References in the content below refer to the PBMEF Guide.
Definitions
Occurrence of stockout of one or more first-line drugs (FLDs) for TB treatment at any TB treatment site (i.e., basic management unit) or drug storage facility during the reporting period (quarter/annual).
The World Health Organization (WHO) defines a stockout as the complete absence of a required drug at a storage point or delivery point for at least one day.
This is a Yes/No response for the initial part of the indicator. Only if Yes, then detailed disaggregated data should be provided:
- Generic names of TB treatment drugs
- Geographic locations
- Treatment site/drug storage facility
- Central/regional/district level
Numerator
Denominator
Ref # |
STKOUT_FLD
(Previously SN-42) |
Tier Level |
Project Level Indicators
|
Category |
Sustain
|
Type |
Output
|
Unit of Measure |
Yes/No, if yes: name of FLD, location, site, level
|
Data Type |
Boolean (Yes/No)
|
Disaggregations |
Generic Names of TB Treatment Drugs
Treatment Site/Drug Storage Facility
Central/Regional/District Level
|
Reporting Level |
National, subnational
|
Reporting Frequency |
Quarterly
|
Data for this indicator can be extracted from routine commodity management information systems, facility survey, or routine supervision reports at facility and district levels.
A reliable, effective procurement and supply chain management (PSCM) system is the backbone of the TB program to ensure (1) all TB medicines are available to the patient for treatment without any interruption; (2) all TB diagnostics and supplies are available in the healthcare centers where presumptive TB patients are diagnosed; (3) regular and timely delivery of the TB products to the health centers; and (4) quality assurance is adhered to, and affordably priced products are delivered on time.
An effective PSCM requires timely and reliable quantification of all TB products (medicines, diagnostics, consumables) based on regular inflow of information from the healthcare facility to the central ordering authority. This information should include the consumption, stock in balance, and the quantities needed for the next ordering cycle. Ideally, healthcare facilities would have tools available for quantification and timely placement of a procurement order including the necessary lead time.
During visit to the program and for the purpose of evaluation; indication of an effective PSCM would be:
- No STOCKOUT of any TB medicine
- No STOCKOUT of any TB diagnostic product
- No EXPIRY (expiration) of products both medicines and diagnostics as a result of underutilization or overstocking due to incorrect quantification (over-ordering)
With overstocking, one would need to consider underutilization as a result of changes in the treatment regimens as recommended by the WHO; for example, shortened treatment regimens for drug-resistant (DR) TB, the use of second-line injectables that are no longer recommended, or a change in TB preventive treatment (TPT) regimen from 6H to 3HP.
Example charts/graphs:
- Charts or infographics by facility or aggregated by geographic location or heat maps
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