Humanitarian

Health Care

Logistics

FRAMEWORK

G. Mc GUIRE

April2011

Corresponds to Handbook of Humanitarian Health Care Logistics APR 2011.pdf

This document was downloaded free of charge from the website

Further free distribution is desirable and encouraged

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Overview of contents

OVERVIEW OF CONTENTS

OVERVIEW OF CONTENTS...... I

OVERVIEW OF FRAMEWORK STRUCTURE...... III

TABLE OF CONTENTS...... V

FIGURES AND PHOTOGRAPHS...... x

TABLES...... x

ABBREVIATIONS AND ACRONYMS...... x

1INTRODUCTION...... 1

A HUMANITARIAN ASSISTANCE AND RESOURCE MANAGEMENT

2HUMANITARIAN ASSISTANCE STRATEGY...... x

3HUMAN RESOURCES MANAGEMENT...... x

4INFORMATION MANAGEMENT...... x

5COMMUNICATION MANAGEMENT...... x

6RISK MANAGEMENT...... x

B SUPPLY NETWORK DESIGN

7LOGISTICS AND SUPPLY CHAIN MANAGEMENT FRAMEWORK...... x

8ITEM SELECTION STRATEGY...... x

9SOURCING STRATEGY...... x

10FACILITY NETWORK DESIGN STRATEGY...... x

11PHYSICAL DISTRIBUTION STRATEGY...... x

12CUSTOMER SERVICEMANAGEMENT...... x

13PERFORMANCE MANAGEMENT STRATEGY...... x

CSUPPLY CHAIN PLANNING

14TACTICAL PLANNING...... x

15ITEM SELECTION...... x

16SOURCING...... x

17SETTING UP MEDICAL STORAGE FACILITIES IN THE FIELD...... x

18COLLABORATIVE PLANNING AND FORECASTING...... x

19DEMAND ANALYSIS...... x

20DEMAND FORECASTING...... x

21INVENTORY CONTROL...... x

22STOCK POSITIONING OF ITEMS...... x

23PHYSICAL DISTRIBUTION...... x

24CUSTOMER SERVICE PLAN...... x

25LOGISTICS EVALUATION...... x

26PERFORMANCE MEASUREMENT SYSTEM...... x

C SUPPLY CHAIN OPERATIONS

27ORDER PLACEMENT...... x

28PURCHASING TRANSACTIONS...... x

29WAREHOUSE AND STORES MANAGEMENT...... x

30WAREHOUSE AND STORES OPERATIONS...... x

31STOCK REPLENISHMENT...... x

32TRANSPORTATIONAND DISTRIBUTION TO CUSTOMERS...... x

33REVERSE LOGISTICS...... x

34ORDER FULFILMENT...... x

35PERFORMANCE MANAGEMENT...... x

36CLOSING LOGISTICS OPERATIONS...... x

GLOSSARY...... x

BIBLIOGRAPHY...... x

Overview of framework structure

OVERVIEW OF FRAMEWORK STRUCTURE


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Table of contents

TABLE OF CONTENTS

1INTRODUCTION...... 1

A HUMANITARIAN ASSISTANCE AND RESOURCE MANAGEMENT

2HUMANITARIAN ASSISTANCE STRATEGY...... x

2.1Description of humanitarian organization and its activities...... x

2.2Medical assistance...... x

2.3Objectives...... x

2.3.1Objectives towards donors and the public...... x

2.3.2Objectives towards recipients...... x

2.3.3Management objectives...... x

2.4Context and constraints...... x

2.4.1Humanitarian organizations...... x

2.4.2Less developed countries...... x

2.4.3Complex political emergencies...... x

2.5Material assistance framework...... x

3HUMAN RESOURCES MANAGEMENT...... x

3.1Human resources strategy...... x

3.2Human resources capacities...... x

3.2.1Qualifications...... x

3.2.2Recruitment...... x

3.2.3Employment...... x

3.2.4Personal files...... x

3.2.5Staff regulations...... x

3.2.6Job description...... x

3.2.7Staff and career development...... x

3.2.8Training...... x

3.2.9Staff visibility...... x

3.2.10Stress...... x

3.3Human resources administration...... x

3.3.1Briefing and staff orientation...... x

3.3.2Motivation...... x

3.3.3Supervision...... x

3.3.4Attendance...... x

3.3.5Reporting...... x

3.3.6Meetings...... x

3.3.7Staff appraisal...... x

3.3.8Terminating employment...... x

4INFORMATION MANAGEMENT...... x

4.1Information systems strategy...... x

4.2Information systems and applications...... x

4.2.1Software applications...... x

4.2.2Logistics applications...... x

4.2.3Management information systems...... x

4.2.4Examples of applications developed for humanitarian assistance...... x

4.2.5Other information systems...... x

4.3Information systems administration...... x

4.3.1Data sources and collection...... x

4.3.2Generating information...... x

