME at District Hospital Level. Instead of selecting the first lowest for purchase of ME and medicines, preference should be given to the companies first qualifying in technical bid and then competing on financial bid. Specifications and Bid document should be standardized. The suppliers including China should provide Certifications like CE, MDD, FDA with the submission of tender documents. Once developed, the specifications require revision on continuing basis. PPRA rules are more suitable, as they address more on Technical Evaluation of the Bid than the financial evaluation. Medical Record of patients should be maintained to avoid
misappropriation of drugs/medicines along with inventory control system. Less expensive, quality products should be selected to provide quality service to the masses like Oral Medicines for OPD patients, Injections for Indoor patients and Surgical and Medical Disposables for Hospitals.
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Local Purchase (LP) should only be allowed for proprietary products within prescribed financial limits. Cold Chain should be maintained for Biotech Products for Teaching Hospitals and District Hospitals. The Specifications should also give the budgetary prices of items as it will assist is proper revenue allocation for any new facility while preparing PC-1
Maintenance of Medical Equipment should be catered for otherwise the equipment is likely to go out of service soon for want of minor service needs.
Care will be taken to keep the specification simple so that the user can prevent faults by routine maintenance and fix minor problems in-house with minimal application training.
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Annexure I
ANAESTHESIA Cylinder oxygen F Cylinder oxygen E Cylinder oxygen D Cylinder nitrous oxide size D Flowmeter O2 cylinder fitting Flowmeter O2 outlet fitting Infuser pressure Laryngoscope Laryngoscope c/w neonate blade Nebuliser ultrasonic Nebuliser heavy-duty Warmer blood dry heat type Airway guedal size 0 Airway guedal size 1 Airway guedal size 3 Airway guedal size 4 Connector set international Airway guedal size 00 Airway guedal size 2 Resuscitation bag adult Resuscitation bag child Resuscitation bag infant Resuscitation bag Anaesthetic unit with ventilator 2 vaporiser Anaesthesia unit induction O2/N2O/1 vaporiser Analgesia unit 2 gas Suction unit p/line high vac Medical gas pipeline system Suction unit p/line low vacuum Ventilator intensive care CPAP continuous flow system Ventilator portable Ventilator compact ICU air/O2 power Clock battery operated wall mounted FURNITURE GENERAL Bench sample sorting and collecting Bench wooden 2 seater Bench wooden 4 seater
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Bin sanitary towel disposal Bin waste paper plastic Bin waste pedal op/plastic insert Bin waste waiting areas Blinds horizontal Blinds vertical Bookcase large Bookcase small Buffer rail Cabinet filing 4 draw metal Cabinet filing 3 draw metal Cabinet tall 2 door / 5 shelf Cabinet tall 2 door / 4 shelf Cabinet tall 2 glass door / 5 shelf Chair desk class 2 Chair desk class 3 Chair desk class 4 Chair desk class 1 Chair dining cafeteria Chair lounge Chair patient relaxing Chair patient waiting 1unit Chair patient waiting 2 unit Chair patient waiting 4 unit Chair reception/computer Chair visitor class 1 Chair visitor class 2 Chair visitor class 3 Chair visitor class 4 Chair wood with arm Control desk medical equipment Curtain and track cubical Curtain and track shower Dental work station Desk class 1 Desk class 2 Desk class 3 Desk class 4 Desk computer Holder bin/sac fire retardant large Holder clinical waste 70 litre Lamp reading Lamp table/bedside Side rack class 1
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Side rack class 2 Sofa 1 seat fully upholstered Sofa 1seat wood frame upholstered cushion Sofa 2 seat fully upholstered Sofa 2 seat wood frame upholstered cushion Sofa 3 seat fully upholstered Sofa 3 seat wood frame upholstered cushions Sofa cum bed Stool epoxy frame vinyl seat Stool laboratory height adjustable vinyl seat/back Table coffee class 1 Table coffee class 2 Table conference 4 seat Table conference 10 seat Table conference 16 seat Table corner class 1 Table corner class 2 Table dining 4 persons Table dining 8 persons Table photocopier Table printer Trolley waste double Truck clinical waste 1100 litres TV stand TV stand wall mounted Video player Wardrobe with shelf STERILIZATION EQUIPMENT Autoclave class B 16 - 30 litres Autoclave class B vacuum 16 - 30 litres Autoclave portable 9 - 12 litres Autoclave 40 - 60 litres Autoclave 80 - 100 litres Autoclave 200 - 300 litres Autoclave 400 - 600 litres Sterilizer hot air Tray system pre-set type Dispenser paper packing reel Gun water with nozzles Lamp magnifying Dispenser tape two roll Washer adjustable pressure for trolleys washing Gloves needle resistant
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Goggles safety Face shield Gloves heat resistant Gloves rubber general purpose Trolley paper dispenser/4 levels Table mobile pack preparation Work/pack table CSSD low/high shelf Work/pack table CSSD with part boxes Trolley S/S 2 shelf 122x61cm Cabinet drying floor standing Heat sealer Trolley/cupboard CSSD storage Trolley CSSD returns constant level Rack mobile 3 shelf cooling/transport Trolley CSSD delivery constant level Ultrasonic washer / irrigation system Washer disinfector dryer 50 - 60 litres Washer disinfector dryer 100 - 200 litres Washer disinfector dryer 200 - 300 litres Hatch door pass through Sink unit 2 sinks u/shelf 240x65 cms ETO / Formaldehyde sterilizer DENTAL EQUIPMENT Stool dental assistant height adjustable Stool dentist's height adjustable Amalgamator Scalar ultrasonic Instrument set dental surgery Light curing unit dental surgery Glass bead steriliser Electric pulp tester Prophi unit Casting unit Porcelain furnace Dental engine High speed turbine Low speed air motor Polisher Vacuum Dental unit for procedures Dental unit for diagnostics Cabinet multi drawer Cabinet with sink & waste bin
