District wise Reporting Rate

Indicator:

  • The above mentioned Graph shows the District wise reporting rate for the month of January, 2017 at the same time it compare the reporting status among 11 districts.
  • Analyzing the graph we also can find out the district wise and facilities wise level of reporting status i.e. which level of facilities (DRS, DH, UHC, USC and CC) yet have to submit the report to achieve 100%.

Decision Making:

  • The Managers (Civil Surgeon) can review the reports to observe the comparative performances among the districts as well as where is his district’s status. They can understand and find out the reason behind the poor performance.
  • Analyzing the problem they can advise concern staff to submit report and also can ask someone to monitor the reporting status and guide accordingly.

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Reporting Rate by District

Vertically this graph indicate month wise reporting status where horijontally it shows the % or Nos. of reporting status.

Indicator:

  • This graph shows month wise comparative performance of individual districts and trends of achievement.
  • In general after gaining experience performance should gradually increase. But this graph indicates that performance of November is decreased compare to October again performance of January decrease compare to December and ultimate performance is not satisfactory.

Decision Making:

  • Analyzing the graph managers can evaluate the performance and find out the reasons responsible for poor performance.
  • They can take necessary steps to overcome the problem providing guideline and giving the responsibility to someone fixing time frame achieve the goal.

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Reporting Rate by Facilities

Indicator:

  • This Graph indicates facility wise reporting rate i.e. which level (DRS, DH, UHC, USC and CC) submitted how many and to submit how many.
  • It also shows that lack of a small group total district faces problem and comparatively behind other districts.

Decision Making:

  • By analyzing the graph manager understand who from which level yet not submitted reports and resulting whole district come under low performer. Manager can takes necessary arrangement to instruct advice, motivate and guide the concern personnel to expedite submitting all the reports on time.
  • Managers can take precautionary steps to compel the staff for submitting the reports and resulting they will be interested to submit the report and gradually the district will be good performer

Under Writing...

Month wise Medicine consumption rate by facilities

Indicator:

  • This Graph represents the Medicine consumption trend from July to January 7 months. This graph indicates variation of consumption – consumption of September and November comparatively from August and November respectively.
  • The graph also indicates that there might be shortage of medicine during September and November vice visa there might be fewer patients during the month of September and November.

Decision Making:

  • Managers can analyze why consumption decreases in September and November, if analyzing found shortage of medicine then management will take necessary arrangement to ensure availability of medicine at facility level.
  • Management also can provide guideline to concern facilities to ensure service quality, increase awareness among community people regarding availability of medicine and quality service.

Under Writing...

Numbers of Days stock out

Indicator:

  • Regarding stock out days of Metronidazole tab 400mg in Khulna districts shows miscalculation for example :
    1. In Narayanpur cc of Batiaghata as per report – January, 2017 stock out days is 26 days but software (DGHS eLMIS) shows just double i.e. 52 days. To me it presents confusing information.
    2. In Baduria cc of Dumuria as per their report of January they have 900 tablet opening balance and there was on receive and distribution during January,2017 and they show closing balance 900. But on mistake they shown 570 days stock out and the software shown 1140 days stock out and it also confusing information.
    3. In Khejure danga cc of Koyra also show same wrong calculation. In January 2017 they had 80 O/B and received 1500 and distributed 300 and C/B was 1280 but on mistake they shown Stock Out days 1280 days and Software shown stock out days 2560 days.
    Of course we should check the figure and ask them to change the report.
  • In the above information it indicates we have to work more on the software. There should auto system to create restriction to input wrong information. To me in calculating stock out days Software just double the stock out days whatever input the data entry. And before present the system to government we need discuss the issue in a open Forum.
  • However this Table indicates the stock out days of product/Medicine.

Decision Making:

  • Manager should take necessary arrangement on emergency basis to supply medicine where actually stock out remain.
  • They should advise concern Facilities to send Indent for their medicine
  • There should be system developing method to avoid stock out in any priority medicine.

Under Writing...

Month wise Medicine consumption rate by facilities

Indicator:

  • This graph indicates inconsistency of report submitting status. The Facilities didn’t submit report regularly and ultimately their medicine availability and consumption status remain out of concerned authorities.
  • It also indicates that concerned facilities are not adopting government policy and instruction.

Decision Making:

  • Managers should impose system to monitor the report submitting status on a regular basis and take necessary steps to motivate concerned staff regarding importance and requirements if the report.
  • They should discuss elaborately in their monthly meeting and check the status while they visit the facilities.
  • They also can disburse the responsibility to some one to regular monitoring and guideing the staff.

Under Writing...

Monthly National Stock Status

STEPS in calculating Average Monthly Consumption (AMC); adjusted by number-of-days stock out:

  • Step 1: Prepare the list of medicines to be quantified
  • Step 2: Determine the period of time to be reviewed for consumption (Consumption Review Period)
  • Step 3: Enter data on consumption and stock-out for each medicine during the consumption review period
  • Step 4: Calculate the average monthly consumption: CA = CT ÷ [RM – (DOS ÷ 30.5)]
  • Example: For Misoprostoltablets, total consumption in 6-months was 89,000 with 34 days out of stock. The average monthly consumption (CA)in basic units is:
    CA = CT ÷ [RM – (DOS ÷ 30.5)]
    CA = 89,000 ÷ [6 months – (34 days ÷ 30.5)]
    CA = 89,000 ÷ [6 months – 1.1148 months]
    CA = 89,000 ÷ 4.8852
    CA = 18,218 Tablets