4.3.3Flow and distribution of information...... x

4.3.4Record keeping and data storage...... x

5COMMUNICATION MANAGEMENT...... x

5.1Communication systems strategy...... x

5.2Communication systems and networks...... x

5.2.1Text communication...... x

5.2.2Radio networks...... x

5.2.3Radio bands...... x

5.2.4Telephony...... x

5.2.5Power supply systems...... x

5.3Communication systems operations...... x

6RISK MANAGEMENT...... x

6.1Risk management strategy...... x

6.2Security plan...... x

6.3Coping with security threats...... x

6.4Safety risks and measures...... x

7LOGISTICS AND SUPPLY CHAIN MANAGEMENT FRAMEWORK...... x

7.1Logistics and supply chain management objectives...... x

7.2Trade-offs between objectives...... x

7.3Framework dimensions...... x

8ITEM SELECTION STRATEGY...... x

8.1Policy on accepting in-kind donations...... x

8.2Logistical requirements for health care goods...... x

8.3Variety control and reduction...... x

8.4Standard item catalogue...... x

8.5Summary of item selection strategy...... x

9SOURCING STRATEGY...... x

9.1Policy for qualification of products and manufacturers...... x

9.2Dual versus multiple sourcing...... x

9.3Centralized versus decentralized purchasing...... x

9.4Width of supplier base...... x

9.5Management of donations...... x

9.6Summary of sourcing strategy...... x

10FACILITY NETWORK DESIGN STRATEGY...... x

10.1Reasons for holding stock...... x

10.2Storage facility location...... x

10.3Site selection...... x

10.4Storage facility location...... x

10.5Ownership of storage facilities...... x

10.6Contingency planning...... x

10.7Summary of facility network design strategy...... x

11PHYSICAL DISTRIBUTION STRATEGY...... x

11.1Physical distribution channels...... x

11.2Transportation contingency planning...... x

11.3Mode of transportation...... x

11.4Ownership of transportation means...... x

11.5Summary of physical distribution strategy...... x

12CUSTOMER SERVICE MANAGEMENT...... x

12.1Customer service policy...... x

12.2Donor reporting policy...... x

13PERFORMANCE MANAGEMENT STRATEGY...... x

13.1Objectives of performance measurement...... x

13.2Process of performance measurement...... x

13.3Performance measurement dimensions...... x

13.4Requirements for a performance management system...... x

13.5Business intelligence...... x

13.6Performance management framework...... x

B SUPPLY NETWORK DESIGN

14TACTICAL PLANNING...... x

14.1Logistics assessment...... x

14.2Emergency intervention plan...... x

14.3National health care logistics plan...... x

15ITEM SELECTION...... x

15.1Quality requirements...... x

15.2National standard list...... x

15.3Determining contingency stocks...... x

16SOURCING...... x

16.1Market assessment and supplier registration...... x

16.2Purchasing method...... x

16.3Product and supplier selection...... x

16.4Purchase contracts...... x

16.5Domestic purchase...... x

16.6Matching supply and demand of donations...... x

17SETTING UP MEDICAL STORAGE FACILITIES IN THE FIELD...... x

17.1Storage requirements...... x

17.2Storage systems...... x

17.3Unit load systems...... x

17.4Storage equipment...... x

17.5Cold storage...... x

17.6Storage of dangerous goods...... x

17.7Materials handling systems...... x

17.8Other warehouse equipment...... x

17.9Other warehouse facilities...... x

17.10Utilities...... x

17.11Stores layout...... x

17.12Expanding the storage capacity...... x

17.13Site layout...... x

18COLLABORATIVE PLANNING AND FORECASTING...... x

18.1Levels of collaborative planning...... x

18.2Involvement of logisticians in planning of health programmes...... x

18.3Converting unpredictable into predictable demand...... x

18.4Demand shaping...... x

18.5Measures for preventing and reducing the extent of demand distortion...... x

19DEMAND ANALYSIS...... x

19.1Demand data...... x

19.2Demand aggregation...... x

19.3Time series analysis...... x