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ENDOSCOPY Basin soaking urology Disinfector endoscope Paediatric rigid bronchoscope Cystoscope flexible set Rhino laryngoscope Tester leakage Cystoscope paediatric Laparoscope set 7mm with accessories Nephroscope percutaneous Resectoscope set Laparascope system Arthroscope system Rhinomanometer Flexible nasopharyngoscope Video gastroscope for adult Video colonofiberscope for adult Video sigmoido scope adult/paediatric Cysto urethroscope Flexible fibre nephroscope Tuboscopy set Vaginoscope set Mediastiniscope Esophagoscope Resectosope 24fr continuous flow Urethrotome 22fr 0O Video gastroscope paediatric Video system centre Cupboard endoscopes storage FURNITURE MEDICAL Cradle bed folding Bed intensive care hydraulic Bed intensive care electric Bed fixed height adjustable back Bed fixed height fowler position Bed adjustable height fowler position Bed labour / delivery Dialysis chair Chair venepuncture with arm rest Couch examination Couch examination gynaecology Couch ultrasonography Patient stool
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Locker bedside Table over bed cantilever auto rise Bassinet with trolley cupboard mattress Bed child fixed height with mattress Bassinet with trolley folding Mattress nappy change Trolley patient recovery Stool examination physiotherapy Cabinet drug floor standing glass door / shelves Cabinet instrument glass door / shelves Cupboard controlled drug Rack bedpan & bottle Trolley instrument 3 tier Trolley instrument 2 tier EQUIPMENT MEDICAL GENERAL Ambulance for transport Ambulance cardiac Cabinet urine testing Crash trolley with defibrillator Defibrillator Defibrillator with pacemaker Diagnostic set paediatric Diagnostic set adult Fork tuning Haemodialysis machine Lamp examination ceiling mounted Lamp examination mobile Lamp examination wall mounted Plaster removal set Poles stretcher Pump breast electric Pump breast manual Pump syringe Pump volumetric infusion Ripple mattress with motor Saw plaster with dust extractor Scales baby digital / electronic Scales baby mechanical Scales domestic type stand on Scales patient with height measurement Sphygmomanometer aneroid wall type Sphygmomanometer mercurial desk type Sphygmomanometer mercurial mobile
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Sphygmomanometer mercurial wall mounted Spirometer Stand iv antistatic castors S/S Stethoscope litman type Stethoscope litman type paediatric Suction unit 1 x 2 litre jar mobile Suction unit 2 x 2 litre jar mobile Suction unit 2 x 4 litre jar mobile Tens unit Thermometer clinical Thermometer electronic Thermometer tympanic Trolley cylinder f size Trolley medicine ward lockable Trolley patient accident and emergency Trolley patient notes Trolley stretcher Trolley plaster Trolley soiled linen Video colposcope Washer / disinfector bedpan / urinal Wheelchair children Wheelchair folding adult Wheelchair non folding adult HOUSEKEEPING Scrubber floor with suction Electric flying insect controller small Electric flying insect controller medium Electric flying insect controller large Trolley cleaners small Trolley cleaners large Vacuum wet / dry S/S Vacuum dry S/S INSTRUMENTS Dermatome with mesh graft Drill air surgical orthopaedic Drill motor ENT Instrument for removal of fingernail Change of bandage Splinter removing set Incision Sounding set
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Kirschner wire extension Dressing set for hand Small instrument set bones Biopsy excision Dressing set small Dressing set large Bone wiring set Tracheostomy set Outpatient dept. Instruments Paracentesis puncture tympanic Tympanic drainage Aural polyp set Abscess Bellcoq-tamponade Epistaxis (small) Sinus examination Exploratory excision larynx Examination nose Examination ear Phimosis - set Individual instrument for exam Intra-uterine-pessar-set Biopsy vaginal Placenta set Supplement set specula for children Cut down set Basic set traumatology large Basic set traumatology small Bone instruments set Bas instrument set bone screw & bone Set of bone screws Set bone plates with glide holes Plate bender Small frag & mini instrument set Small fragment & mini implant set Broken screw removal set Hand surgery set Bone set for hand surgery Suppl. Set hand-tendon Hand extras Micro instruments for nerves Instrument set for kuentscher Guide pins kuentscher intramed Extraction instruments kuentscher
29
Nail extract for kuentscher Kuentscher implants Hallux set Instruments for hip arthoplasty Cement removal Dynamic hip screw system Implants dynamic hip screw meniscus Meniscus set Knee ligament replacement Bone nails & bone clamps Fixator-extern with fixing elements Amputation set Metal removal Instruments for stems w/container Prosthesis stem only12/14mm Centraliser Prosthesis head only 28mm Prosthesis head only 32mm Prosthesis head only 22.2mm Instruments for acetabular cup Chirulen hip cup only 28mm Chirulen hip cup only 32mm Chirulen hip cup only 22.2mm Major basic set Laparotomy set Supplement set for gallbladder Suturing apparatus petz Rectum set (sacral) Supplement set for rectum Hernia appendix for adults Supplement set for kid with special instrument for ablation Supplement set for kid with special instrument for ligation Chest instruments set Emergency thoracotomy Abdominal punction set Lumbar punction set Buelau punction set Puncture set Thorax puncture Saphena set Kirschner frame Supplement set for lung op Trepanation Micro instrument set
30
A-V shunt set Antrotomy set Tympanoplasty & stapedectomy Nasal septum plasty (cottle) Tonsillectomy / adenotomy Biopsy of the larynx Extras Suture and wound care set Nasal polypectomy set Nasal fracture set Nasal septum surgery (killian) Bladder set Kidney set Supplement set for gastrointestinal operation Abdominal retractor Supplement set for vessels Thorax supplement set Anal retractor Urethra set Supplement set urethral Supplement set thoracotomy Set for orchidectomy testicle Labour room Instrument set for preparation Instruments & other needs delivery Delivery room curettage set Supplement for embryotomy Suturing set Umbilical vein set Large suturing set Amnioscopy Obstetric set perineal protection Cerclage for initial incision Abdominal basic set Caesarean section set Vaginal basic set Supplement set for vaginal total operation Set for mamma ablation operation Supplement micro tuboplasty set Supplement set hysteroscopy Supplement set for mamma vessels operation Supplement set for vulvectomy Set for tubal ligature Conisation
31
