Reproductive Health Kit For Emergency Situations Block 1 Primary

Transcript

Reproductive Health Kit for emergency situations Block 1 Primary health care/health centre level 10 000 people for 3 months Subkit 0 1 2 3 4 5 Training and administration Condom Clean delivery sets for home deliveries Post-rape (emergency contraception) Oral and injectable contraception STD drugs Block 2, Health centre level or referral level 30 000 people for 3 months Subkit 6 7 8 9 10 Professional midwifery delivery kit IUD insertion Management of complications of abortion Suture of cervical and vaginal tears Vacuum extraction for assisted deliveries Block 3, Referral level obstetric materials 150 000 people for 3 months Subkit 11 A 12 B 13 Surgical (reusable equipment) Surgical (consumable items and drugs) Safe blood transfusion Reproductive Health Kit for Emergency Situations REVIEWED SPECIFICATIONS AND CONTENTS OF THE KITS (Draft) Subkit 0: Reference, Training and Administration subkit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Calculator Solar Board, 67 x 100cm, white adhesive, off-washable Binder with lever, 310x 290mm, various colors Exercise book, 170 x220mm, spiral, 5mm squared, 180p Exercise book, 210x 297mm, spiral, 5mm squared, 180p Typing paper white A4 80g 210 x 297 mm 1000 sheets/box Pritt gluestick, large Sticker UNFPA, 6 x 12cm Sticker UNFPA, 11 x 22 cm Ballpoint, Bic, black Ballpoint, Bic, red Marker, black, erasable Marker, red, erasable Marker, Blue, erasable Marker, LARGE ,RED Marker, LARGE , BLACK Pencil universal HB Pencil sharpener double (TWO SIZES) Scissors, 17cm, blended Tape, azdhesive, 19x33mm invisible roll 1 PCE 1 ROL 1 PCE 1 PCE 1 PCE 1 BOX 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 PCE 1 ROL 1 2 5 20 3 1 3 20 20 20 20 12 12 12 12 12 20 2 1 4 Subkit no. 1 Part A : Male condoms 1 Male condoms 2 20% wastage Total (120gross) Part B : Female condoms 1 Female condoms 2 20% wastage Total Safe sex leaflets Female condoms use leaflets 14400 2880 17280 pcs pcs pcs 450 90 540 pcs pcs pcs 25 25 sets sets pc pc 1 1 pc set 1 1 1 1 Subkit no. 2 Clean Delivery subkit Part A individual deliveries : 200 x of the following items, packed individually: 1 Bar of toilet soap (approx 50gm) - wrapped 2 Square meter of - Clear PVC sheet -able to withstand boiling water,moisture proof thickness - approx 0.08mm 3 Razor blade ( Stainless steel) single edge 4 String for umbilical cord 3pcs each 15 cm long (non sterile) 3mm(1/8") wide - white woven, cotton ligature 5 Pictorial instruction sheet (Clean delivery) (to be given by UNFPA - 4 pages (2 A4 size sheets) 6 Sealed bag, plastic (25 x 16 cm) ,polyethylene - thickness - 0.08 mm (zip loc) 7 Cotton cloth (Green colour) size : ( 2m x 1 m ) Yarn count : 36 t0 40 wrap & weft, Construction : wrap 60-69/ inch , weft - 50- 54 /inch 1 Part B : For use by Birth Attendants 8 Shoulder bag (with UNFPA logo) UNIPAC code 0512040 or PPCP injection moulded bag(35 x 22 x 20 cm) toggle locks to be made easily operational . (Engraved UNFPA logo preferable) 9 Gloves, examination , latex MEDIUM size , disposable box of 100 10 Flash light ( approx 15-20 cm length ) wit h batteries dry cell "D" type 1.5 V - 4 CELLS 11 Apron, utility made of Embossed soft PVC sheet thickness 0.15 - 0.16 mm -Width 36" length 38"(+/-2") stitched edges . Boilable , moisture proof and stain resistant ; withstand temperature extremes 12 Rain poncho , plastic , Embossed soft PVC sheet, with hood and moulded press fit buttons thickness of the PVC sheet - 0.16 - 0.18 mm , Width approx 51(+/-2")" length approx. 