EXERCISE LABORATORY SUPPLIES AND REPORTS by hrn31541

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									                                               Exercise 1


           EXERCISE: LABORATORY SUPPLIES AND REPORTS

1. Exercise on calculation of supplies needed

-       Use the page showing a consolidated report of the stock situation at the end of the first quarter
2003 in the microscopy centers of Kigoma region. The numbers have been rounded since they are only
approximate.

   What is your opinion concerning supply of AFB-microscopy products in these centers ?




   Calculate the total amounts in stock for the centers of the whole region, write them on the bottom
    line "Total Region". What do you think about availability of supplies in the region as a whole.




   Is total amounts in stock at the centers you just calculated indispensable to estimate supplies
    needed for this region during the second quarter ? Which information that was not shown is
    essential to do so ? How can the stock report presented be useful ?




-      Now take the pages containing the consolidated case-finding and microscopy reports for the
same region, same quarter.

   How can you use this information to calculate laboratory supplies needed for the region during the
    next quarter ? Describe two possible alternatives.




   Use the format for calculation of supplies to be requested that is provided, and prepare the request
    based on the appropriate consolidated report. Lab participants do this following the first method
    listed, NTP participants following the alternative method. Compare your findings and comment.



Exercise on supplies                                                                                     1
                                                              Exercise 1
QUARTERLY REPORTS CONSOLIDATED

                                    AFB MICROSCOPY LABORATORY STOCKS

REGION: Kigoma                                                                      QUARTER:         1
                                                                                       YEAR:        2003

                                                   In stock at the centres end of the quarter
                   Carbolfuchsin Sulphuric acid Methylene blue Sputumpots                       Immersion oil
Microscopy centres stain Ltr.    25% Ltr.       stain Ltr.       pcs            Slides pcs      ml              Spirit Ltr.

Kigoma Hospital            2              3              1                 123         300           100                3

Bitale                     0              1              1                  0          50             20                1

Nguruka                   0.5            0.5            0.5                100         100            0                 3

Ntegowanoti                1             1.5             2                 500         200           100                2

Sunuka                    0.2            0.5            0.3                150         150            50               1.5

Mgambo                     2              4              2                 500         300           100               2.5

Mathiazo                   0              0              0                  0           0            200                0

Kagunga                   0.3             1             1.2                300         200            50                1

Nzega                     1.5             0             0.5                100         120            0                1.5

Sibwesa                    3              1              2                 200         150            75                2

Total Region



   Exercise on supplies                                                                                                       2
                                                                        Exercise 1




REQUEST FOR AFB MICROSCOPY SUPPLIES
REGION         Kigoma                                       QUARTER            2      YEAR            2003

                              QUANTITY         STAINS        SMEARS    RESERVE CONSUMP-                                      ACTUAL
                             PER SMEAR FORMULATION            TO BE    FACTOR (x    TION +           LEFT IN   CALCULATED   REQUEST
  ITEM                      (stains in Ltr) (gr or Ltr/Ltr) DONE (no.) calculated) RESERVE           STOCK      REQUEST     (rounded)     UNIT

Sputumpots pcs                    1                                                                                                     pcs

Slides pcs                        1                                                                                                     pcs

Basic fuchsin gr                0,004             3                                                                                     gr

Phenol gr                       0,004             50                                                                                    gr

Sulphuric acid conc. Ltr        0,006            0,25                                                                                   Ltr

Methylene blue gr               0,004             3                                                                                     gr

Denatured alcohol Ltr           0,004            0,1                                                                                    Ltr

Burning spirit Ltr              0,002                                                                                                   Ltr

Immersion oil ml                0,05                                                                                                    ml

             Notes:         stains are made up according to the Guide for AFB smear microscopy of the IUATLD
                            a reserve stock of 3 months will be used for this calculation




     Exercise on supplies                                                                                                                    3
                                                                                  Exercise 1
                                                               NATIONAL TUBERCULOSIS PROGRAMME

                       Quarterly report on new cases and                                             Patients registered during
                       relapses of tuberculosis
                                                                                                     Quart.   1                 Year 2003




                       Name of Regional TB coordinator                                               Name of Region
                                                                                                                           Kigoma

                       Date of completion of this form          6th April, 2003


                       Signature



                       PULMONARY TUBERCULOSIS                                                                           EXTRA                  TOTAL
            Centre                                   Smear-positive                             Smear-neg.         PULMONARY                    NEW
                             New cases (1)             Relapses           TOT. SM. POSITIVE                       TUBERCULOSIS              REGISTRATIONS
                         M         F     Tot.    M         F      Tot.     M       F     Tot.   M       F          M            F      M         F     TOTAL
   Kigoma Hosp.          17        9     26      0         0          0   20       9     29     45      56         21           30     86        95     181

   Bitale                17        7     24      1         0          1   20       8     28     1       1          1            1      22        10     32

   Nguruka               20        11    31      1         0          1   25      13     38     2       1          1            1      28        15     43

   Ntegowanoti           22        9     31      1         0          1   26       9     35     2       1          1            1      29        11     40

   Sunuka                16        6     22      1         0          1   19       6     25     1       0          1            0      21        6      27

   Mgambo                6         2         8   0         0          0    7       2      9     1       1          0            1      8         4      12

   Mathiazo              12        5     17      0         0          0   15       5     20     2       1          1            1      18        7      25

   Kagunga               7         2         9   0         0          0    8       3     11     2       1          1            1      11        5      16

   Nzega                 0         0         0   0         0          0    3       0      3     0       0          0            0      3         0          3

   Sibwesa               0         0         0   0         0          0    0       0      0     7       5          3            4      10        9      19

       Total Region     117        51    168     4         0          4   143     55     198    63      67         30           40    236        162    398



Exercise on supplies                                                                                                                                            4
                                                                         Exercise 1




                                                             NATIONAL TUBERCULOSIS PROGRAMME

Quarterly report of AFB-microscopy                                                         Examinations performed during
laboratories
                                                                                           Quart.    1                     Year 2003



Name of Regional TB coordinator                                                                      Name of Region
                                                                                                                  Kigoma


Date of completion of this form            6th April, 2003


Signature



     Centre                       AFB-SMEAR RESULTS DURING THE QUARTER, NOS. OF SLIDES EXAMINED                             DETECTION REPORT
                                       Suspects                                 Follow-up                               Total     New      Total
                     Pos.         Scanty      Neg.            Total     Pos.      Scanty      Neg.       Total        sm+ cases   sm+ cases   TB
Kigoma Hosp.          74            10         699             783       5            3        88         96
Bitale                69            9          501             579       4            4        80         88
Nguruka              100            13         709             822       7            5       110         122
Ntegowanoti           94            10         699             803       5            4       106         115
Sunuka                67            5          375             447       5            2        67         74
Mgambo                23            3          147             173       2            2        24         28
Mathiazo              51            7          457             515       4            4        58         66
Kagunga               27            3          295             325       3            2        32         37
Nzega                 1             0          23              24        0            0        1           1
Sibwesa               0             0           0              0         0            0        0           0
  Total Region       506            60        3.905           4.471      35           26      566         627



     Centre                                AFB-SMEAR RESULTS DURING THE QUARTER, RATES CALCULATED



Kigoma Hosp.

Bitale

Nguruka

Ntegowanoti

Sunuka

Mgambo

Mathiazo

Kagunga

Nzega

Sibwesa

  Total Region




Exercise on supplies                                                                                                                               5

								
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