Cerclage (shirodkar) Abort-curettage set Basic instrument for laparoscopy Set for biopsy cervix & vagina Mamma biopsy set Fimbriectomy set Abdominal & vaginal set children Vaginal fistula set Preparation set Set for salpingography Basic eye set Phacoemulsiffication set Astigmatic keratotomy set Radial keratotomy set Glaucoma set Lid set Muscle set Lacrimal set Sinus surgery set Removal of impacted wisdom teeth Wiring of mandible utilizing teeth PHARMACY Counter tablet automatic Box pharmacy distribution Pharmacy miscellaneous items Bench pharmacy preparation KITCHEN Conveyor turbo toaster 4 slot bread toaster 2 slot bread toaster Gas range with oven 5 burner Gas range with oven 3 burner Gas range without oven 3 burner Tandoor Juice extractor Mobile refuse bin Heavy duty food blender Wooden chopping block Washer dish cabinet & hood type Scales platform 100 kg cap Visual display merchander Heavy duty mincer
32
Ice cuber Bread/cutlery/glass & tray dispenser Kettle electric auto Ingredient bins Filter coffee brewer Exhaust hood canopy Reach in refrigerator 2 door Reach in freezer 2 door S/S dust bin sink with drain boards Exhaust hood for tandoor Food trolley Food service heated trolley Basket trolley Hot water & steam dispenser Water cooler Table prep w/1 drawer S/S 1800x700 Self service counter S/S ambient storage cabinet S/S work table w/splash back S/S continuous work top S/S wall cabinet 1500mm S/S wall cabinet Self service counter S/S work table S/S hand wash basin/sink S/S work table with sink S/S pot and pan sink Sorting table Pre-wash/soak sink Wire shelving unit S/S wall mounted shelf LABORATORY Bath paraffin section mounting Bath water unstirred 16 L ambiant 9Oc Analyser biochemistry random access Analyser biochemistry random access Analyser blood gas Analyser biochemistry semi-automatic Flamephotometer Analyser electrolyte Bilirubinometer Meter pH Spectrophotometer
33
Elisa system Centrifuge bench top multiuse Centrifuge cell preparation Centrifuge microhaematocrit & reader Centrifuge refrigerated floor/stand w/1 rotor Centrifuge refrigerated max 4 x 500ml Aphresis unit Platelet incubator Platelet shaker Analyser haematology Coagulometer (automatic) Diluter automatic ESR system aspirator type Roller mixer blood sample 5 roller Stainer slide for blood smears auto Haemoglobinometer Container insulated 8 blood bag Sealer hand/stripper cutter Sealer blood bags electric Scales blood bag donor Glucometer hand held Dispenser set Cover slipper automatic Microtome cryostat w/accessories Microtome knife sharpener Microtome rotary Slide warmer Stainer slide automatic w/timer Tissue embedding system integrated Tissue processor enclosed system Water still Hotplate with stirrer Stirrer magnetic oscillating Mixer rotator platform Cabinet fume Laminar flow safety cabinet Cabinet filing microslide Electrophoresis sys gen Centrifuge blood cell wash Loop steriliser Agglutination test tube viewer Slide staining set Cabinet solvent storage under bench Cabinet block storage 3000 blocks
34
Refractometer urine Membrane filter set Automated blood & tuberculosis culture system Incubator 200 litre capacity 5 to 60 Incubator CO2 Oven sterilising Microscope fluorescent Microscope binocular 4x/10x/40x/100x lens Microscope CCD colour TV system Microscope phase contrast/dark field Jar anaerobic with gas pack Mixer vortex Balance electronic 400g cap Upright freezer ultra low -80O C Autoclave lab 100 L integrated generator MONITORING ECG machine 12 lead Monitor ECG/SPO2/pulse/temp/NIBP/Respiration ECG 3 channel interpretive with trolley Monitor multiparameter ICU Monitor multiparameter CCU Monitor multiparameter NICU Central station 8 monitors Vascular Doppler Digital echocardiography Portable echocardiograph with tee probe Detector foetal heart portable Cardio tocograph Module invasive pressure Module cardiac output External pacemaker EEG Machine 32 channel Holter monitor Computerised exercise Tolerance Test system Ergometer EMG machine NEONATOLOGY Monitor apnoea non invasive Warming unit babies bottles Washer baby bottle Incubator transport Head box infant oxygen
35
Incubator infant ICU Stethoscope foetal Bath baby with stand Toys assorted play area Trolley reanimation neonatal Ventilator neonatal Phototherapy unit freestanding Water deioniser Infant warmer OFFICE EQUIPMENT Computer, monitor & keyboard Printer laser Calculator desk model w/print out Typewriter electric English Baskets filing 3 tier plastic Trolley filing Projector overhead Projector slide Screen projection Projector direct Stapler heavy duty Scissors counter Board notice Board magnetic white Photocopier enlarging/reducing Safe floor standing 635x430x420mm
PHYSIOTHERAPY Aid walking pulpit"type" Aid walking frame height adjustable standard Aid walking tripod height adjustable aluminium Crutches underarm Stick walking height adjustable Couch heavy duty wooden frame Couch manipulation & treatment Table fixed height traction + unit Chair polished hardwood Couch treatment fixed height Footrest for shortwave therapy Diathermy unit short wave Lo frequency electrotherapy Rehabilitation theraputy
36
Roller wrist Balls medicine set of 4 Bicycle exercise stationary Mat exercise 2000x1000x50mm Mirror posture Rowing machine Steps regulated Treadmill motorised Bracket for hanging exercise mats Bars parallel foldaway Lamp infra red Lamp UV A and B Pinch meter Pin wheel Goniometer hand Gymmon goniometer Shortening blocks Interferential therapy w/suction Electro stimulator diagnosis/therapy Bench quadriceps Pulley set Westminster Wheel shoulder Ultrasound unit 1 & 3 MHz Bath wax Patient bath hydro massage with lift Hot pack heating unit Packs cold set of 3 Packs hot universal set of 4 Bars wall mounted
HOLLOWWARE Tray instrument glass w/ lid Brush nylon nail Clippers hair Tape measure linen Apron full length PVC Jug polypropylene 500ml Vomit bowl with lid Bucket 10L plastic Tray instrument 300x250 Tray instrument 420x305 Gloves rubber heavy duty Bedpan perfection pattern S/S adult
37
Dish kidney s/s 210 mm (8)" Gallipot S/S 5 oz. cap Gallipot S/S 6 oz. cap Jug graduated S/S 1000 ml Urinal female S/S Urinal male S/S Bowl S/S lotion 210mm Bucket with lid 9 litre S/S Tray instrument S/S 300x250mm REFRIGIRATION Refrigerator blood bank 120 bag capacity Refrigerator blood bank 240/250 bag capacity Freezer plasma storage Refrigerator 5 cu.ft. Capacity Refrigerator 6.8 cu.ft. Capacity Refrigerator laboratory Refrigerator drugs ward Refrigerator pharmacy STEEL FURNITURE Cupboard metal double door Drawer cabinet small parts 48 drawer Drawer cabinet 45 drawers Drawer unit steel 7 drawers Dispenser CSSD packs wire wall mounted Locker four section 175x45x45 cms Locker two unit 175x45x45 cm Rack mobile for plastic boxes 1.65m high Shelving unit metal 100x50x185cms high Shelving unit single side Shelving unit double side
