DIRECTORATE OF LEARNING SYSTEMS
DISTANCE EDUCATION COURSES
Student Number: ______Name: ______
Address: ______
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INTEGRATED HIV/AIDS PREVENTION, CARE & TREATMENT
Tutor Marked Assignment
Unit 13: Commodity Management For HIV/AIDS
Instructions: Answer all the questions in this assignment.
1. Which of the following are NOT components of the Commodity Management Cycle?
a. Product Selection
b. Forecasting/Quantification
c. Procurement
d. Inventory Management
e. Distribution
f. None of the above
2. Which of the following forms or reports are used for Commodity management in a health facility?
a) Inventory Control Cards
b) Issue vouchers
c) Laboratory Results form
d) Issue & Receipt vouchers
e) Daily Activity Register
f) Monthly Consumption Data Report & Request form (CDRR)
g) Comprehensive Care Clinic Monthly Summary Sheet
h) Daily Attendance register
i) Monthly ART Patient Summary report
3. Which of the following are NOT types of irrational drug use?
a) Under-prescribing
b) Incorrect prescribing
c) Generic prescribing
d) High-cost prescribing
e) Over-prescribing
f) Multiple prescribing
4. Indicate True or False for each of the following statements
a) Only the patient’s weight is required to be filled on the Paediatric Request form.
b) The Lead time is the time interval between when new stock is received and when it is available for use.
c) Selecting the wrong drug for diagnosis is an example of Incorrect prescribing
d) A Pull system is an ordering system where the person who issues the supplies determines the quantities to be issued to the facility.
5. A health facility has reported that it currently has the following patients on antiretroviral therapy:
• 65 Adult patients on regimen d4T 30mg/3TC/NVP
• 20 Adult patients on regimen d4T 40mg/3TC/NVP
• 10 Adult patients on regimen d4T 30mg/3TC + EFV
• 5 Adult patients on regimen d4T 40mg/3TC + EFV
• 5 Adult patients on regimen AZT + 3TC + EFV
These patients are taking their drugs in the form of Fixed Dose Combination tablets (FDCs), which means that a tablet contains more than one drug, e.g. d4T/3TC/NVP contains 3 drugs, i.e. d4T, 3TC and NVP.
The health centre has also requested for the following:
· drugs for PEP for 15 Adult cases per month using the FDC tablets of AZT 300mg/3TC FDC;
· drugs for 30 mothers for PMTCT (NVP only) who are expected over the next 3 months.
The Stock on Hand at the health facility is provided in the table below:
Drug / Stock on Hand(pack of 60’s)
d4T 30/3TC FDC tabs / 10
d4T 30/3TC/NVP FDC tabs / 80
d4T 40/3TC FDC tabs / 10
d4T 40/3TC/NVP FDC tabs / 100
AZT/3TC FDC tabs / 10
EFV 600mg tabs / 20 (packs of 30 tabs each)
NVP 200mg tabs / Nil
Calculate the Quantity of each drug to be supplied to the site to stock it up to 3 months’ stock for all patients.
6. Staff members at a health facility have the following children on Paed ART:
· Number of children taking tablets / capsules on the regimen d4T 20mg/3TC/EFV = 30
· Number of children on the regimen AZT/3TC/NVP = 20
The administration of the drugs per child for d4T 20mg/3TC/EFV regimen is as follows: d4T 20mg 1 cap BD, 3TC 150mg ½ tab BD, EFV 200mg 1 cap OD.
The administration per child for AZT/3TC/NVP regimen is as follows: AZT 7.5ml BD, 3TC 2.5ml BD, NVP 7.5ml BD.
Calculate the quantity (in mls, tablets or capsules) required per drug for the children on each regimen to last 3 months.
7. What is the difference between patient compliance and adherence?
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8. Why should we eradicate the irrational or inappropriate use of drugs?
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9. List the five basic elements of rational drug use?
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10. How can you as a health worker promote rational drug use?
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Congratulations! You have now come to the end of this unit. Remember to indicate your Student Number, names and address before sending the assignment.
Once you complete this assignment, post or bring it in person to AMREF Training Centre:
We shall mark it and return it to you with our comments.
Directorate of Learning Systems
P O Box 27691-00506
Nairobi, Kenya
Email: