Post on 03-Apr-2018
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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
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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 noresponsibility 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 LeghariBiomedical Engineer & Team Leader
shehzad@pro-health.biz
Dr. Amer Umer NagiPharmacistamernagi1@hotmail.com
mailto:shehzad@pro-health.bizmailto:shehzad@pro-health.bizmailto:ddcmasood@yahoo.commailto:ddcmasood@yahoo.commailto:ddcmasood@yahoo.commailto:shehzad@pro-health.biz7/28/2019 Situational Analysis Report Vol-I
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Contents
1. Introduction and Background ..................................................................................... 52. Objective ....................................................................................................................... 53. Methodology and Strategy .......................................................................................... 64 Visit Assessment .......................................................................................................... 8
4.1 Sindh ........................................................................................................................ 84.1.1 Outcome of the Discussions ............................................................................... 8
4.2 Baluchistan ............................................................................................................. 104.2.1 Outcome of the Discussions ............................................................................. 10
4.3 PUNJAB ................................................................................................................. 114.3.1 Outcome of the Discussions ............................................................................. 11
4.4 AZAD JAMMU AND KASHMIR ............................................................................... 134.4.1 Outcome of the Discussions ............................................................................. 13
4.5 Federally Administered Tribal Area ......................................................................... 144.5.1 Outcome of the discussions ............................................................................. 14
4.6 Khyber Pakhtoonkhwa ............................................................................................ 144.6.1 Outcome of the discussions ............................................................................. 14
4.7 Gilgit-Baltistan ........................................................................................................ 155 Analysis ....................................................................................................................... 156 Issues and Risks ......................................................................................................... 187 Recommendations ...................................................................................................... 20Annexure I ......................................................................................................................... 22
Annexure II ........................................................................................................................ 43
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Abbreviations
ADB Asian Development Bank
ADP Annual Development Program
AusAID, Australian Agency for International
Development
BHU Basic Health Unit
DFID Department for International Development
DG Director General
DHQ District Headquarter
DTL Drug Testing Laboratory
DUHS Dow University of Health Sciences
FATA Federally Administered Tribal Area
FDA Food and Drug Administration
KPK Khyber Pakhtunkhwa
LRH Lady Reading Hospital
MCC Medicine Coordination Cell
MSD Medical Store Depot
OBGY Obstetrics and Gynaecology
RHC Rural Health Centre
SEML State Essential Medicine List
THQ Tehsil Headquarter
TOR Terms of Reference
TRF Technical Resource Facility
UNICEF United Nations Children's Fund
UPS Uninterruptible Power Supply
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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 well-
defined 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
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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;
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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 PSO-III (ME)
Mr. Suhail Hassan
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
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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 tocompromises 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.
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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. Pre-
qualifications 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 toprovide 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 Gilgit-
Baltistan 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 andthe 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 wishlist 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 drugstorage 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 inclusionand 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 essentialdrugs, 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 notprovide 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 standardspecifications 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