OPERATION THEATER Crutches knee w/antistatic pads pair D shaped pillow antistatic universal Holder x-ray cassette lateral Stand for table accessories Stirrups lithotomy with antistatic pads pair Table arm square with antistatic pad Table attachment/orthopaedic work Tray douche with strainer Accessory stand operating table basic
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Bucket s/s in wheeled holder Stand bowl double horizontal Stand bowl single Kickabout S/S Cabinet instrument 152x91x40 cms Cabinet lotion warming 6 bottle capacity Diathermy unit mono & bipolar Nd YAG Laser Argon laser (solid state photocoagulator) Cement removal system orthopaedic Phacomachine Chair anaesthetist Step single antistatic Step surgeon two step antistatic Stool surgeon mobile Stool surgeon with stump feet Table mayo height adjustable Trolley anaesthesia 2 shelves/1 drawer Trolley instrument S?S 46x60 cms Lamp operating major (7 + 4 bulbs) Lamp operating major (7 bulb) Lamp operating minor (4 bulb) Mattress heating/cooling w/motor Tourniquet quick release Tourniquet pneumatic Prism loupe operating Microscope operating eye Microscope operating ENT Rack swab Rack shoe & boot OT. (12 pairs) Vacuum extractor (malstrom) Kidney bridge, lithotomy poles, urology acc. Table operating 4 section with mattress Table operating 3 section with mattress Scrub unit double Dispenser soap foot operated Dispenser nail brush elbow operated MAINTENANCE Tool kit workshop Incinerator Waste disposal system MORTURY
39
Body storage refrigerator 4 tier Saw post mortem electric Instruments - autopsy box Maceration unit Container-organ w/cooling device Gloves - dissecting Trolley display with rails Table s/s 1500 x 600 with under shelf Trolley concealment Trolley elevating Trolley body transport w/body tray Scales organ - hanging Worktop dissecting Table autopsy ventilated with sink Table autopsy - basic with castors Microphone/speaker & amplifier Lamp autopsy - ceiling mounted Disposal unit Cupboard S/S wall mounted 2 door Workbench S/S with 2 doors Workbench S/S wall type LAUNDRY Scale floor 500kg cap Dryer tumble 50lb cap Ironer flatwork single roller electric Automatic air compressor Wire shelving Press multipurpose Machine sewing Trolley linen polybody white Trolley linen storage clean Table sorting s/s 1500 x 650 x 850mm Trolley infected linen single Compressor/boiler h2o treatment Washer extractor 32 kg Washer extractor 25 kg Washer extractor hygienic
RADIOLOGY C.T. scanner 16 slice C.T. scanner 4 slice X-ray unit dental wall mounted Panoramic x-ray dental
40
Mammography Copy/subtraction unit film Processor film automatic Processor film dental Processor film manual Recovery unit silver Safelight ceiling mounted with filters Safelight wall mounted with filters Markers x-ray film (left & right) Fluoroscopy System. X-ray unit mobile Surgical c-arm Apron lead double sided .35 LE 85cm L Rack lead gloves & aprons Shield gonad adult male 1mm lead Shield gonad boy 1mm lead Shield ovarian 1mm lead set of 3 Contrast injector Laser imager X-ray radiography system Ultrasound diagnostic colour Doppler General purpose ultrasound system Ultrasound portable Illuminator x-ray double dimming Illuminator x-ray double separate switch Illuminator x-ray single Illuminator 4 over 4 dimming Hatch cassette Bench darkroom/ cassette / hopper /cupboard /sink Cassette x-ray 13x18 cms Cassette x-ray 18x24 cms Cassette x-ray 18x43 cms Cassette x-ray 24x30 cms Cassette x-ray 30x40 cms Hanger tension film for 13x18 cms Hanger tension film for 18x24 cms Hanger tension film for 18x43 cms Warmer contrast media Chest cassette mobile lead lined Positioning aids set of 7 GENERAL ITEMS Laminar flow unit Clock elapsed time mains operated
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Shelving wall mounted GENERAL MEDICAL EQUIPMENT Audiometric booth Tympanometer Audiometer clinical Impedance audiometer Diagnostic set adult Hammer patella Exam unit air/water/suction/cautery Diagnostic set eye Chart Ichihara colour Auto refractro - keratometer Lamp slit on gas sprung table Ophthalmascope indirect Ophthalmoscope with rechargeable handle Screen bjerrum 2m Screen hess electric with chin rest Test maddox wing Tester perimeter projection/visual field analyser Testing Box four sided wall mounted (snell's) Tonometer schoitz Trail lenses/glass prisms/frame set Exoptalmometer Diagnostic lenses 20D, 30D, 90D , 7080 P.D. meter Chart projector Lensmeter Stereo test wirt fly Torsionometer Prisms universal set of 22 Maddox rod franceschetti 3 mirror Gonioscope Camera fundus / fluorescent angiography Ophthalmic ultrasound Orthoptic mini set Instrument table Electrolysis unit for ophthalmology Bipolar coagulator Cautery unit
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Annexure II
RECOMMENDED LIST OF DRUGS / MEDICINES GENERIC NAME MEDICINE ANAESTHETIC AGENTS SEVOFLURANE LIQUID INHALATION BOTTLE 250 ML LIQUID INHALATION BOTTLE 250 ML LIQUID INHALATION BOTTLE 100 ML INJ. 10MG/ ML (2.5ML /3ML) INJ. 500 MG / 10 ML OF DRUG / DESCRIPTION
HALOTHANE ISOFLURANE ATRACURIUM BESYLATE KETAMINE
43
THIOPENTONE SODIUM PANCURONIUM BROMIDE SUXAMETHONIUM CHLORIDE PROPOFOL BUPIVACAINE HCL 0.75% BUPIVACAINE HCL 0. 5% BUPIVACAINE HCL 0.25% DIAZEPAM DIAZEPAM LIGNOCAINE SOLUTION LIGNOCAINE WITH ADRENALINE LIGNOCAINE LIGNOCAINE SOLUTION ATROPIN SULPHATE MIDAZOLAM (AS HCL) EPHEDRINE ANTI PYRETICS / ANALGESICS PARACETAMOL DICLOFENAC SODIUM INDOMETHACIN IBUPROFEN DICLOFENAC SODIUM MEFENAMIC SODIUM FLURBIPROFEN PARACETAMOL ASPIRIN ASPIRIN ALLOPURINOL TIZANIDINE NAPROXEN SODIUM PIROXICAM
INJ. 500 MG. INJ. 2 MG / ML INJ. 100MG INJ. 10MG / ML AMP OF 20ML INJ. INJ. INJ. TAB. 5MG INJ. IV 10MG/2ML INJ. 2% 10ML INJ. 2 % GEL. 2 % SOLUTION 4% INJ. 1MG/ML INJ. 5MG /ML INJ. 30MG INJ. 300MG/ML INJ. 75 MG INJ. 200MCG WITH SOLVENT TAB. 200 MG 400MG TAB. 50 MG TAB. 250MG, 500MG TAB. 100MG TAB. 500MG TAB. 75MG,150MG COATED) TAB. SOLUBLE 300 MG TAB. 300 MG TAB. 2MG, 4MG TAB. 250MG, 500MG TAB. 10MG/ 20MG
44
(ENTERIC
PIROXICAM PARACETAMOL IBUPROFEN NARCOTIC ANALGESICS MORPHINE PETHIDINE HCL PENTAZOCINE NALBUPHINE HCL TRAMODOL ANTIBIOTCS AMPICILLIN AMPICILLIN +CLOXACILLIN AMPICILLIN + SALBACTUM CLOXACILLIN AMOXYCILLIN BENZYL PENICILLIN BENZATHINE AMOXYCILLIN AMPICILLIN + CLOXACILLIN AMPICILLIN AMPICILLIN AMPICILLIN +CLOXACILLIN AMOXYCILLIN AMOXYCILLIN AS SODIUM 500MG + CLAVULANIC ACID 100MG AMOXYCILLIN AS SODIUM 500MG + CLAVULANIC ACID 200MG AMOXYCILLIN ACID AMOXYCILLIN (AS TRIHYDRATE) 125MG + CLAVULNIC ACID (AS + CLAVULANIC