19.4Demand distributions...... x

20DEMAND FORECASTING...... x

20.1Forecasting horizon and forecasting period...... x

20.2Selection of forecasting methods...... x

20.3Measurement of forecasting accuracy...... x

21INVENTORY CONTROL...... x

21.1Elements of inventory control system...... x

21.2Selection of inventory control system...... x

21.3Managing stockouts...... x

21.4Managing excess stock...... x

21.5Use of information systems...... x

22STOCK POSITIONING OF ITEMS...... x

22.1Contingency stock positioning...... x

23PHYSICAL DISTRIBUTION ...... x

23.1Distribution systems...... x

23.2Importation and exportation...... x

23.2.1Internationally controlled drug products...... x

23.2.2Managing the effects of sanctions...... x

23.3Selection of mode of transportation...... x

23.4Outsourcing of transportation capacities...... x

23.5Selection of means of transportation...... x

23.6Vehicle fleet management...... x

23.7Dangerous goods...... x

24CUSTOMER SERVICE PLAN...... x

24.1Developing a customer service plan...... x

24.2"Push" and "Pull" ordering...... x

25LOGISTICS EVALUATION...... x

26PERFORMANCE MEASUREMENT SYSTEM...... x

26.1Metrics...... x

26.1.1Statistics...... x

26.1.2Requirements for performance metrics...... x

26.1.3Quantitative performance metrics...... x

26.1.4Qualitative performance metrics...... x

26.1.5Time based process mapping (TBPM)...... x

26.2Performance measurement...... x

26.2.1Selecting key performance indicators...... x

26.2.2Determining benchmarks...... x

26.2.3Setting performance targets...... x

26.2.4Performance monitoring...... x

26.3Analysis of results...... x

26.3.1Comparison with performance targets...... x

26.3.2Time series analysis of values...... x

26.3.3Comparison with other services and locations...... x

26.3.4Identifying causes of poor performance...... x

26.4Presentation of measurements...... x

26.5Reporting and communicating results...... x

26.6Corrective action...... x

26.6.1Time compression...... x

D SUPPLY CHAIN PLANNING

27ORDER PLACEMENT ...... x

28PURCHASING TRANSACTIONS...... x

28.1Obtaining requirements...... x

28.2Purchasing method...... x

28.3Tendering process...... x

28.4Purchase contracts...... x

28.5Supplier evaluation...... x

28.6Information management...... x

29WAREHOUSE AND STORES MANAGEMENT...... x

29.1Warehouse security...... x

29.2Warehouse safety...... x

29.3Warehouse staff...... x

29.4Housekeeping and maintenance...... x

29.5Record keeping...... x

29.6Protection of goods...... x

29.7Storage of health care goods...... x

29.8Physical stock counts...... x

30WAREHOUSE AND STORES OPERATIONS...... x

30.1Receipt of health care goods...... x

30.2Sampling plan...... x

30.3Inspection...... x

30.4Put-away...... x

30.5Storage...... x

30.6Order picking...... x

30.7Packing...... x

30.8Cold chain equipment...... x

30.9Staging of consignments...... x

30.10Loading and dispatch...... x

31STOCK REPLENISHMENT...... x

31.1Updating customer demand data...... x

31.2Preparing a demand forecast...... x

31.3Updating elements of the inventory control system...... x

31.4Preparing replenishment orders...... x

32TRANSPORTATION AND DISTRIBUTION...... x

32.1International transportation...... x

32.2Customs clearance...... x

32.3Means of transportation...... x

32.4Protection of health care goods during transportation...... x

32.5Transportation of dangerous goods...... x

32.6Routing and scheduling...... x

32.7Transportation...... x

33REVERSE LOGISTICS...... x

33.1Reasons for reverse flows...... x

33.2Management of reverse flows...... x

33.2Processing unusable health care goods...... x

33.3Disposal methods...... x

34ORDER FULFILMENT...... x

34.1Processing customer orders...... x

34.2Delivery to customers...... x

34.3Order follow-up...... x

34.4Donor reporting...... x

35PERFORMANCE MEASUREMENT...... x

35.1Performance measurement...... x

35.2Performance monitoring...... x

35.3Analysis of results...... x

36CLOSING LOGISTICS OPERATIONS...... x

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Figures and photographs

FIGURES AND PHOTOGRAPHS

2.1Assistance - Logistics strategy framework ...... x

2.2Stages of supply networks of the domestic health system...... x

2.3Strategies for providing material assistance to health care facilities...... x

2.4Scope and scale of provided items...... x

7.1Aspects of time, distance and criticality...... x

8.1Item selection strategy...... x

9.1Dual versus multiple sourcing...... x

9.2Centralized versus decentralized purchasing...... x

9.3Sourcing strategy...... x

9.4Width of supplier basis...... x

9.5Sourcing strategy...... x

10.1Facility network design strategy...... x

11.1Physical distribution channels...... x

11.2Criteria for ownership of transportation means...... x

11.3Physical distribution strategy...... x

12.1Customer service strategy...... x

15.1Development of national standard lists...... x

16.1Framework for selecting purchasing methods...... x

22.1Criteria for stock positioning...... x

22.2Stock positioning of items...... x

23.1Selection criteria for modes of transportation...... x

23.2Criteria for selecting road vehicles...... x

Figures and photographs

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Tables

TABLES

6.1Types of security risks...... x

7.1Framework management levels...... x

13.1Process of performance management...... x

13.2Measurement dimensions...... x

13.3Requirements for performance measurement systems...... x

13.4Performance management framework...... x

23.1Customer service elements...... x

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Abbreviations and acronyms

ABBREVIATIONS AND ACRONYMS

A

A/Cair-conditioning, aircraft

ACair-conditioning, alternating current

AC/DCalternating current / direct current

AhAmpere hour

ANCante natal care

APIactive pharmaceutical ingredient

APRadjustable pallet racking

AQLacceptable quality level

ARIMAautoregressive integrated moving average

ARMAautoregressive moving average

ASNAdvance Shipping Notice (Notification)

ATAAdmission Temporaire/Temporary Admission, actual time of arrival

ATDactual time of departure

AWBair waybill

B

B/Lbill of lading

BGANBroadband Global Area Network

BNFBritish National Formulary

BOMbill of materials, beginning of mission

BPBritish Pharmacopoeia, blood pressure

BSBritish standard

Bs/Lbills of lading

BSIBritish Standards Institution

BThUBritish thermal unit

BtuBritish thermal unit

BWbody weight, bonded warehouse

C

CCelsius

ca.circa (about)

CBFAcommunity based first aid

CBFLTcounterbalanced forklift truck

CCCCustoms Cooperation Council

CCMcold chain monitor (card)

CDcompact disc

CDCCenter for Disease Control and Prevention

CDDcontrol of diarrhoeal diseases

CD-ROMcompact disc read-only memory

CEConformité Européene

CEOChief Executive Officer

CFCchlorofluorocarbon

CFRCost and Freight

cGMPcurrent good manufacturing practice

CHCharier

CHEcomplex humanitarian emergency

CHFSwiss Francs

CHWcommunity health worker

CIFCost, Insurance and Freight

CIPCarriage and Insurance Paid to

CISGContracts for the International Sale of Goods

CMScentral medical store

COSHHControl of Substances Hazardous to Health

CoVcoefficient of variation

CPDCarnet de Passage en Duane

CPEcomplex political emergency

CPICorruption Perception Index

CPPcertificate of pharmaceutical product

CPTCarriage Paid To

CPUcentral processing unit

CRclaim report

CSLcustomer service level

CSSDcentral sterile supplies department

CUSUMcumulative sum

CVcurriculum vitae

D

Ddiameter

DAFDelivered At Frontier

DAPAction Programme on Essential Drugs

dBdecibel

DBdatabase

DBAdatabase administrator

DCdistribution centre, direct current

DDPDelivered Duty Paid

DDUDelivered Duty Unpaid

DECdecimal (measurement for diameter of sutures)