LaryngoscopeLaryngoscope 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 insertBin 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 shelfCabinet 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 unitChair 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 showerDental 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/bedsideSide rack class 1
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Side rack class 2
Sofa 1 seat fully upholstered
Sofa 1seat wood frame upholstered cushionSofa 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 seatTable 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 litresTV 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 litresAutoclave 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 washingGloves needle resistant
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Goggles safety
Face shield
Gloves heat resistantGloves 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 levelRack 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 unitCasting unit
Porcelain furnace
Dental engine
High speed turbine
Low speed air motor
Polisher
Vacuum
Dental unit for procedures
Dental unit for diagnostics
Cabinet multi drawerCabinet with sink & waste bin
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ENDOSCOPY
Basin soaking urology
Disinfector endoscopePaediatric rigid bronchoscope
Cystoscope flexible set
Rhino laryngoscope
Tester leakage
Cystoscope paediatric
Laparoscope set 7mm with accessories
Nephroscope percutaneous
Resectoscope set
Laparascope system
Arthroscope systemRhinomanometer
Flexible nasopharyngoscope
Video gastroscope for adult
Video colonofiberscope for adult
Video sigmoido scope adult/paediatric
Cysto urethroscope
Flexible fibre nephroscope
Tuboscopy set
Vaginoscope set
MediastiniscopeEsophagoscope
Resectosope 24fr continuous flow
Urethrotome 22fr 0O
Video gastroscope paediatric
Video system centre
Cupboard endoscopes storage
FURNITURE MEDICAL
Cradle bed folding
Bed intensive care hydraulicBed 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 ultrasonographyPatient stool
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Locker bedside
Table over bed cantilever auto rise
Bassinet with trolley cupboard mattressBed 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 tierTrolley instrument 2 tier
EQUIPMENT MEDICAL GENERAL
Ambulance for transport
Ambulance cardiac
Cabinet urine testing
Crash trolley with defibrillator
Defibrillator
Defibrillator with pacemaker
Diagnostic set paediatricDiagnostic 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 manualPump 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 typeSphygmomanometer mercurial mobile
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Sphygmomanometer mercurial wall mounted
Spirometer
Stand iv antistatic castors S/SStethoscope 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 sizeTrolley 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 adultWheelchair 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/SVacuum 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
IncisionSounding set
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Kirschner wire extension
Dressing set for hand
Small instrument set bonesBiopsy excision
Dressing set small
Dressing set large
Bone wiring set
Tracheostomy set
Outpatient dept. Instruments
Paracentesis puncture tympanic
Tympanic drainage
Aural polyp set
AbscessBellcoq-tamponade
Epistaxis (small)
Sinus examination
Exploratory excision larynx
Examination nose
Examination ear
Phimosis - set
Individual instrument for exam
Intra-uterine-pessar-set
Biopsy vaginalPlacenta 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 benderSmall 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 intramedExtraction instruments kuentscher
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Nail extract for kuentscher
Kuentscher implants
Hallux setInstruments 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 removalInstruments 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 22.2mmMajor 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 setEmergency thoracotomy
Abdominal punction set
Lumbar punction set
Buelau punction set
Puncture set
Thorax puncture
Saphena set
Kirschner frame
Supplement set for lung op
TrepanationMicro instrument set
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A-V shunt set
Antrotomy set
Tympanoplasty & stapedectomyNasal 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 setSupplement 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 roomInstrument 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 incisionAbdominal 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 ligatureConisation
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Cerclage (shirodkar)
Abort-curettage set
Basic instrument for laparoscopySet 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 setRadial keratotomy set
Glaucoma set
Lid set
Muscle set
Lacrimal set
Sinus surgery set
Removal of impacted wisdom teeth
Wiring of mandible utilizing teeth
PHARMACYCounter 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 burnerGas 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 merchanderHeavy duty mincer
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Ice cuber
Bread/cutlery/glass & tray dispenser