INJ. 20MG/ ML SYP/ ELXIR/ SUSP. 120MG / 5ML SUSP. 100MG/5ML INJ. 15MG/ML INJ. 100MG / 2ML INJ. 30 MG /ML INJ. 10MG /ML INJ. 50MG /ML CAP. 250 MG / 500 MG. INJ. 250 MG , 500MG INJ. 500MG + 250MG INJ. 500 MG INJ. 250 MG, 500MG INJ. 5 LAC , 10LAC UNITS INJ. 1.2MEGA UNIT, 0.6 MEGA UNIT VIAL SUSP. 250 MG / 5ML SUSP. 125 MG + 125MG / 5ML SUSP. 125 MG / 5ML CAP. 250 MG, 500 MG CAP. 250 MG 500 MG + 125MG CAP. 250 MG , 500 MG
INJ. 500MG + 100MG
INJ. 1000MG + 200MG
TAB. 375MG , 625MG, 1G SUSP. 125MG + 31. 25MG/ 5ML
45
POTASSIUM) 31. 25MG/ 5ML AMOXYCILLIN (AS TRIHYDRATE) 250MG + CLAVULNIC ACID (AS SUSP. 250MG + 62.50MG/ 5ML POTASSIUM) 62.50MG/ 5ML CEPHRADINE CEFUROXIME CEFOTAXIME CEFTRIAXONE CEFUROXIME CEPHRADINE CEFACLOR CEFACLOR GENTAMYCIN AMIKACIN CLINDAMYCIN LINCOMYCIN ERYTHROMYCIN ERYTHROMYCIN CLINDAMYCIN LINCOMYCIN CIPROFLOXACIN LEVOFLOXACIN NORFLOXACIN LEVOFLOXACIN CIPROFLOXACIN NALIDIXIC ACID COTRIMOXAZOLE DS (SULPHAMETHOXAZOLE 800MG + TRIMETHOPRIM 160MG) COTRIMOXAZOLE (SULPHAMETHOXAZOLE 200MG + TRIMETHOPRIM 40MG) PER 5ML COTRIMOXAZOLE DS (SULPHAMETHOXAZOLE 400MG + TRIMETHOPRIM 80MG) PER 5ML DOXYCYCLINE OXYTETRACYCLINE MINOCYCLINE METRONIDAZOLE METRONIDAZOLE TINIDAZOLE METRONIDAZOLE INJ. 250MG, 500MG, 1 G INJ. 250, 750MG, 1.5G INJ. 250MG, 500MG, 1G INJ. 250MG, 500MG, 1G TAB. 125MG, 250MG CAP. 250MG, 500MG CAP. 250, 500MG SUS. 125MG/5ML, 250MG/5ML INJ. 40MG, 80MG INJ. 250MG, 500MG INJ. 150MG/ML (300MG, 600MG) INJ. 300MG, 600MG TAB. 250MG, 500MG SUSP. 200MG/5ML CAP. 150MG, 300MG CAP. 500MG INJ. 100MG /50ML INJ. 500MG TAB. 400MG TAB. 250MG , 500MG TAB. 250MG, 500MG SUSP. 250MG/5ML TAB.
SUSP.
SUSP. CAP / TAB. 100MG CAP / TAB. 250MG CAP / TAB. 100MG INJ. 500MG / 100ML TAB. 200MG, 400MG TAB. 300MG, 500MG SUSP. 200MG / 5ML
46
FOSFOMYCIN CALCIUM FOSFOMYCIN CALCIUM FOSFOMYCIN CALCIUM ANTITUBERCULOSIS DRUGS STREPTOMYCIN ETHAMBUTOL RIFAMPICIN + INH PYRAZINAMIDE+ ETHAMBUTOL ETHAMBUTOL HCL 300MG INH75+RIFAMPICIN 150MG ETHAMBUTOL HCL 275mg INH75+RIFAMPICIN 150MG RIFAMPICIN RIFAMPICIN
SUSP. 250MG/5ML, 500MG/5ML INJ. 250MG, 500MG, 1G CAP. 250MG, 500MG INJ. 1 GM TAB. 400MG + TAB. 150MG+75MG+400MG+275MG + TAB. 300MG + 75MG+ 150MG + TAB. 275MG + 75MG+ 150MG SYP. 2% 60ML TAB / CAP. 150mg, 300mg, 450mg, 600mg TAB. 100MG SYP. 500MG/5ML TAB. 500MG INJ. 250MG / 10ML TAB. 100MG TAB. 300MG TAB. 4 MG,10MG TAB. 2MG,4MG SYP.
ISONIAZID ISONIAZID PYRAZINAMIDE ANTIASTHAMATIC DRUGS AMINOPHYLLIN AMINOPHYLLIN THEOPHYLLIN MONTELUKAST SODIUM SALBUTAMOL AMMONIUM CHLORIDE 100MG, SODIUM CITRATE 60MG,CPM 2MG, EPHEDRINE HCL 7MG AMMINOPHYLLINE 32MG, DIPHENHYDRAMINE 8MG, AMMONIUM CHLORIDE 30MG, MENTHOL 0.98MG, ALCOHAL 5% BECLOMETHASONE 100MCG + SALBUTAMOL 50MCG INHALER SALBUTAMOL 100MG NEBULE IPRATOPIUM BROMIDE 0.025% SALBUTAMOL FOR NEBULIZER ANTI HISTAMINES CHLORPHENIRAMINE MALEATE CLEMASTINE PHENIRAMINE MALEATE CETIRIZINE DIHYDROCHLORIDE
SYP.
INHALER. INHALER. 250MCG/ML SOLUTION 20ML INJ. 10MG/ ML INJ. 1MG/ML INJ. 22.7 MG/ML SYP. 10 MG
47
CHLORPHENIRAMINE MALEATE KETOTIFEN PHENIRAMINE MALEATE PROMETHAZINE HCL CETIRIZINE HCL CHLORPHENIRAMINE MALEATE HYDROXYZINE DIHYDROCHLORIDE FEXOFENADINE KETOTIFEN PHENIRAMINE MALEATE
SYP. 2MG/5ML SYP. 1MG / 5ML SYP. 15MG / 5ML SYP. 5MG/5ML TAB. 10 MG TAB. 4MG TAB. 25MG TAB. 120MG, 180MG TAB. 100MG TAB. 25MG
NAPHAZOLINE 0.025% + NASAL DROPS PHENIRAMINE 0.3% CARDIOVASCULAR / ANTI-ANGINAL DRUGS ADERNALINE INJ. 0.1% 1ML DIGOXIN INJ. 0.25, 0.5 MG VERAPAMIL INJ. 5 MG / 2ML DOBUTAMINE INJ. 250MG / 5ML ISO SORBIDE DINITRATE INJ. 10 MG/ 10 ML. DOBUTAMINE INJ. 250MG DOPAMINE INJ. 40MG METHYLDOPATE HCL TAB. 250 MG. NOREPINEPHRINE ACID INJ. 2MG TARTRATE SODIUM NITROPRUSSIDE INJ. 50MG/2ML METHYLDOPA INJ. 250MG/5ML PROPRANOLOL TAB. 10 MG, 40MG ATENOLOL TAB. 50MG, 100MG DIGXION TAB. 250MCG (0.25MG) LEVODOPA CARBIDOPA TAB. 25MG MONOHYRATE VERAPAMIL TAB. 40MG, 80MG GLYCERYL TRINITRATE TAB. 0.5MG NIFEDIPINE TAB. 10MG, 20MG AMLODIPINE TAB. 5MG NITROGLYCERINE TAB. 0.5MG SUBLINGUAL ISO SORBIDE MONONITRATE TAB. 20 MG CAPTROPRIL TAB. 25MG, 50MG LISINOPRIL TAB. 5 MG, 10 MG ENALAPRIL MALEATE TAB. 5 MG, 10 MG, 20 MG. DILTIAZEM TAB. 30 MG, 60MG, 90MG, 180MG
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ATORVASTATIN SIMVASTATIN METHYLDOPA LEVODOPA 250MG, CARBIDOPA MONOHYDRATE 25MG LOSARTAN POTASSIUM ANTI-THROMBOTIC DRUGS STREPTOKINASE DIURETICS FRUSEMIDE SPIRONOLACTONE FRUSEMIDE FRUSEMIDE 40MG + AMILORIDE HCL 5MG KCL POTASSIUM CHLORIDE SPIRONOLACTONE 25MG, + HYDROCHLORTHIAZIDE 50MG SPIRONOLACTONE 50MG+FRUSEMIDE 20MG ANTI COAGULANTS HEPARIN TRANEXAMIC ACID TRANEXAMIC ACID CLOPIDOGREL WARFARIN SODIUM VITAMIN K ANTACIDS / ANTI ULCER DRUGS RANITIDINE OMEPRAZOLE OMEPRAZOLE CIMETIDINE RANITIDINE SUCRALFATE SUCRALFATE ALUMINIUM HYDROXIDE 125MG + MAGNESIUM HYDROXIDE 80MG + SIMETHICONE 15MG SALAZOPYRINE ANTI EMETICS METOCLOPRAMIDE DIMENHYDRINATE CYCLIZINE DIMENHYDRINATE METOCLOPRAMIDE. PROCHLORPARAZINE
TAB. 10 MG, 20 MG, 40 MG. TAB. 20MG, 40MG TAB. 250MG TAB. 250MG + 25MG TAB. 25MG, 50MG INJ. 0.75MIU , 1.5MIU INJ. 20MG/2ML TAB. 100MG TAB. 40MG TAB. 40MG + 5MG TAB. 500MG SYP. 40MEQ/15ML TAB. 25MG + 50MG TAB. 50MG + 20MG INJ. 5000IU. /ML INJ. 250MG, 500MG CAP. 250MG, 500MG TAB. 75MG TAB. 1 MG, 5 MG. INJ. 10MG/1ML INJ. 50 MG / 2ML INJ. 40MG CAP. 20MG, 40MG INJ. 200MG TAB. 150MG, 300MG TAB. 1GM SUSP. 1GM/5ML SYP. TAB. 500MG INJ. 5MG / ML INJ. 50 MG / ML INJ. 50MG /ML TAB. 50 MG. TAB. 10MG TAB. 5MG
49
DOMPERIDONE TAB. 10 MG METOCLOPRAMIDE SYP. DOMPERIDONE SUSP CYCLIZINE SYP. 12.5MG/ 5ML DIMENHYDRINATE SYP. 12.5MG/4ML ANTI SPASMODICS DROTAVIRINE HCL INJ. 40 MG/2ML TAB DROTAVIRINE HCL TAB. 40 MG HYOSINE N BUTYLBROMIDE TAB. 10MG HYOSINE N BUTYLBROMIDE INJ. 20MG / ML BACLOFEN TAB. 10MG LAXATIVES BISACODYL TAB. 5MG MAGNESIUM HYDROXIDE 75% + EMULSION 120ML LIQUID PARAFFIN 25% GLYCERIN SUPPOSITORIES 1gm, 2gm, 4gm LACTULOSE SYP. 120ML SODIUM BIPHOSPHATE 19.2GM, SODIUM PHOSPHATE 7.2GM, SYP. 120ML SODIUM CONTENTS IN 120ML 4.5GM ORAL REHYDRATION ORAL DEHYDRATION SALT ORS INSULIN AND OTHER ANTIDIABETIC AGENTS HUMAN INSULIN R INJ. 100IU / 10ML HUMAN INSULIN NPH INJ. 100IU/10ML HUMAN INSULIN 70/30 INJ. 100IU 10ML GILBENCLAMIDE TAB. 5MG METFORMIN TAB. 500MG PIOGLITAZONE TAB. 15MG, 30MG, 45MG GLIMEPIRIDE TAB. 1MG,2MG,3MG,4MG GLICLAZIDE TAB. 30MG, 80MG ANTI DIARRHOEALS FURAZOLIDONE LOPERAMIDE HCL KAOLIN PECTIN FURAZOLIDONE ANTHELMINTICS ALBENDAZOLE PYRANTEL (AS PAMOATE) ALBENDAZOLE TAB. 100MG 200MG TAB. 250MG SUSP. 200MG/ 5ML TAB. 100MG TAB/ CAP. 2MG SUSP. 60ML, 120ML SUSP. 60ML
50