40(+/-2") pcs 5 bxs pcs pcs 4 5 5 pcs 5 pkt pkt pkt tabs tabs sets pcs 50 pck 5 pck 55 pck 1400 50 2 25 Note : Cost of Part A + Part B to be quoted separately Cost for packaging/ handling/duplicating of leaflets to be included in the unit price. Subkit no. 3 Emergency Contraception subkit 1 1 packet Postinor per woman containing 2 pils /pkt (To be purchased from UNFPA supplier ) 2 10%wastage Total 3 Erythromycin 500 mg tablet 4 Cefixime 400 mg tablet (single dose) 5 Emergency Contraception Leaflet 6 Pregnancy test, hCG test strip Subkit no. 4 Oral and Injectable contraception subkit 1 Cycle Levonorgestrel 0.15 mg +Ethinyloestradiol 0.03mg (113 cycles x 3 months) 2 10% wastage Total 3 Instruction on use of Combined Oral Contraceptive (Leaflet for Service Provider) 4 Emergency contraception pills (Postinor 2) (20 women x 3 month) 5 Progestin only Pills Levonorgestrel 0.03mg (20 women x 3 months) 6 Instruction s on use of POP (Leaflet for service provider ) 7 Medroxyprogesterone Acetate injection 150 mg/ 1ml for 3 months 8 Syringes disposable 2 ml 9 Needles, disposable , 21 G (injection and aspiration) 10 Chlorhexidine solution 1litre 11 Cotton wool, absorbent, non sterile , 100g 12 Instruction on use of Injectables (Leaflet for Service Provider) 13 Safety box for used syringes and needles , Capacity 5 L 340 34 374 5 60 60 2 300 300 600 3 4 5 3 cycle cycles cycles sets tabs cycles sets vials pcs pcs btls btls sets pcs vials pcs pcs vials 1 roll bottle tabs 50 50 100 50 3 3 1100 Subkit 5: Sexually transmitted infections (STI) Kit Genital Ulcers: 1 2 3 4 5 6 7 Benzathine penicillin 2.4MIU units, 1 dose injection Syringe, 5ml, Luer, disposable , hypodermic. Needle 21 guage x 1.5" disposable Water for injection, 10ml plastic vials Cotton Wool, 100g BP, 100% cotton, absorbent, non sterile Chlorhexidine digluconate, 5% solution, 1L. Erythromycin, 500mg tablets Urethral discharge 8 Ciprofioaxin, 500mg. (single dose) 9 Doxycycline, 100mg. Tablets Vaginitis 10 Metronidazole 250 mg tabs 11 Clotrimazole 500 mg pessaries (single dose ) tabs tabs 125 2000 tabs tabs 2000 100 tabs tabs 20 300 tabs tabs 20 560 pcs 3000 sheets pcs bxs pcs 100 1 4 10 Cervicitis: 12 Ciprofioaxin, 500mg. (single dose) 13 Doxycycline, 100mg.tabs For pregnant women: 14 Cefixime, 400 mg tablets(single dose) 15 Erythromycin, 500mg (as stearate) Condom distribution 16 Condoms (20) gross 17 18 19 20 Safe sex leaflets Poster for syndromic diagnosis of STDs Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) Sealed polyethylene Envelope , plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Subkit 6: Delivery kit ` General equipment: Sphgmomanometer , Aneroid , 300 mm with cuff 2latex bags and bulb, air flow/intake valve with zipper case Stethoscope , Binaural , Dual head chestpiece aluminium, private label. Non-chill rubber