Kettle electric autoIngredient 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 trolleyHot 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 counterS/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
LABORATORYBath 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 pHSpectrophotometer
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Elisa system
Centrifuge bench top multiuse
Centrifuge cell preparationCentrifuge 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 typeRoller 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 automaticMicrotome 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 oscillatingMixer 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 benchCabinet block storage 3000 blocks
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Refractometer urine
Membrane filter set
Automated blood & tuberculosis culture systemIncubator 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 capUpright 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 NICUCentral 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 channelHolter monitor
Computerised exercise Tolerance Test system
Ergometer
EMG machine
NEONATOLOGY
Monitor apnoea non invasive
Warming unit babies bottles
Washer baby bottle
Incubator transportHead box infant oxygen
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Incubator infant ICU
Stethoscope foetal
Bath baby with standToys assorted play area
Trolley reanimation neonatal
Ventilator neonatal
Phototherapy unit freestanding
Water deioniser
Infant warmer
OFFICE EQUIPMENT
Computer, monitor & keyboard
Printer laserCalculator 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 counterBoard 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 aluminiumCrutches 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 electrotherapyRehabilitation theraputy
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Roller wrist
Balls medicine set of 4
Bicycle exercise stationaryMat 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 meterPin 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 MHzBath 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/ lidBrush 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 dutyBedpan perfection pattern S/S adult
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Dish kidney s/s 210 mm (8)"
Gallipot S/S 5 oz. cap
Gallipot S/S 6 oz. capJug 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 capacityFreezer 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 drawerDrawer 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 singleKickabout 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 antistaticStep 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/motorTourniquet 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 mattressTable 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
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Body storage refrigerator 4 tier
Saw post mortem electric
Instruments - autopsy boxMaceration 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 dissectingTable 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 capDryer 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 singleCompressor/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 mountedPanoramic x-ray dental
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Mammography
Copy/subtraction unit film
Processor film automaticProcessor 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 LRack 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 portableIlluminator 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 cmsCassette 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 unitClock 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 - keratometerLamp 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 setExoptalmometer
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 mirrorGonioscope
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 OF DRUG /
MEDICINEDESCRIPTION
ANAESTHETIC AGENTSSEVOFLURANE
LIQUID INHALATION BOTTLE 250
ML
HALOTHANELIQUID INHALATION BOTTLE 250
ML
ISOFLURANE LIQUID INHALATION BOTTLE 100ML
ATRACURIUM BESYLATEINJ. 10MG/ ML (2.5ML /3ML)
KETAMINEINJ. 500 MG / 10 ML
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THIOPENTONE SODIUMINJ. 500 MG.
PANCURONIUM BROMIDEINJ. 2 MG / ML
SUXAMETHONIUM CHLORIDEINJ. 100MG
PROPOFOLINJ. 10MG / ML AMP OF 20ML
BUPIVACAINE HCL 0.75%INJ.
BUPIVACAINE HCL 0. 5%INJ.
BUPIVACAINE HCL 0.25%INJ.
DIAZEPAMTAB. 5MG
DIAZEPAMINJ. IV 10MG/2ML
LIGNOCAINE SOLUTIONINJ. 2% 10ML
LIGNOCAINE WITH ADRENALINEINJ. 2 %
LIGNOCAINEGEL. 2 %
LIGNOCAINE SOLUTIONSOLUTION 4%
ATROPIN SULPHATEINJ. 1MG/ML
MIDAZOLAM (AS HCL)INJ. 5MG /ML
EPHEDRINEINJ. 30MG
ANTI PYRETICS / ANALGESICS
PARACETAMOLINJ. 300MG/ML
DICLOFENAC SODIUMINJ. 75 MG
INDOMETHACININJ. 200MCG WITH SOLVENT
IBUPROFENTAB. 200 MG 400MG
DICLOFENAC SODIUMTAB. 50 MG
MEFENAMIC SODIUMTAB. 250MG, 500MG
FLURBIPROFEN TAB. 100MG
PARACETAMOLTAB. 500MG
ASPIRIN TAB. 75MG,150MG (ENTERICCOATED)
ASPIRINTAB. SOLUBLE 300 MG
ALLOPURINOLTAB. 300 MG
TIZANIDINETAB. 2MG, 4MG
NAPROXEN SODIUMTAB. 250MG, 500MG
PIROXICAMTAB. 10MG/ 20MG
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PIROXICAMINJ. 20MG/ ML
PARACETAMOLSYP/ ELXIR/ SUSP. 120MG / 5ML
IBUPROFENSUSP. 100MG/5ML
NARCOTIC ANALGESICS
MORPHINEINJ. 15MG/ML
PETHIDINE HCLINJ. 100MG / 2ML
PENTAZOCINEINJ. 30 MG /ML
NALBUPHINE HCLINJ. 10MG /ML
TRAMODOLINJ. 50MG /ML
ANTIBIOTCSAMPICILLIN
CAP. 250 MG / 500 MG.