MEBENDAZOLE PYRANTEL (AS PAMOATE) ANTI - MALARIALS CHLOROQUINE PHOSPHATE ARTEMETHER QUININE DI HYDROCHLORIDE QUININE SULPHATE PYRIMETHAMINE CHLOROQUINE PHOSPHATE ARTEMETHER SULPHADOXINE 500MG + PYRIMETHAMINE 25MG LUMEFANTRINE + ARTEMETHER CHLOROQUINE PHOSPHATE / PHOSPHATE EQUIVALENT TO 50MG BASE/5ML ANTI VIRAL ACYCLOVIR ZIDOVUDINE LAMIVUDINE RIBAVIRIN ADEFOVIR DIPIVOXIL INDIANAVIR AS SULPHATE ZIDOVUDINE OSELTAMIVIR ZIDOVUDINE LAMIVUDINE
SUSP. 100MG/ 5ML SUSP. 250MG / 5ML INJ. 200MG / 5ML INJ. 80MG/ML INJ. 300MG /ML TAB. 300MG TAB. 25 MG TAB. 250MG CAP. 40MG, 80MG TAB. 500MG + 25MG TAB. 20MG + 120MG SYP. 50MG BASE/5ML
INJ. 250MG, 500MG INJ. 10MG/ML IN 20ML VIAL TAB. 150MG / 100MG CAP / TAB. 400MG CAP / TAB. 10MG CAP. 200MG, 333MG, 400MG CAP. 100MG, 300MG CAP. 75MG ORAL SOLUTION ORAL SOLUTION. 50MG / 5ML
RECOMBINANT HUMAN INJ INTERFERON ALPHA 2A 3 MIU RECOMBINANT HUMAN INJ INTERFERON ALPHA 2B 3 MIU ANTICONVULSANTS / ANTIEPILEPTICS / PSYCHOTROPIC MEDICINES SODIUM VALPROATE INJ. 500MG /5ML HALOPERIDOL INJ. 5MG/1ML. PROMETHAZINE INJ. 25MG PROCYCLIDINE INJ. 10MG/2ML LORAZEPAM TAB. 1MG LETHIUM CARBONATE TAB. 400MG PROMETHAZINE TAB. 25MG, 50MG
51
PROCYCLIDINE ALPRAZOLAM HALOPERIDOL BROMAZEPAM CLONAZEPAM DIVALPREX SODIUM FLUOXETINE HCL RISPERIDONE TRIFLUOPERAZINE HCL DIVALPREX SODIUM PAEDIATRIC DROPS CLONAZEPAM HALOPERIDOL ORAL SOLUTION GLUCOCORTICOIDS HYDROCORTISONE SODIUM SUCCINATE DEXAMETHASONE DEXAMETHASONE PREDNISOLONE ANTIDOTES NALOXONE HCL PROTAMINE SULPHATE NEOSTIGMINE METHYLSULPHATE PRALIDOXIME MESYLATE /
TAB. 5MG TAB. 0.25MG, 0.5MG, 1 MG TAB. 5MG, 10MG. TAB. 3MG TAB. 0.5MG, 2MG TAB. 500MG CAPS. 20MG TAB. 1MG, 2MG, 4MG TAB. 5MG SYP. 250MG/ 5ML DROPS. 0.25% ORAL SOLUTION 2MG/ML
INJ. 100MG, 250MG, 500MG INJ. 4 MG / ML TAB. 0.5MG TAB. 5MG INJ. 0.4MG / ML INJ. 10MG / ML INJ. 0.5MG/ML, 2.5MG / ML
CHLORIDE / METHYLSULPHATE FLUMAZENIL ACTIVATED CHARCOAL ACTIVATED CHARCOAL
INJ. 1G INJ. 100MCG/ML CAP. 260MG LIQUID 0.5 MG
ERGOT ALKALOID METHYL ERGOMETRINE INJ. 0.2MG / ML UTEROTROPIC OXYTOCIN INJ. 5IU / ML LABOUR INDUCERS / INHIBITORS PROSTAGLANDIN F2 ALPHA INJ. 5MG/ML ALPROSTADIL, ALPHA INJ. 20MCG + 646.7MCG/ML CYCLODEXTRIN DINOPROSTONE TAB. 3MG MISOPROSTOL TAB. 200MCG GONADOTROPHINS & OVULATION STIMULANTS CONJUGATE ESTROGEN TAB. 0.625MG, 1.25MG CLOMIPHENE CITRATE CAP/ TAB. 50MG
52
DANAZOLE INFUSIONS 10% DEXTROSE WATER 25% DEXTROSE WATER 5% DEXTROSE WATER DEXTROSE N/SALINE HARTMANS SOLUTION RINGERLACTATE SOLUTION 0.9% NORMAL SALINE SODIUM CHLORIDE 0.18% DEXTROSE 4.3% MANITOL 20% DEXTROSE 25% SODABICARBONATE 8.4% ISOTONIC SOLUTION HYPERTONIC SOLUTION DISTILLED WATER PLASMA SUBSTITUTES
CAP. 100MG, 200MG INJ. 1000ML INJ. 1000ML INJ. 1000ML INJ. 1000ML INJ. 500ML, 1000ML INJ. 500ML, 1000ML INJ. 1000ML IN INJ. BOTTLE OF 500ML INJ. 500ML INJ. AMP OF 20ML, 25ML INJ. SOLUTION FOR DIALYSIS 1000ML, 2000ML SOLUTION FOR DIALYSIS 1000ML, 2000ML INJ. 5ML
POLYGELLINE 35GM, + SODIUM IONS 145MMOL + POTASSIUM IONS 5.1MMOL + CALCIUM ION 6.25MMOL + CHLORIDE IONS INJ. BOTTLE OF 500ML 145MMOL + TRACES OF PHOSPHATE AND SULPHATE PER 1000ML MODIFIED FLUID GELATIN INJ. 4% 500ML HYDROXY ETHYL STARCH INJ. 3%, 6%, 10% OPTHALMOLOGICAL / EAR / NASAL PREPARATIONS HYDROXY PROPYL METHYL INJ. 2% CELLULOSE TIMOLOL MALEATE EYE DROPS. 0.5% PILOCARPINE EYE DROPS. 1% 2% 4% PROPARACAINE HCL EYE DROPS. 0.5% HOMATROPINE EYE DROPS. 2% CHLORAMPHENICOL EYE DROPS. 0.5% SULPHACETAMIDE EYE DROPS. 20% TOBRAMYCIN DEXAMETHAXONE EYE DROPS 1% + 3% POLYMYXIN B SULPHATE + EYE OINT. 30% BACITRACIN WITH HPMC ACETAZOLAMIDE 250MG / TAB. 250MG + 50MG DICHLORPHENAMIDE 50MG PROTEIN FREE DIALYSATE GEL. 8.30MG ATROPINE EYE DROPS. 1%
53
ACYCLOVIR SODIUM CHROMOGLYCATE + TETRAHYDROZOLINE OCCUCAINE (LOCAL ANESTHETIC) TIMOLOL MALEATE + DORZOLAMIDE FLUORESCEIN TOBRAMYCIN PHENYLEPHRINE POLYMYXIN B SULPHATE 10, 000 IU + LIGNOCAINE HCL 50MG & PROPYLENE GLYCOL CHLORAMPHENICOL METHOXAMINE 0.25% PHYENYLEPHRINE TROPICAMIDE POLYVINYL ALCOHOL + POVIDONE IODINE MULTIVITAMINS CALCIUM GLUCONATE IRON SUCROSE THIAMINE 100MG, PYRIDOXINE 100MG, CYANOCOBALAMIN FERROUS SULPHATE FOLIC ACID CALCIUM + VITAMIN D CALCIUM + VITAMIN D MECOBLAMINE MECOBLAMINE MULTIVITAMIN(Vit A 5000, VIT D 1000, THIAMINE 3MG, RIBOFLAVIN 3MG, NICOTINAMIDE 20MG, ASCORBIC ACID 30MG) VIT B COMPLEX (B-1MG, B2-1MG, NICTONAMIDE 15MG) VITAMIN B COMPLEX (B-1 3MG, B-2 3MG, PYRIDOXINE-2MG, NICTONAMIDE) FERROUS GLUCONATE FERROUS GLUCONATE150MG, VIT C 50MG, + VIT B-2 2MG, +NICOTINAMIDE 10MG, FOLIC ACID 0.5MG VITAMIN D ANALOGUE
EYE OINTMENT. 3% EYE DROPS 40MG + 0.5MG EYE DROPS EYE DROPS 0.5% + 2% EYE DROPS 1% EYE DROPS 0.3% EYE DROPS 10% EYE DROPS EAR DROPS 1% NASAL DROPS NASAL DROPS. 0.5%, EYE DROPS 1 % EYE DROPS 1.4% + 0.6% INJ. 10ML INJ. 20MG AMP OF 5 ML INJ. 1000MCG/3ML TAB. 150MG / 200MG TAB. 5MG TAB. SYP. TAB. 500MCG INJ. 500MCG /ML TAB.
TAB. SYP. 23MG/15ML SYP. 200MG/5ML TAB/CAP.
54
ALFACALCIDOL ALFACALCIDOL
TAB. 0.5MCG, 1 MCG INJ. 1 MCG
DRUGS AFFECTING BONE METABOLISM ALENDRONATE SODIUM SERA / VACCINES HEPATITIS B VACCINE ANTI TETANUS TOXOID TETANUS IMMUNOGLOBULIN RHO (D) IMMUNOGLOBULIN ALBUMIN ANTI SNAKE VENUM ANTI RABIES IMMUNOGLOBULIN (HUMAN) ANTI RABIES VACCINE MENINGITIS VACCINE ANTI DIPHTHERIA VACCINE THYROID / ANTI THYRIOD HORMONE LEVOTHYROXIN / THYROXIN CARBIMAZOLE TAB. 50MCG TAB. 5MG TAB. 10MG, 70MG INJ. INJ. 0.5ML INJ. 250IU INJ. INJ. 20%, 50ML / 100ML INJ INJ ANTI RABIES VACCINE INJ INJ
RECOMBINANT HUMAN ERYTHROPOIETIN EPOETIN ALFA INJ. 2000IU, 4000IU, 10000IU
ANTISEPTICS POVIDONE-IODINE 10% AQUEOUS BOTTLE OF 500ML / 450ML SOLUTION SURGICAL SCRUB IODINE 7.5% POVIDONEBOTTLE OF 500ML TAB. 500MG CREAM / OINTMENT. CREAM / OINTMENT. SOLUTION LOTION SOLUTION SOLUTION LOTION / EMULSION CREAM VAGINAL. 0.625GM LIQUID LIQUID
55
DERMATOLOGICALS GRISEOFULVIN GENTAMYCIN 0.3% ACRIFLAVINE NEUTRAL 1% WEAK SOLUTION OF IODINE 2.5% TR. BENZOIN CO. BPC CALAMINE LOTION 15% BPC CHLROXYLENOL GLUCONATE 1.5% CETRAMIDE 15% CHLOROXYLENOL B.P 5%, 4.8% BENZYL BENZONATE 25% CONJUATE ESTROGEN 0.625GM HYDROGEN PER OXIDE B.P 6% LIQUID PARAFFIN
FUCIDIC ACID 2% POLYMYXIN B SULPHATE ZINC BACITRACIN BETAMETHASONE VALERATE 0.1% BETAMETHASONE VALERATE 0.1% PERMETHRINE 5% LINDANE 1 % SILVER SULPHADIAZINE CLOTRIMAZOLE CLOTRIMAZOLE 2% MICONAZOLE 2%, ISOCONAZOLE, TRICONAZOLE 1%, KETOCONAZOLE 2% CLOTRIMAZOLE 1% CLOTRIMAZOLE 500MG, CLOTRIMAZOLE 1% NYSTATIN NYSTATIN 100,000 UNITS FLUCONAZOLE DENTAL PRODUCTS DENTAL CART
CREAM/ OINTMENT OINTMENT CREAM / OINTMENT LOTION LOTION / CREAM LOTION / CREAM CREAM VIGINAL TAB . 500MG VIGINAL CREAM SKIN CREAM VAGINAL PESSERY LOTION SUSP. 100,000IU/ML VAGINAL PESSERY. 100,000IU CAP. 150/200 MG LIGNOCAINE 2% EPINEPHIRINE