ring,external spring Stethoscope, Foetal pinard Kidney basin, 825ml, appr.205 x 108 x 40 mm, SS 18/8, deepdrawn 0.8mm Clinical thermometer, oral/rectal,(easily readible dual scales) Hand/nail brush, surgeon's, white nylon bristles, plastic block, 14x6 rows Utility Apron, 90x112cm, PVC, opaque , plastic, bib type Sheeting, 90x180cm, clear pvc, able to withstand boiling water, moisture proof and stain resistant to blood etc Tourniquet , Latex rubber , 75 cm latex rubber tubing I.d. 7mm x o.d. 10mm Drugs; Amoxycillin, 250mg, tabs. Metronidazole, 250mg, tabs. Tetracycline HCI, 1% eye ointment, 5g, tube. Xylocaine, 20 ml vial 0xytocin, 10iu/ml, 1mi. *KEEP COOL* Sodium chloride (normal saline), 0.9%, 1000mi. Infusion giving set, with airinlet and needle, sterile, disp. Dextrose , 5% in water, 1000ml. Infusion giving set, with airinlet and needle, sterile, disp. Plasma expander, 500 ml Magnesium Sulfate, Injectable ,10ml Guidelines for Management of women with pre-eclampsia and eclampsia(to be provided by UNFPA) Calcium Gluconate, amp, 10 ml 100mg/ml Water for injection, 10mi. Chlorhexidine , 5% solution, 1L. Urinary test strips for determination of glucose and protein.bx of 50 Ferrous sulfate , 200mg and Folic acid 25mg - bx of 100 0 Disposable equipment: Soap, toilet, 100gr, wrapped. Approx 3 1/2oz bar pc I pce pc 1 pce 1 pce 1 pce 1 pce 1 pce pcs 1 1 2 2 4 2 2 2 2 tabs tabs tube vials vials 5000 2100 6 20 50 bottle pcs pcs I pce pcs vials pc vials vials bottle bx bx 15 15 20 20 20 10 1 5 20 12 3 5 pc 30 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 Gloves, surgical latex size 8 , sterile, disposable Gloves, surgical latex size 7 , sterile, disposable Gloves examination latex, medium disposable - box of 100 Umbilical tape, suture, 3mm wide, 100mm spool, cotton, non sterile. Urethral catheter, female, CH 12, 20cm. 2 eyes, disposable Mucus extractor, disposable 20 ml,sterile Suction tube, CH10, 53cm, straight, central opening, disposable. Suction tube, CH12, 53cm, straight, central opening, disposable. Syringe, 50ml, w/conical tip, dispsosable. Suture , synthetic, absorb DEC3 2/0 needle semi-circled 3/8 round Gauze pad , sterile 12-ply 10 x 10 cm pack of 5 Cannula IV 20 G Tape , adhesive tape , roll, 2cm x 5 m Syringes , disposable , 10ml Syringes , disposable , 2ml Needles , disposable , 21 G Cotton wool , absorbent, non sterile 100gm Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) Sealed polyethylene Envelope , plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm Delivery set: Scissors, cord cutting, Busch, curved or fiat, 160mm, (baby) Dissecting scissors, Mayo, straight, B/B, 17cm, SS. (mother ) Tissue forceps, spring type, Ix2 teeth, 14.5cm, SS. Instrument tray, stainless steel approx 22 x8 x 4cm with Crossbar handle. Suture set: Dissecting scissors, Mayo, straight, B/B, 17cm, SS. Needle holder, Mayo-Hegar, straight, narrow jaw, 16cm, box lock, multiple ratchet, SS Tissue forceps, spring type, Ix2 teeth, 15 cm, SS. Instrument tray, 20 x 10 x 3cm, with lid recessed Crossbar handle. Administration: 55 Note Exercise book, 200 x 130 mm, 50 sheets ruled every 8mm Spiral wire bound on longside. 56 Ballpoint pen, blue, with cap. 57 Nylon handbag, approx. 