AMPICILLIN +CLOXACILLININJ. 250 MG , 500MG
AMPICILLIN + SALBACTUMINJ. 500MG + 250MG
CLOXACILLININJ. 500 MG
AMOXYCILLININJ. 250 MG, 500MG
BENZYL PENICILLININJ. 5 LAC , 10LAC UNITS
BENZATHINE INJ. 1.2MEGA UNIT, 0.6 MEGAUNIT VIAL
AMOXYCILLINSUSP. 250 MG / 5ML
AMPICILLIN + CLOXACILLINSUSP. 125 MG + 125MG / 5ML
AMPICILLINSUSP. 125 MG / 5ML
AMPICILLINCAP. 250 MG, 500 MG
AMPICILLIN +CLOXACILLINCAP. 250 MG 500 MG + 125MG
AMOXYCILLINCAP. 250 MG , 500 MG
AMOXYCILLIN AS SODIUM 500MG +
CLAVULANIC ACID 100MGINJ. 500MG + 100MG
AMOXYCILLIN AS SODIUM 500MG +
CLAVULANIC ACID 200MGINJ. 1000MG + 200MG
AMOXYCILLIN + CLAVULANIC
ACIDTAB. 375MG , 625MG, 1G
AMOXYCILLIN (AS TRIHYDRATE)
125MG + CLAVULNIC ACID (ASSUSP. 125MG + 31. 25MG/ 5ML
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POTASSIUM) 31. 25MG/ 5ML
AMOXYCILLIN (AS TRIHYDRATE)
250MG + CLAVULNIC ACID (AS
POTASSIUM) 62.50MG/ 5ML
SUSP. 250MG + 62.50MG/ 5ML
CEPHRADINE INJ. 250MG, 500MG, 1 G
CEFUROXIME INJ. 250, 750MG, 1.5G
CEFOTAXIME INJ. 250MG, 500MG, 1G
CEFTRIAXONE INJ. 250MG, 500MG, 1G
CEFUROXIME TAB. 125MG, 250MG
CEPHRADINE CAP. 250MG, 500MG
CEFACLOR CAP. 250, 500MG
CEFACLOR SUS. 125MG/5ML, 250MG/5ML
GENTAMYCIN INJ. 40MG, 80MG
AMIKACIN INJ. 250MG, 500MG
CLINDAMYCIN INJ. 150MG/ML (300MG, 600MG)
LINCOMYCIN INJ. 300MG, 600MG
ERYTHROMYCIN TAB. 250MG, 500MG
ERYTHROMYCIN SUSP. 200MG/5ML
CLINDAMYCIN CAP. 150MG, 300MG
LINCOMYCIN CAP. 500MGCIPROFLOXACIN INJ. 100MG /50ML
LEVOFLOXACIN INJ. 500MG
NORFLOXACIN TAB. 400MG
LEVOFLOXACIN TAB. 250MG , 500MG
CIPROFLOXACIN TAB. 250MG, 500MG
NALIDIXIC ACID SUSP. 250MG/5ML
COTRIMOXAZOLE DS(SULPHAMETHOXAZOLE 800MG +TRIMETHOPRIM 160MG)
TAB.
COTRIMOXAZOLE(SULPHAMETHOXAZOLE 200MG +TRIMETHOPRIM 40MG) PER 5ML
SUSP.
COTRIMOXAZOLE DS(SULPHAMETHOXAZOLE 400MG +TRIMETHOPRIM 80MG) PER 5ML
SUSP.
