DOTS IN AFGHANISTAN LOGISTICS ASPECTS

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DOTS IN AFGHANISTAN LOGISTICS ASPECTS PRESENTED
BY MR. E. TACCONI -WHO AFGHANISTAN
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MAIN OBJECTIVES

• LONG TERM OBJECTIVES (YEAR 2050)
• To reduce the prevalence of TB to one new case
  per million population
• INTERMEDIATE OBJECTIVES (YEAR 2005)
• To detect and put on treatment 70 of all
  expected new cases
• To cure 85 of cases put on treatment

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LOGISTICSPURPOSES AND OBJECTIVES

• TRANSPARENCY AND ACCOUNTABILITY IN THE MANAGEMENT
• CONSOLIDATION AND SHARE OF INFORMATION BETWEEN
  ALL ACTORS TO FACILITATE THE COORDINATION
• PROVISION OF COMMON PROCEDURES TO JOINT
  LOGISTICAL COUNTRYWIDE PLANNING
• RATIONAL DISTRIBUTION AND USE OF SUPPLIES

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CALCULATION TABLES FORTB DRUGS, CHEMICALS AND
CONSUMABLESOnce identified the number of TB
patients, including those forecasted in case of
DOTS expansion, inserting the desired figure, the
exact quantity of needed consumables, chemicals
and TB drugs will be automatically obtained.
DELIVERY NOTE In order to avoid
misunderstanding and to formalize a shipment, the
supplier will always prepare two DELIVEY
NOTES.Both documents will be signed by the
supplier and by the recipient after he/she has
counted and checked the conditions of the
received items.The recipient will return a
signed copy, with his/her remarks, to the
supplier for his/her record. REPORT ON STOCK
BALANCES AND ITEM CARDS It gives an updated
situation of the stock balances, expiring dates
and the IN/OUT history for each item (date,
quantity and location from/to where items have
been received or sent).
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LOGISTICSPROBLEMS AND CHALLENGES

• BAD WEATHER CONDITIONS
• INSECURITY
• LACK AND BAD ROADS CONDITIONS
• LACK OF RESOURCES AND INFRASTRUCTURES
• MORPHOLOGY OF THE TERRITORY

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LOGISTICSWHERE WE WERE

• TWENTY-THREE YEARS OF WAR HAS RESULTED IN THE
  NEAR COLLAPSE OF THE AFGHAN HEALTH SYSTEM

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LOGISTICSWHERE WE ARE

• DEVELOPMENT OF STANDARDIZED GUIDELINES AND
  STRATEGIC PLANNING
• REGULAR PROVISION OF ESSENTIAL DRUGS, EQUIPMENT
  AND TRANSPORT
• DISTRIBUTION OF FOOD TO TB PATIENTS
• TRAINING OF LOCAL STAFF
• INTRODUCTION OF A COMPUTERIZED STOCK CONTROL
  SYSTEM
• REGULAR SUPERVISORY ACTIVITIES
• REHABILITATION OF TB LABORATORIES AND TRAINING
  CLASSROOM

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LOGISTICSWHERE WE WANT TO GO

• TO ALLOW THE AFGHAN NTP TO REACH THE LOGISTICAL
  CAPACITY TO CARRY OUT AN EFFICIENT DOTS EXPANSION
  IN ORDER TO REACH THE LARGEST NUMBER OF TB
  PATIENTS INCLUDING THOSE LIVING IN REMOTE AND
  INACCESSIBLE AREAS