50 x 40cm x 30cm , w/handles and top opening w/zipper multipurpose pair pair bx I pce 1 pce pcs 1 pce 1 pce pcs pcs pkts pcs pcs pcs pcs pcs rolls bx pkts 30 30 3 1 20 50 10 10 10 36 50 25 5 50 100 200 14 6 10 I pce I pce I pce I pce 1 1 2 1 I pce I pce 1 pce 1 pce 1 1 1 1 1 pce 1 pce 1 pce 2 10 1 58 59 60 61 62 Sterilizing equipment: Kerosene stove, cap. 1.2L (2 1/2 pint), single burner, pressure type, complete with necessary spare parts as follows: 2 nipples, 9 cleaning needles, 1 nipple key, 2 packings 2 leather washer and one plastic funnel with filter. Sterilizer , dressing 39L fuel , 350 x 380 mm, w/o burner. Heavy cast alluminium alloy construction with metal to metal seal. Equipped with safety valve , manual pressure release valve, pressure/temperature guage, flexible metal tubing connection to exhaust air pockets bottom platform, round dressing container and instruction booklet. Indicator, TST control spot - pack of 300. Spring wound timer, 0-60min, with alarm bell, plastic housing. 100 mm diameter, 2 large sweep hands - one indicating seconds, the other recording minutes start stop lever and zero reset lever. Housed in metal case . Runs for 30hours on one winding. Instruction manual for sterilizing by pressure cooker and autoclave Lighting: 63 Frontal lamp , with adaptor for 4 batteries R6. 64 Battery, 1.5V, type R6 (AA). Dry cell (Alkaline) 65 Lantern Kerosene pressure approx 400mm (16")high 1.183 litre capacity , complete with filling can , spanner, key for needle, nipple, washer for cap with 6 spare mantles and extra socks 1 pce 2 1 pce 1 1 pce 1 pce 1 1 pc 1 1 pce 1 pce pc 1 10 1 1 pce 1 pce pc 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce sets 1 2 1 1 2 3 1 1 1 90 Subkit 7: IUD Kit 1 2 3 4 5 6 7 8 9 10 Set for insertion and removal IUD Vaginal speculum, Graves bi-valve, small, 75x20mm blades, SS. V Vaginal speculum, Graves bi-valve, medium, 75x20mmbaldes, SS. Vaginal speculum, Graves bi-valve, large, 75x20mm blades, SS. V Sponge-holding forceps, straight 20cm, serrated jaws, box lock,. Multiple ratchet , SS Hysterectomy forceps, Pean, 22cm, SS, straight, box lock, multiple ratchet Uterine sound, Simpson, graduated in 2cm, 30cm, SS. J Uterine foreceps, DBL-CVD Duplay, t-naculum, double curved, 28cm, box lock , multiple ratche, SS Uterine scissors, Sims, 20cm, curved, B/B, screw joints, SS. Instrnt/dressing tray, 32 x 15 x 8cm, covered, 18/8 SS, with flat overlapping cover and centre crossbar handle Copper T 380 A - ( To be purchased from UNFPA recommended supplier 11 12 13 14 15 16 17 18 Doxycycline, 100mg, tabs (2 tabs single dose) Sealed polyethylene Envelope , plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm Chlorhexidine digluconate, 5% solution, 1L Gauze swab, sterile 76 x 76 mm pack of 20 , sterile, Gloves ,surgical latex size 8 , sterile disposable , pair Gloves ,surgical latex size 7 , sterile disposable , pair Solution cup, 180ml, SS, 0.5mm. Kidney basin, 825ml, 25 x 13 x 35 cm SS 18/8, deepdrawn tabs pkt bottle pkt pair 1 pair 1 pce 1 pce 200 1 3 50 50 50 1 2 pcs sets pc pc pc pc pc pc sets blt sets ea ea ea 4 2 8 8 8 4 4 4 2 8 4 2 2 2 1pce 1pce 1pce set 1pce 1 1 1 1 1 Subkit 8: Management