DEQDelivered Ex Quay

DESDelivered Ex Ship

DGdangerous goods

DGDdangerous goods declaration

DINDeutsches Institut für Normung (German national Standards Organization)

DMdisaster management

DMAdouble moving averages

DMFdrug master file

DMISdrug management information system

DMOdistrict medical officer

DNAdeoxyribonucleic acid

DOSdays of supply

DPdisplaced person

DRAdrug regulatory authority

DRP IIdistribution resources planning

DRPdistribution requirements planning

E

EANEuropean Article Number

ECEuropean Commission

ECHOEuropean Community Humanitarian Office

ECRefficient consumer response

EDAexpected date of arrival

EDDearliest due date

EDIelectronic data interchange

EDLessential drug list

EDPextended delivery point

EMSemergency medical service

EMTemergency medical technician

ENEuropean norms

ENTear, nose and throat

EOethylene oxide

EOIeconomic order interval, expression of interest

EOMend of mission

EOQeconomic order quantity

EPEuropean Pharmacopoeia

EPIExpanded Programme on Immunization

ERPenterprise resource planning, economic review period

ERTemergency response team

ERUemergency response unit

ETAestimated time of arrival

ETDestimated time of departure

ETOethylene oxide

EUEuropean Union

EWMAexponentially weighted moving average

EXWEx Works

F

FAfirst aid

FAOFood and Agriculture Organization

FAPfirst aid post

FASFree Alongside Ship

FCAFree Carrier

FCFSfirst come, first served

FCLfull container load

FDAFood and Drug Administration

FEFOfirst expiry, first out

FGFrench gauge (catheter scale, diameter)

FIFOfirst in, first out

FILOfirst in, last out

FLTforklift truck

FOBFree On Board

FOCfree of charge

FOTfree on truck

FRFrench (catheter scale, diameter)

FTLfull truckload

FWfreeze watch indicator

G

GGauge

GAgeneral anaesthesia

GAVIGlobal Alliance for Vaccines and Immunization

GDDPgood drug donation practice

GDPgood distribution practice, gross domestic product

GenSetgenerator set

GHgeneral hospital

GHTFGlobal Harmonization Taks Force

GIGOgarbage in, garbage out

GMPgood manufacturing practice

GMTGreenwich Mean Time, Greenwich Meridian Time

GNPgross national product

GPgeneral practitioner

GPSGlobal Positioning System

GRTgross registered tonnage

GSMGlobal System for Mobile communications

GSPgood storage practices

GTDPgood trade and distribution practices

GVWgross vehicle weight

H

HAhumanitarian assistance

HChealth centre

HCFChydrochlorofluorocarbon

HCVhepatitis C virus

HDPEhigh density polyethylene

HDVheavy-duty vehicle

HEPAhigh efficiency particulate air [filter]

HFhigh frequency

HGVheavy goods vehicle

HIShealth information system

HPhorsepower

HPLChigh-performance (or high-pressure) liquid chromatography

HRheart rate, human resources

HzHertz

I

IASinternational accounting standards

IATAInternational Air Transport Association

IBCintermediate bulk container

ICAOInternational Civil Aviation Organization

ICBinternational competitive bidding

ICCInternational Chamber of Commerce

ICHInternational Conference on Harmonisation (of Technical Requirements for Registration of Pharmaceuticals for Human Use)

ICTinformation and communication technology

ICUintensive care unit

IDintradermal, identification, inside diameter

IDAInternational Dispensary Association

IDPinternally displaced person

IEHKinteragency emergency health kit

IFBinvitation for bids

IFRinstrument flying regulations

IHLInternational Humanitarian Law

I/Limport licence

ILOInternational Labour Organization

ILRice-lined refrigerator

IMARSATInternational Maritime Satellite Organization

INCBInternational Narcotics Control Board

INCO (term)international commercial (term)