1% IN 80 000 IU(3ML) LIGNOCAINE INJ. 2 % WITH ADRENALINE
(CARTRIDGE) DENTAL NEEDLE DIAMOND BUR K FILES H FILES H FILES GP POINTS GATE DRILL / PIZZO DRILL CAVIT ROOT CANAL FILLING PASTE CELLULOID STRIPS ZINC PHOSPHATE CEMENT Short, Long (27mm) LONG CYLINDRICAL NO. 6, 8, 10 (25MM) NO. 6, 8, 10 (25MM) NO. 15-40 (25MM) NO 20 , 25, 30, 35 40, 45, 50 NO 2-3 Root Canal Filling Root Canal Filling 0.038mm, 10mm x 100mm + Root Canal Filling
POWDER LIQUID
56
SURGICAL BURS ROUND FISSURE
Carbide Bur, NO 1-2 & ASSORTED SIZES
MATRIX BAND ROLL AMALGAM CAPSULES LIGHT CURE COMPOSITE FINISHING KIT PLASTER OF PARIS DISPOSABLE SUCTION TIPS HAND PIECE OIL SPRAY BUR FOR BEVELLING
Metal Band Roll, 0.038mm, 10mm Filling material, NO 1-2 Filling Material For UV Light Cure Polishing Bur Coarse, Fine For Dental Model Suction Tips Hand piece Diamond Bur
HAND PIECE HIGH SPEED HIGH Hand Piece TORQUE GLASS IONOMER CAVITY VARNISH COLD STERILIZATION ZINC OXIDE FILLING MATERIAL FILLING MATERIAL Sterilization material FILLING MATERIAL, POWDER AND LIQUID CALCIUM HYDROXIDE PASTE CRESOPHEN ALVOGYL PULPERYL Antiseptic for Root Canal Procedure Cresot + Phenol, Disinfectant Iodine + Formaline Material for smoothening of Root Canal DISPOSABLE GLOVES HEAT CURE POWDER SELF CURE POWDER SELF CURE LIQUID MODELING WAX COLD MOLD SEAL EXTRA HARD PLASTER ALGINATE IMPRESSION MATERIAL Size 7,8 Acrylic powder for Denture Acrylic powder for Denture Acrylic Liquid For Denture and Crown Bridge Wax in liquid form Plaster of Paris Size Material
57
FULL
SET
FOR
COMPLETE Acrylic
DENTURE ANTERIOR STRIPS BANDAGES COTTON BANDAGE COTTON BANDAGE COTTON BANDAGE ABSORBENT COTTON ABSORBENT GAUZE (BPC) BANDAGE PLASTER OF PARIS BANDAGE PLASTER OF PARIS CREPE BANDAGE CREPE BANDAGE ADHESIVE PLASTER BPC PAPER ADHESIVE TAPE IV CANNULA WITH PORT & WINGS IV CANNULA WITH PORT & WINGS IV CANNULA WITH PORT & WINGS IV CANNULA WITH PORT & WINGS IV CANNULA WITH PORT & WINGS SCALPVEIN INFUSION SET NO 6.5CM x 6METER BPC 10CM x 6METER BPC 15CM x 6METER BPC WOOL BPC 500GM CLOTH WITH 100CM x LENGTH 30METER 10CM x 2.7METER 15CM x 2.7METER 7.5CM X 4.5METER 10CM X 4.5METER SPOOL OF 7.5CM X 5 TO 9 METER 1-4 INCH AND POSTERIOR Filling Strips
SURGICAL DISPOSABLES/ CHEMICAL ITEMS No 16 No 18 No 20 No 22 No 24 NO 18-25
C.V.P LINE (SINGLE LUMEN) WITH Size 2.7 Fr 9.6 Fr SELDINGER WIRE C.V.P LINE (DOUBLE LUMEN) WITH Size 7.0Fr 12.0Fr SELDINGER WIRE C.V.P LINE (TRIPLE LUMEN) WITH Size 10.0Fr 12.5Fr SELDINGER WIRE
58
DISPOSABLE SYRINGE DISPOSABLE SYRINGE DISPOSABLE SYRINGE DISPOSABLE SYRINGE DISPOSABLE SYRINGE DISPOSABLE SYRINGE DISPOSABLE ELECTRODE E.C.G PAPER ROLL E.C.G PAPER ROLL E.C.G PAPER ROLL E.C.G PAPER ROLL PRINTER PAPER ENDOTRACHEAL TUBE CUFFED ENDOTRACHEAL CUFFED LARYNGEAL MASKS FOLEYS CATHETER TWO WAY SPINAL NEEDLE TUBE
3CC 5CC 10CC 20CC 50CC WITH NEEDLE 60CC WITH NOZZLE 55 mm 63MM X 30MM 60MM X 30MM 50MM X 30MM THREE CHANNEL FOR ETT Adult, Paediatric, Neonate - all sizes
NON- Adult, Paediatric, Neonate - all sizes
Size 1- 5 SIZE 10, 12, 14, 16, 18, 20, 22 SIZE 14-25
HARD CERVICAL COLLAR (LARGE) 10 - 11.25cm CHIN SUPPORT PHILADELPHIA HARD CERVICAL COLLAR (SMALL) 7.5 8.75cm CHIN SUPPORT PHILADELPHIA SKIN TRACTION SKIN TRACTION POLY SLING POLY SLING THREE WAY STOPPER COLOSTOMY BAGS WITH WAFERS THOMAS SPLINT ADULTS CHILDREN ADULTS CHILDREN 1s ALL SIZES Paediatric, Adult
59
EXTERNAL FIXATOR A/O 5MM
12, 14, 16, 18, 20, 22 (ALL SIZES) 10, 12, 14 (ALL SIZES) 10, 12 (ALL SIZES) 12, 14, 16, 18, 20, 22 (ALL SIZES) 10, 12 (ALL SIZES) 10, 12 (ALL SIZES) All Sizes Orthopaedic Implant NO.4, 5, 6 ALL SIZES ALL SIZES CARBON COATED, ALL SIZES
EXTERNAL FIXATOR A/O 4MM EXTERNAL FIXATOR A/O 3.5MM NA EXTERNAL FIXATOR 5MM
NA EXTERNAL FIXATOR A/O 3.5MM NA EXTERNAL FIXATOR A/O 3.5MM CRAMMER WIRE STEMIN PIN EMBOLECTOMY TUBE DISPOSABLE CHEST TUBE BP BLADE HOLLOW FIBER
DIALYSER ALL SIZES BLOODLINE FOR
(ADULTS / PAEDS) SET
CONCENTRATED
HAEMODIALYSIS (BICARBONATE ) 4 LITRES CAN, FISTULA NEEDLES PAPER CTG MACHINE DISINFECTANT TRACHEOSTOMY TUBE MICRO-BURETTE MUCOUS EXTRACTOR NASOGASTRIC TUBE NELTON CATHETER PAPER ROLL SOLUTION FOR DIALYSIS ALL SIZES / INTRODUCERS 100ML Sizes 8, 10, 12, 14 SIZES 3.5 TO 18 NO 8 TO 20 & 24, 28, 32 (ALL SIZES) CORD CLAMP URINE BAG URINE BAG SURGICAL GLOVES Standard size FOR ADULT FOR INFANT SIZE 6.5, 7, 7.5, 8
60
SURGICAL GLOVES SURGICAL POLYETHYLENE FORMALINE GLYCERIN CARBOLIC ACID BP SODA LIME TINCTURE BENZOIN CO SPIRIT METHYLATED ULTRASOUND GEL STEEL WIRE AUTOCLAVING TAPE LIGA CLIP T-TUBE
SIZE 6.5, 7, 7.5, 8 NON STERILE GLOVES Standard size
450ml 450ml 450ml 4-8 MESH SIZE 4.5KG 450ML 450ML PACK OF 5 LITRE Roll, 16-40 gauge 13mm x 13m Small, Medium, Large Paediatric, Standard, Thoracic, Extralong, Tapered
BIOPSY JAR GIGLI SAW
SMALL, MEDIUM, LARGE 12 inches
VIRAL / BACTERIAL CIRCUIT WITH 15mm, 22mm L-CONNECTOR FOR VENTILATOR EPIDURAL SET WITH CATHETER K-WIRE BLOOD TRANSFUSION SET SCLEROTHERAPY NEEDLE BILIARY STUNTS LIVER BIOPSY NEEDLE ALL SIZES ALL SIZES ALL SIZES 21, 23, 25 gauge 7 X 10 FOR ALL SIZES 15 20 gauge CATHETERIZATION
SUPERAPUBIC CATHETERIZATION COMPLETE SET DOUBLE LUMEN CATHETER CAPD CATHETER PHACO KNIFE SET ALL SIZES ALL SIZES ALL SIZES
61
INTRAOCULAR LENS BLACK SILK BLACK SILK BRAIDED BLACK SILK BLACK SILK BLACK SILK BLACK SILK CATGUT CATGUT CHROMIC
ALL SIZES
SIZE 1, CIRCLE RB 30MM SIZE 2/0 , CIRCLE RB 30MM SIZE 2/0 STRAIGHT CUTTING SIZE 3/0 , CIRCLE RB 30MM SIZE 4/0 CURVED CUTTING 25MM
SIZE
0,
CURVED NEEDLE
RB
30MM & 40MM CATGUT CHROMIC SIZE 1, CIRCLE RB 40MM CATGUT CHROMIC CATGUT CHROMIC CATGUT CHROMIC SIZE 2, CIRCLE RB 40MM SIZE 2/0, CIRCLE RB 30MM SIZE 3/0, CURVED NEEDLE RB 20MM & 25MM POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE POLYPROPYLENE SIZE 1, CIRCLE RB 40MM SIZE 1, 90MM NEEDLE SIZE 2, CIRCLE RB 30MM SIZE 2, STRAIGHT CUTTING 75MM SIZE 3/0 RB / CUTTING SIZE 4/0 CURVED CUTTING SIZE 5/0 CURVED CUTTING SIZE 6/0 RB / CUTTING KNITTED NON ABSORBABLE MESH /
ABSORBABLE ALL SIZES POLYPROPYLENE KNITTED
UN-DYED
NON
ABSORBABLE
MESH UN-DYED ALL SIZES
62
POLYGLACTIN POLYGLACTIN SIZE 0, CIRCLE RB 30MM / 31MM POLYGLACTIN SIZE 1, CIRCLE RB 30MM / 31MM POLYGLACTIN SIZE 2/0, CIRCLE RB 30MM / 31MM POLYGLACTIN SIZE 3/0, CIRCLE RB 30MM / 31MM POLYGLACTIN SIZE 4/0, CIRCLE RB 20MM / 31MM POLYGLACTIN POLYGLACTIN POLYDIOXANONE POLYGLACTIN POLYGLACTIN POLYDIOXANONE POLYAMIDE POLYGLACAPRONE VIRGIN SILK RAPIDE SIZE 2/0, 35MM RAPIDE SIZE 3/0, 19MM ALL SIZES SIZE 5/0 (OPHTHALMOLOGY) SIZE 6/0 (OPHTHALMOLOGY) WITH LOOP SIZE 1 SIZE10/0, 6MM ALL SIZES ALL SIZES
63