of complications of abortions kit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Manual Vacuum Aspiration (MVA) IPAS set 2 x IA 18) Double valve syringes Replacement double valve set Cannula Flexible 6 mm sterile disposable Cannula Flexible 7 mm sterile disposable Cannula Flexible 8 mm sterile disposable Cannula Flexible 9 mm sterile disposable Cannula Flexible 10 mm sterile disposable Cannula Flexible 12 mm sterile disposable Set of Adapters 15 ml bottle of silicone Dennistan dilators, set of 5 Ipas 5 double ended , tapered dilators (covering a range of 3mmto 14mm) Leaflet for incomplete abortion (IPAS)(French and English version) 1 copy each Manual vacuum aspiration guide for Clinician (IPAS) (French and English version) Clinical Management of abortion complications - a practical guide, WHO 1997 (French /English version) Protocol for reusing MVA IPAS instruments 16 17 18 19 20 Set D&C (MSF KSURBCUR 18): Curette, Gordet, 12cm, blunt SS. Curette, Simon, 6mm, blunt, SS. CureRe, Cuzzi, 17mm, blunt SS. Uterine dilator, Heger, simple one-ended, SS, sizes (one of each) 4/6/8/10/12/14/16/18 mm MED 7071 Dressing forceps, Cheron, 25cm, straight SS. MED 7317 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Forceps, Muzeux 24cm, jaw 10mm MED 7459 Gallipot, cap. height 4.5cm, diam. 8.5cm, SS 100ml. Probe Uterine, Sims, MED 7105 Vaginal retractor, Doyen, medium, blade 8.5cm x 4.5cm, SS. MED 7065 Vaginal speculum, Coilin, 100mmx35mm,SS. MED 7034 Speculum, Jayle with detachable weight Instrument tray, 40 x 20 x 10 cm stainless steel Gloves , surgical latex size 8 , sterile ,disposable pair Gloves , surgical latex size 7 , sterile ,disposable pair Examination glove, size medium , latex, disposable box of 100. Syringe, 10ml, disposable sterile Syringes , disposable 2 ml in 0.1 ml graduations, conforms to BS 5081 or equivalent Needles , disposable 21 Gx1.5" (0.80 x 40mm) luer fitting sterile conforms ISO 7864 or equivalent Gauze swab, 76 x 76 mm sterile, 12-ply, pkt of 20 Sealed polyethylene Envelope , plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) 37 38 39 40 41 42 43 44 45 46 Drugs: Doxycycline, 100mg. Metronidazole, 250mg. NADCC tabs - box of 200 (to replace bleach solution) Oxytocin, 10iu/ml, 1ml ("KEEP COOL") Lidocaine HCI 1%, 20ml Atropine sulfate, 500 mcg , BP injection 1mI Water for injection, 10ml Chlorhexidine solution, (Hibiscrub), 500ml Chlorhexidine digluconate, 5 % solution, 1L Leaflet for women 1pce 1pce 1pce 1pce 1pce 1pce pc 1pair 1pair bx pc pcs pcs pkt pkt bx tabs tabs bottle amps vials vials vials btl 1 bttl pcs 1 1 1 1 1 1 2 50 50 1 100 100 200 60 1 3 1000 2000 2 100 50 100 10 3 10 60 Subkit 9: Suture of tears and vaginal examination. Set cervix and vaginal tears suture: 1 Dissecting scissors, Mayo, straight, B/B, 17cm, ss. 2 Needle holder, Mayo-Hegar, straight, narrow jaw, 18cm, box lock, multiple rachet, SS 1 pce 1 pce 1 1 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Vaginal rretractor, Doyen, medium, blade 8.5cm x 4.5cm, SS. Vaginal speculum, Graves, bi-valve, medium, 95 x 35 mm blades, SS.