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Buxar.bih.nic.in

Background Information Required for Approval of District PIPs for 2013-14
FMR. B.16 Drugs:
 Articulation of policy on entitlements, free drugs for delivery , rational prescriptions, timely procurement of drugs and consumables, smooth distribution to facilities from DH to SC, uninterrupted availability to patients, minimization of out-of-pocket expenses, quality assurance, prescription audits, EDL in public domain, computerized drugs and logistics MIS system.  Essential drugs lists (EDL) is to be prepared by the State and budget should be projected accordingly. Requirement of drugs for the FY 2013-14
Justification
S.No. Name of essential drugs
Quantity
Unit cost
5% Dextrose + 0.45% Sodium Chloride Inj. 500 ml Acetylcysteine Inj. 200mg /ml – 2ml Amp. Adhesive Tape 0.5”( 1 roll of 1.25cm X 5m) Adhesive Tape 1.0”( 1 roll of 2.5cm X 5m) Adhesive Tape 2.0”( 1 roll of 5.0cm X 5m) Amoxycillin + Clavulanic Acid Inj 1 gm + 200mg Amoxycillin + Cloxacillin 125 mg + 125 mg 5ml dry Amoxycillin Dry Syrup 125mg/5ml – 60ml Bottle Ampicillin + Cloxacillin Inj. 250mg+250mg Ampicillin + Cloxacillin Inj. 500mg+500mg Ampicillin 250mg & Cloxacillin 250mg Cap Antitetanus Human Immunoglobin Inj. 250 . 750. 1000. B.T. set with Needle Multi Dose vial (500mg/ ml) – Co- Trimoxaxole Tab Trimethoprim I.P 80mg Dextrose with Sodium Chloride Inj. 5% + 0.9% Diclofenac Gel Ointment 1% w/w- 30gm Tube Dicyclomine HCl + Paracetamol Tab 10/20mg +500mg Digestive Enzyme Syrup 100ml Each 5ml Containing atleast fungal Diastase (1:1200) 50mg & Pepsin 10mg I.V Infusion Set with air way and Needle Adult I.V. infusion Set with air way and Needle Child Iron Sucrose 100ml bottle 100mg Elemental Iron Urine Collecting Bag 2000ml Top side non return Vaginal Tab. (Povione Iodine Vaginal Tab/ Pessaries  State needs to commit the amount for provision of essential drugs from State’s budget during the year. FMR. B.16.1 Equipments:
 Equipments procured and supplied to the health facilities should not be dumped and un-utilized.  A facility wise gap analysis of equipments to done and projection to be made accordingly. Name of the Facility- DH
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- SDH
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Chousa
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Rajpur
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Itarhi
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Simri
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Chougai
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Nawanager
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Name of the Facility- PHC Brahmpur
No. of Normal
Name of the
existing
Delivery per
sections per
Occupancy
Justification
No. Equipment
proposed
equipment
equipment
Equipment
Above 100
Equipments
Equipments
Equipments
Infrastructure Maintenance:
Type of Institution
Category of Post
Unit Cost
Amount Proposed
Direction
Administration
Sub-Centres
Urban Family
Welfare Centres
(UFWCs)

Urban Revamping
Scheme (Health
Posts)

Basic Training for
ANM/LHVs
Type of Institution
Category of Post
Unit Cost
Amount Proposed
Maintenance and
strengthening of
Health and FW
Training Centres
(HFWTCs)

Senior Health Inspector (Communicable Diseases) Type of Institution
Category of Post
Unit Cost
Amount Proposed
Basic Training for
MPWs ( Male)

Type of Institution
Category of Post
Unit Cost
Amount Proposed
At New Basic
Training School

Source: http://buxar.bih.nic.in/Dept/health/HELTH_DHAP/Anexures%20B%2016.pdf

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Joseph D. Diaz, MD Araceli Elizalde, MD Erika Gonzalez, MD W. Ted Kniker, MD Melissa E. Garcia, PA-C M. Celeste Loera, FNP-BC Revised 6/05/2013 Date: ________________ Patient’s Name: _______________________________________ Age: _________ Patient’s Primary MD: _______________________________________ Practice Type: GP FP Internist Peds Other: __

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