Situational Analysis Report Vol-I

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Situational Analysis Report Vol-I

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Development of Standard Specification of Medical Equipment, Drug/ Medicines and General Goods for the Provincial and Special

Areas Health Department Situational Analysis Report

Dr. Amer Umer Nagi Pharmacist amernagi1@hotmail.com

Baluchistan ............................................................................................................. 10 Outcome of the Discussions ............................................................................. 10

PUNJAB ................................................................................................................. 11 Outcome of the Discussions ............................................................................. 11

AZAD JAMMU AND KASHMIR ............................................................................... 13 Outcome of the Discussions ............................................................................. 13

Federally Administered Tribal Area ......................................................................... 14 Outcome of the discussions ............................................................................. 14

Khyber Pakhtoonkhwa ............................................................................................ 14 Outcome of the discussions ............................................................................. 14

Annexure I ......................................................................................................................... 22 Annexure II ........................................................................................................................ 43

1. Introduction and Background

3. Methodology and Strategy

According to the scope of assignment following geographical areas were covered;

Azad Jammu and Kashmir

Dr Abid Shah Dr Manzoor Mr Abdul Rasheed Office Superintendent

Federally Administrated Tribal Area Dr. Nauman Mujahid

AZAD JAMMU AND KASHMIR

Central Purchase Committee approves prices for the Medicines.

6 Issues and Risks

specifications in order to procure quality items.

HALOTHANE ISOFLURANE ATRACURIUM BESYLATE KETAMINE

INJ. 500MG + 100MG

INJ. 1000MG + 200MG

TAB. 375MG , 625MG, 1G SUSP. 125MG + 31. 25MG/ 5ML

CHLORIDE / METHYLSULPHATE FLUMAZENIL ACTIVATED CHARCOAL ACTIVATED CHARCOAL

INJ. 1G INJ. 100MCG/ML CAP. 260MG LIQUID 0.5 MG

TAB. SYP. 23MG/15ML SYP. 200MG/5ML TAB/CAP.

TAB. 0.5MCG, 1 MCG INJ. 1 MCG

RECOMBINANT HUMAN ERYTHROPOIETIN EPOETIN ALFA INJ. 2000IU, 4000IU, 10000IU

1% IN 80 000 IU(3ML) LIGNOCAINE INJ. 2 % WITH ADRENALINE

SURGICAL BURS ROUND FISSURE

Carbide Bur, NO 1-2 & ASSORTED SIZES

SURGICAL DISPOSABLES/ CHEMICAL ITEMS No 16 No 18 No 20 No 22 No 24 NO 18-25

NON- Adult, Paediatric, Neonate - all sizes

EXTERNAL FIXATOR A/O 5MM

DIALYSER ALL SIZES BLOODLINE FOR

(ADULTS / PAEDS) SET

SIZE 6.5, 7, 7.5, 8 NON STERILE GLOVES Standard size

BIOPSY JAR GIGLI SAW

SMALL, MEDIUM, LARGE 12 inches

ABSORBABLE ALL SIZES POLYPROPYLENE KNITTED

MESH UN-DYED ALL SIZES

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