(3 3/16 x 1 3/8") wide blades Vaginal speculum, Garves, bi-valve, small, 75X20mm (3 x 3/4 " wide blades, SS. Vaginal speculum , Graves, bi-valve , large.115 x35 mm blades (4 1/2 x 1 3/8" wide blades) SS. Sponge-holding forceps, straight, 20cm, serrated jaws, box lock, Instrument/dressing tray, 32 x 15 x 8 cm wit h , 18/8 SS, Suture , synthetic, absorb, DEC4 (1) ,needle 1/2, 36 mm, tri- box of 12 Suture synthetic absorb, DEC3 (2/0) needle semi circled 3/8, 30mm round Suture chromic absorbable 0/0 , needle semi circled , box of 12 Gauze pad ,, 10 x 10 cm sterile, 12-ply, packet of 5 Gloves , surgical latex, size 8 sterile, disposable , pair Gloves , surgical latex, size 7 sterile, disposable , pair Gloves, examination , latex, medium disposable box of 100 gloves Vaginal lubricant jelly /exploration gel 82 gm (K-Y) Cholrhexidine digluconate, 5% solution, 1L. Bottle Povidone iodine solution 10 % BOT / 500 ml 1 pce 1 pce 1 pce 2 1 1 1 pce 1pce bx box/12 box/12 pkt pairs pairs box tube bottle btl 2 1 6 5 6 80 40 40 2 1 4 2 1 PCE 1 1 pce 1 pce 1 4 Subkit 10: Vaccum Extraction Subkit 1 Vacuum extractor compl. Bird (new) - UNIPAC code 0791500 with three bird metal extraction cups (40,50 and 60 mm opening diameter) and two soft silicone extraction cups (50 and 60 mm opening in diameter), complete with two extraction handles, hand operated vacuum pump, wire hanging rack, vacuum guage, vacuum bottle and all necessary fittings , gaskets and tubes, plus one spare bottle , spare gaskets, three meter s of extra transparent silicone rubber tubing and five pieces of extra bottom plates for each size of metal extraction cup ( (40,50 and 60mm) Subkit 11: Referral level subkit for reproductive health Part A: Reusable equipment 1 Box, abdominal, 42 instruments (MSF: KSURBABD42): 2 Instrument tray, 40 x 20 x 10 cm, shallow, SS. 3 Towel clamp, Backhaus, 10.5cm, box lock, multiple ratchet, SS. 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Hemostatic, artery , forceps, Bengolea, 20cm, curved serrated jaws, SS. Hemostatic artery and tissue forcep , Chaput, 14cm, 2x3 teeth, SS. hemoststaic artery forceps, Crafoord (Coller), 24cm, curved, SS. Hemostatic artery forceps, Kelly, 14cm, SS, curved. Hemostatic artery forceps, Mosquito halstead, 12.5cm, curved, box lock,multiple ratchet, SS Hemostatic artery forceps, Kocher, 14cm, SS, straight, 1x2 teeth, box Hemostatic artery forceps, Mixter, 23cm, delicate. Dressing forceps, 14.5cm, straight, SS, spring type, serrated rounded tips. Dressing forceps, 25cm, SS, spring type, serrated rounded tips. Intestinal clamp, Doyen, 23cm, curved, box lock, multiple ratchet, Peritoneal forceps, Faure, 21cm, slightly curved. Tissue forceps, Duval, 23cm, fenestrated jaws, 20mm, SS. Tissue forceps, 14,5cm, 1x2 teeth, straight, SS. Tissue forceps, 25cm, 1x2 teeth SS. Gallipot, cap, 0.5 ltr., height 12cm, SS. Needle holder, Mayo-Hegar, straight, narrow jaw, 18cm, box lock, multiple ratchet, SS Abdominal retractor, Coilin, 110 mm bla., 80x38 65 x 55 mm Abdominal retractor, Gosset, 2 blades 55mm, opening 115mm, SS. Abdominal retractor, Rochard, 28cm, baldes 115x65mm, SS. Abdominal retractor, Farabeuf, double ended, 15cm pair Fixation unit for abd. Retr. Rochard, 19cm fold, Knife handle, for major surgery, no. 4 for blade nos. 20, 21, 22, 23. Dissecting