DOXYCYCLINE CAP / TAB. 100MG
OXYTETRACYCLINE CAP / TAB. 250MG
MINOCYCLINE CAP / TAB. 100MG
METRONIDAZOLE INJ. 500MG / 100ML
METRONIDAZOLE TAB. 200MG, 400MG
TINIDAZOLE TAB. 300MG, 500MGMETRONIDAZOLE SUSP. 200MG / 5ML
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FOSFOMYCIN CALCIUM SUSP. 250MG/5ML, 500MG/5ML
FOSFOMYCIN CALCIUM INJ. 250MG, 500MG, 1G
FOSFOMYCIN CALCIUM CAP. 250MG, 500MGANTITUBERCULOSIS DRUGS
STREPTOMYCIN INJ. 1 GM
ETHAMBUTOL TAB. 400MG
RIFAMPICIN + INH +PYRAZINAMIDE+ ETHAMBUTOL
TAB.150MG+75MG+400MG+275MG
ETHAMBUTOL HCL 300MG +INH75+RIFAMPICIN 150MG
TAB. 300MG + 75MG+ 150MG
ETHAMBUTOL HCL 275mg +INH75+RIFAMPICIN 150MG
TAB. 275MG + 75MG+ 150MG
RIFAMPICIN SYP. 2% 60ML
RIFAMPICIN TAB / CAP. 150mg, 300mg, 450mg,600mg
ISONIAZID TAB. 100MG
ISONIAZID SYP. 500MG/5ML
PYRAZINAMIDE TAB. 500MG
ANTIASTHAMATIC DRUGS
AMINOPHYLLIN INJ. 250MG / 10ML
AMINOPHYLLIN TAB. 100MG
THEOPHYLLIN TAB. 300MG
MONTELUKAST SODIUM TAB. 4 MG,10MG
SALBUTAMOL TAB. 2MG,4MGAMMONIUM CHLORIDE 100MG,SODIUM CITRATE 60MG,CPM 2MG,EPHEDRINE HCL 7MG
SYP.
AMMINOPHYLLINE 32MG,DIPHENHYDRAMINE 8MG,AMMONIUM CHLORIDE 30MG,MENTHOL 0.98MG, ALCOHAL 5%
SYP.
BECLOMETHASONE 100MCG +SALBUTAMOL 50MCG
INHALER.
INHALER SALBUTAMOL 100MG INHALER.
NEBULE IPRATOPIUM BROMIDE0.025%
250MCG/ML
SALBUTAMOL FOR NEBULIZER SOLUTION 20ML
ANTI HISTAMINES
CHLORPHENIRAMINE MALEATE INJ. 10MG/ ML
CLEMASTINEINJ. 1MG/ML
PHENIRAMINE MALEATE INJ. 22.7 MG/ML
CETIRIZINE DIHYDROCHLORIDESYP. 10 MG
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CHLORPHENIRAMINE MALEATE SYP. 2MG/5ML
KETOTIFEN SYP. 1MG / 5ML
PHENIRAMINE MALEATE SYP. 15MG / 5ML
PROMETHAZINE HCL SYP. 5MG/5ML
CETIRIZINE HCL TAB. 10 MG
CHLORPHENIRAMINE MALEATE TAB. 4MG
HYDROXYZINEDIHYDROCHLORIDE
TAB. 25MG
FEXOFENADINE TAB. 120MG, 180MG
KETOTIFEN TAB. 100MG
PHENIRAMINE MALEATE TAB. 25MG
NAPHAZOLINE 0.025% +PHENIRAMINE 0.3%
NASAL DROPS
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 ACIDTARTRATE
INJ. 2MG
SODIUM NITROPRUSSIDE INJ. 50MG/2ML
METHYLDOPA INJ. 250MG/5ML
PROPRANOLOL TAB. 10 MG, 40MG
ATENOLOL TAB. 50MG, 100MG
DIGXION TAB. 250MCG (0.25MG)
LEVODOPA CARBIDOPAMONOHYRATE
TAB. 25MG
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 TAB. 10 MG, 20 MG, 40 MG.
SIMVASTATIN TAB. 20MG, 40MG
METHYLDOPA TAB. 250MGLEVODOPA 250MG, CARBIDOPAMONOHYDRATE 25MG
TAB. 250MG + 25MG
LOSARTAN POTASSIUM TAB. 25MG, 50MG
ANTI-THROMBOTIC DRUGS
STREPTOKINASE INJ. 0.75MIU , 1.5MIU
DIURETICS
FRUSEMIDE INJ. 20MG/2ML
SPIRONOLACTONE TAB. 100MG
FRUSEMIDE TAB. 40MG
FRUSEMIDE 40MG + AMILORIDE
HCL 5MG TAB. 40MG + 5MGKCL TAB. 500MG
POTASSIUM CHLORIDE SYP. 40MEQ/15ML
SPIRONOLACTONE 25MG, +HYDROCHLORTHIAZIDE 50MG
TAB. 25MG + 50MG
SPIRONOLACTONE50MG+FRUSEMIDE 20MG
TAB. 50MG + 20MG
ANTI COAGULANTS
HEPARIN INJ. 5000IU. /ML
TRANEXAMIC ACID INJ. 250MG, 500MG
TRANEXAMIC ACID CAP. 250MG, 500MGCLOPIDOGREL TAB. 75MG
WARFARIN SODIUM TAB. 1 MG, 5 MG.
VITAMIN K INJ. 10MG/1ML
ANTACIDS / ANTI ULCER DRUGS
RANITIDINE INJ. 50 MG / 2ML
OMEPRAZOLE INJ. 40MG
OMEPRAZOLE CAP. 20MG, 40MG
CIMETIDINE INJ. 200MG
RANITIDINE TAB. 150MG, 300MG
SUCRALFATE TAB. 1GM
SUCRALFATE SUSP. 1GM/5MLALUMINIUM HYDROXIDE 125MG +MAGNESIUM HYDROXIDE 80MG +SIMETHICONE 15MG
SYP.
SALAZOPYRINE TAB. 500MG
ANTI EMETICS
METOCLOPRAMIDE INJ. 5MG / ML
DIMENHYDRINATE INJ. 50 MG / ML
CYCLIZINE INJ. 50MG /ML
DIMENHYDRINATE TAB. 50 MG.
METOCLOPRAMIDE. TAB. 10MGPROCHLORPARAZINE TAB. 5MG
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DOMPERIDONE TAB. 10 MG
METOCLOPRAMIDE SYP.
DOMPERIDONE SUSPCYCLIZINE 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% +LIQUID PARAFFIN 25%
EMULSION 120ML
GLYCERIN SUPPOSITORIES 1gm, 2gm, 4gm
LACTULOSE SYP. 120ML
SODIUM BIPHOSPHATE 19.2GM,SODIUM PHOSPHATE 7.2GM,SODIUM CONTENTS IN 120ML4.5GM
SYP. 120ML
ORAL REHYDRATION
ORAL DEHYDRATION SALT ORS
INSULIN AND OTHER ANTIDIABETIC AGENTSHUMAN 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 TAB. 100MG
LOPERAMIDE HCL TAB/ CAP. 2MG
KAOLIN PECTIN SUSP. 60ML, 120ML
FURAZOLIDONE SUSP. 60ML
ANTHELMINTICS
ALBENDAZOLE TAB. 100MG 200MG
PYRANTEL (AS PAMOATE) TAB. 250MG
ALBENDAZOLE SUSP. 200MG/ 5ML
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MEBENDAZOLE SUSP. 100MG/ 5ML
PYRANTEL (AS PAMOATE) SUSP. 250MG / 5ML
ANTI - MALARIALS
CHLOROQUINE PHOSPHATE INJ. 200MG / 5ML
ARTEMETHER INJ. 80MG/ML
QUININE DI HYDROCHLORIDE INJ. 300MG /ML
QUININE SULPHATE TAB. 300MG
PYRIMETHAMINE TAB. 25 MG
CHLOROQUINE PHOSPHATE TAB. 250MG
ARTEMETHER CAP. 40MG, 80MG
SULPHADOXINE 500MG +PYRIMETHAMINE 25MG
TAB. 500MG + 25MG
LUMEFANTRINE + ARTEMETHER TAB. 20MG + 120MGCHLOROQUINE PHOSPHATE /PHOSPHATE EQUIVALENT TO50MG BASE/5ML
SYP. 50MG BASE/5ML
ANTI VIRAL
ACYCLOVIR INJ. 250MG, 500MG
ZIDOVUDINE INJ. 10MG/ML IN 20ML VIAL
LAMIVUDINE TAB. 150MG / 100MG
RIBAVIRIN CAP / TAB. 400MG
ADEFOVIR DIPIVOXIL CAP / TAB. 10MG
INDIANAVIR AS SULPHATE CAP. 200MG, 333MG, 400MG
ZIDOVUDINE CAP. 100MG, 300MG
OSELTAMIVIR CAP. 75MG
ZIDOVUDINE ORAL SOLUTION
LAMIVUDINE ORAL SOLUTION. 50MG / 5ML
RECOMBINANT HUMANINTERFERON ALPHA 2A 3 MIU
INJ
RECOMBINANT HUMANINTERFERON ALPHA 2B 3 MIU
INJ
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. 400MGPROMETHAZINE TAB. 25MG, 50MG
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PROCYCLIDINE TAB. 5MG
ALPRAZOLAM TAB. 0.25MG, 0.5MG, 1 MG
HALOPERIDOL TAB. 5MG, 10MG.BROMAZEPAM TAB. 3MG
CLONAZEPAM TAB. 0.5MG, 2MG
DIVALPREX SODIUM TAB. 500MG
FLUOXETINE HCL CAPS. 20MG
RISPERIDONE TAB. 1MG, 2MG, 4MG
TRIFLUOPERAZINE HCL TAB. 5MG
DIVALPREX SODIUM SYP. 250MG/ 5ML
PAEDIATRIC DROPS CLONAZEPAM DROPS. 0.25%
HALOPERIDOL ORAL SOLUTION ORAL SOLUTION 2MG/ML
GLUCOCORTICOIDS
HYDROCORTISONE SODIUM
SUCCINATEINJ. 100MG, 250MG, 500MG
DEXAMETHASONEINJ. 4 MG / ML
DEXAMETHASONETAB. 0.5MG
PREDNISOLONETAB. 5MG
ANTIDOTES
NALOXONE HCLINJ. 0.4MG / ML
PROTAMINE SULPHATE INJ. 10MG / MLNEOSTIGMINE METHYLSULPHATE
INJ. 0.5MG/ML, 2.5MG / ML
PRALIDOXIME MESYLATE /
CHLORIDE / METHYLSULPHATEINJ. 1G
FLUMAZENILINJ. 100MCG/ML
ACTIVATED CHARCOALCAP. 260MG
ACTIVATED CHARCOALLIQUID 0.5 MG
ERGOT ALKALOIDMETHYL ERGOMETRINE INJ. 0.2MG / ML
UTEROTROPIC
OXYTOCIN INJ. 5IU / ML
LABOUR INDUCERS / INHIBITORS
PROSTAGLANDIN F2 ALPHA INJ. 5MG/ML
ALPROSTADIL, ALPHACYCLODEXTRIN
INJ. 20MCG + 646.7MCG/ML
DINOPROSTONE TAB. 3MG
MISOPROSTOL TAB. 200MCG
GONADOTROPHINS & OVULATION STIMULANTS
CONJUGATE ESTROGEN TAB. 0.625MG, 1.25MGCLOMIPHENE CITRATE CAP/ TAB. 50MG
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DANAZOLE CAP. 100MG, 200MG
INFUSIONS
10% DEXTROSE WAT