scissors, Metzbaum, 18cm, curved, B/B, SS. Dissecting scissors, Nelson (Metzenbaum0 23cm, curved, B/B, SS. Dissecting scissors, Mayo, curved, B/B,17cm, SS. Dissecting scissors, Mayo, curved, B/B, 23cm, SS. Ribbon spatula reatrctor, malleable, 27x25cm, SS. Nozzle suction, 28 cm Yankauer, chrome plated Suction tube, 22.5cm, 23 French guage, SS. Suture needle, size 6, surgeons regular, 1/2 circle, spring eye, round bodied needle, SS pkt of 6 Triangular point Suture needle, abdominal, 7.3cm, size 6 regular eye , SS , pkt of 20 Embryotomy set 35 Cranioclast, Braun, 42 cm 36 Hook , depcapitation, Braun 31 cm 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1pc 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce 1 pce pkt pkt 2 2 2 10 6 2 2 1 1 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 2 8 2 pc pc 1 1 37 Perforator, Smellie, straight 27 cm 38 Scissors, gyneco, curved, blunt/blunt 27 cm Desinfection equipment: 39 Solution cup, 180ml, SS, 0.5mm. 40 Sponge-holding forceps, straight, 22.5cm serrated jaws, box lock, multiple ratchet, SS Suction apparatus 41 Foot operated suction pump for adults Pump Aspirating , surgical portable -f oot operated with suction capability up to 600mm Hg Twin cylinder piston pump easily operated by foot or hand 42 Suction apparatus pediatric foot-operated same as item 41 but for pediatric use Resuscitation equipment: 43 Baby resuscitator, (Laerdal) Neonatal hand operated with mask no. 0 + 1 44 Adult resuscitator, Ambu type Mark III - including mask no. 2 +5 45 Set of airways Guedel, transparent (Mayo cannula ) 6 sizes (00, 0, 1, 2, 3,4) pc pc 1 1 1 pce 1 pce 1 1 set 1 set 1 set set 1 pce 2 1 1 vials amps vials bx amps amps vials amps amps ea vials amps 400 1050 400 4 200 200 120 30 100 1 60 200 Subkit 11: Referral level subkit for reproductive health Part B: Drugs and Disposable Equipment 1 2 3 4 5 6 7 8 9 10 11 12 Drugs: Ampicillin powder, 1gr vial Gentamycin, 40mg/ml, 2ml. Injectable Water for injection, 20 ml vials Metronidazole, injectable, 100ml, plastic pouch, 5mg/ml box of 50 Methylergometrine maleate, 0.2mg/ml. Injectable 1ml (KEEP UNDER REFRIGERATION) Oxytocin, 10iu/ml, 1ml. (KEEP UNDER REFRIGERATION) Xylocaine 1%, 20ml vials Calcium gluconate, 10%, 10ml. 100mg/ml Magnesium sulphate, 15% 10ml. Guidelines for management of women with preeclampsia and eclampsia Hydralazine HCI, pwd for inj. 12.5 mg/ml 2ml. Quinine di-HCI, 300mg/ml, 2ml. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Metronidazole, 250mg.tabs Amoxycillin, 500mg tabs Paracetamol, 500mg.tabs Quinine sulphate, 300mg.tabs Doxycycline, 100mg.tabs Pregnancy Test kit. Temperature stable hcg (Planosec 505) (KEEP COOL) Tetracycline HCI, 1%, eye ointment, 5g, tube. Dextrose 5% in water, 1000ml Infusion giving set, with airinlet and needle, sterile, disp for Dextrose Saline solution Sodium chloride (normal saline), 0.9%, 1000ml. Infusion giving set, with sirinlet and needle, sterile, disp for Saline soln. Haemacell 500 ml with set Chlorhexidine soap 5 % solution, (Hibiscrub), 500ml. NaDCC tabs - box of 200 Chlorhexidine digluconate, 5% solution, 1L. Lidocaine 2%, 20ml. Lidocaine HCI 5%, spinal heavy 2ml. (dextrose 7.5%) Ketamine injectable 50mg/ml, 10ml. Water for injection, 20ml tabs tabs tabs tabs tabs tests tube 1 pce 1 pce bottle 1 pce bottle bottle bx bottle vials vials vials vials 1000 2000 2000 1000 1400 20 30 300 300 300 300 100 100 2 30 100 100 50 100 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Renewable material: Suction tube, Ch10, 53cm, straight, central opening, disposbale. Suction tube, Ch12, 53cm, straight, central opening, disposable. Catheter I.V. cannulae, 20gxi 1/4", disposable Catheter IV 18 g, disposable Spinal needle 23G x 3.5" Syringe hypo, 1ml, 0.1 graduation r Adhesive plaster, 2 cm x 20 m, zinc-oxide on plastic spool. Infusion giving set, with airinlet and needle, sterile, disp. Hand/nail brush, surgeon's nylon bristles, plastic block, 95x40mm Gloves, surgical latex size 8 , sterile, disposable , PAIR Gloves, surgical latex size 7 , sterile, disposable , PAIR Gloves, examination ,latex, size medium, disposable - box of 100 Suture, synthetic absorbable, DEC4 (1) needle 36 mm, 4/8 tri Suture synthetic, non absorbable DEC3 (2/0) , needle 3/8 30mm, round 1 pce 1 pce 1 pce pc pc pc 1 pce 1 pce 1 pce 1 pair 1 pair bx pcs pcs 60 60 500 100 100 50 20 200 10 400 400 5 280 140 45 46 47 48 49 50 51 52 53 54 55 56 57 59 60 Suture, synthetic absorbable, DEC 3 (2/0) , spool Suture , synthetic, absorbable DEC 3 (2/0) needle 4/8, 30mm round Catheter , Urethral Foley,sterile with balloon , ch 14 Plastic urine bag for catheter Urethral Foley with outlet Drapes in strong cotton, 1.5 square meter Spinal needles 22g (0.7x90mm) sterile disposable Syringes 2ml, luer disposable Syringes 5ml, luer disposable Syringes 10 ml, luer disposable Needles 21 g- hypo - disposable Gauze pad , sterile 12Ply , 10 x 10 cm pack of 5 Tape , adhesive 2cm x 5 m Surgical knife blades no. 10 Sealed polyethylene Envelope , plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) pc pc pcs pcs pcs pcs pcs pcs pcs pcs pkt pcs pcs pkt bx 140 140 150 150 6 120 500 200 500 1200 200 5 100 1 5 amp amp amp amp kit pc pcs pc 1 PCE pcs 1 PCE 1 PCE bags pcs 1 1 1 1 1 1 1 1 1 200 1 6 50 100 Subkit 12: Transfusion Subkit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Bloodgroup anti-a, 10ml fl.dropper Bloodgroup anti-a + b, 10 ml fl.dropper Bloodgroup anti-b, 10 ml fl.dropper Rhesus Test , anti D, 10ml dropper HIV 1 + 2 HIV- Rapid test, (HIV SPOT) 100 tests/kit (Maximum shelf life to be indicated) (REFRIGERATION) HBsAg rapid test, 100tests HCV rapid test , 100 tests RPR test , 100 tests Microhaemotocrit centrif. (battery/mainstream) Het2075, incl.reading disc "Compur +Transformer" Capillary tube, haematocrit per microcentiliter "Compur"(9microliter) Cuff for bloodbag 0-1L with sphygmomanometer Battery alkaline, R14, 1.5V Type C26 x 50 mm Blood bag + CPD- 35ml for 250ml blood + taking set Blood giving set with air inlet and needle, disp Population data on which the RH kit is based • • • Adult males Women of reproductive age (WRA) Crude birth rate (CBR) ◊ ◊ • • • • • number of pregnant women number of deliveries Complicated abortions/pregnancy Vaginal tears/delivery Caesarean sections/delivery WRA who are raped WRA using contraception ◊ ◊ ◊ 20% 25% 4% oral contraception injectables IUD 20% 15% 5% 2% 15% 30% 65% 5%