INGOinternational non-governmental organization

INNinternational nonproprietary name

IOinternational organization

IOMInternational Organization for Migration

IPInternational Pharmacopoeia, ice-pack

ISOInternational Standards Organization

ITinformation technology

ITRinventory turn ratio

ITSH(inland) internal transport, storage and handling

ITTinvitation to tender

ITUInternational Telecommunication Union

IUinternational unit

IVBImmunization, Vaccine and Biologicals (World Health Organization)

J

Jjoule

JITjust-in-time

JPJapanese Pharmacopoeia

K

kkilo-

KKilo- (computing), potassium (element)

kbkilobar

KBkilobyte

kgkilogram

kHzkilohertz

kJkilojoule

kmkilometre

kmphkilometres per hour

kPAkilo Pascal

kphkilometres per hour

KPIkey performance indicator

kVkilovolt

kVAkilovolt-ampere

kWkilowatt

kWhkilowatt hour

L

llitre

Lleft, litre

L&Dloss and damage

LANlocal-area network

LCland cruiser, landing craft, letter of credit, liquid chromatography

L/Cletter of credit

LCAlogistics capacity assessment

LCDliquid-crystal display

LCLless-than-carload lot, less-than-container load, lower control limit

Ldlimited (company)

LDCless developed country

ldsloads

LED light-emitting diode

LEOSlow earth orbit satellite

LIFOlast in, first out

LIFRline item fill rate

LILOlast in, last out

LLDCleast developed countries

LLDPElinear low density polyethylene

LP gasliquid propane gas

LPGliquefied petroleum gas

LPMlitres per minute

LQLlimiting quality level

LRRDlinking relief, rehabilitation and development

LSBlower side band

LSTlocal standard time

LTLless-than-truckload-lot

LTSHlandside transport, storage and handling

LWlong wave

M

mmetre, milli-, million, molality

m²square metre

m³cubic metre

mAmilliampere

MAmoving average

MADmean absolute deviation

MAEmean absolute error

MAPEmean average percentage error

mbmillibar

MBmegabyte

mbarmillibar

MCHmother and child health

MDmedicinae doctor (doctor of medicine)

MEmean error

MEFOmost exposed, first out (VVM)

MESmobile earth station

MESCMaterial and Equipment Standards and Code

MFAMinistry of Foreign Affairs

mgmilligram, morning

MHEmechanical handling equipment

MHzmegahertz

min.minimum, minute

Min.ministry

MISmanagement information system

MKTmean kinetic temperature

mlmillilitre

mmmillimetre

mmHgmillimetre of mercury

mmolmillimole

MoDMinistry of Defence

MODEMmodulator demodulator

MOFMinistry of Finance

MOHMinistry of Health

MOPHMinistry of Public Health

MOQminimum order quantity

MoTMinistry of Transport

MOUmemorandum of understanding

mPamilli Pascal

MPEmean percentage error

MPHMaster of Public Health

mphmiles per hour

MPPmultisource pharmaceutical product

MRPmaterial requirements planning

MRPIImanufacturing resource planning

MScmaster of science

MSDmean squared deviation

MSEmean squared error

MSFMédecins sans Frontières

mtmetric ton

mVmillivolt

mWmilliwatt

MWmegawatt

M/Wmidwife

N

nnano-

Nnewton, population (statistics)

n/anot applicable, not available

N/Anot available

NBSNational Bureau of Standards

NBTSNational Blood Transfusion Service

NDnormal distribution

NEDLnational essential drug list

NEHKNew Emergency Health Kit

NF1naive forecast 1

NF2naive forecast 2

NGOnon-governmental organization

NHSNational Health Service

NIDnational immunization day

NSAIDnon-steroidal anti-inflammatory drug

NVOCCnonvessel operating common carriers

O

OBVocean boarding vessel

OCorganization chart

OCHAOffice for the Coordination of Humanitarian Affairs (United Nations)

OCTorder cycle time

O/Don deck

OECDOrganization for Economic Cooperation and Development

OEMoriginal equipment manufacturer

OFRorder fill rate

OPDoutpatients' department

OPVoral polio vaccine

ORoperations research

OTCover-the-counter

OTIFon-time, in-full

OULorder-up-to-level

P

p.page

PABXprivate automatic branch exchange

PACTORPACket radio and amTOR (combination of)

PAHOPan American Health Organization

PAXprivate automatic telephone exchange

PBXprivate automatic branch exchange

PCpersonal computer

PDMphysical distribution management

PEpolyethylene

PEPpeak envelope power, post-exposure prophylaxis

PETpolyethylene terephthalate

pHacidity / alkalinity scale

PHpublic health

PHCprimary health care

PICPharmaceutical Inspection Convention

PISproduct information sheet

PLpacking list

PLMNpublic land mobile network

PMRprivate mobile radio

PODplace of delivery

POMprescription only medicines

POPplaster of Paris [bandage]

POWprisoner of war

PPpolypropylene

PPMplanned preventive maintenance

PQSPerformance, Quality, Safety

PSpolystyrene

psipounds per square inch

PSTNpublic switched telephone network

PTSDpost-traumatic stress disorder

PURpolyurethane

PVphotovoltaic

PVCpolyvinyl chloride (synthetic resin)

PVOprivate voluntary organization

Q

QAquality assurance

QCquality control

QIPSquick impact projects

OTIFquality, on-time, in-full

R

R11type of refrigerant

R12type of refrigerant

radarradio detection and ranging

RAMrandom-access memory

RAPrapid assessment procedures

RBMroll back malaria

R&Dresearch and development

RDFrevolving drug fund

RFradio frequency

RFIDradio frequency identification

RFPrequest for proposal

RFQrequest for quotation

RHrelative humidity, reproductive health

Rhrhesus factor

RHFrural health (care) facility

ROreverse osmosis

ROLreorder level

ROMread-only memory

ro-roroll on-roll off (ferries)

rpmrevolutions per minute

R&Rrest and recreation

R/Tradio telegraph

RTPreturnable transport packaging

S

ssecond

SATCOMsatellite communications

SATPHONEsatellite telephone terminal

SCSecurity Council, subcutaneous

SEDshipper's export declaration

SESsingle exponential "smoothing"

SGSSociété Généralle du Surveillance

S&Hshipping and handling

SIsecurity incident, shelling injury, Système International (d'Unités)

SITASociété International de Télécommunications Aéronautiques

SITORsimplex teleprinter over radio

SitRepsituation report

SKUstock-keeping unit

SLshelf-life

SMAsimple moving averages

SMFsite master file

SMSshort message service

S/Nshipping note

SOPstandard operating procedure

SPCsummary of product characteristics

spec.specification

SPTshortest processing time

SRstock requisition

SROstatuory rules and orders

SSBsingle side band

Svsievert

SWshort wave

S/Wsoftware

SWGstandard wire gauge

SWOTstrengths, weaknesses, opportunities, threats

SWRstanding wave ratio

T

Ttelephone, temperature

TBAtraditional birth attendant

TBPMtime based process mapping

tel.no.telephone number

telecom.telecommunication(s)

teleph.telephon(y)

temp.temperature, temporary

TEUtwenty-foot equivalent unit

TFCtherapeutic feeding centre

TFPtherapeutic feeding programme

THCterminal handling charges

theor.theoretical

therap.therapeutic

therm.thermometer

TIRTransport International Routier (International Road Transport)

TLtruck load

TLCthin-layer chromatography

TMtrademark

TNCterminal node controller

TODtime of delivery

tonn.tonnage

TORteleprinter over radio, terms of reference

ToTtraining of trainers

TQCtotal quality control

TQMtotal quality management

TRtransport request

T/Stranshipment

TSTtime, (saturated) steam and temperature (sterilization indicator)

TTtetanus toxoid (vaccine)

TTMtime temperature monitor

U

UCLupper control limit

UHFultra-high frequency

UICUnion Internationale des Chemins de Fer (International Union of railways)

ULunit load

ULDunit load device

UNUnited Nations

UNCITRALUnited Nations Commission on International Trade Law

UNDCPUnited Nations Drug Control Programme

UNDHAUnited Nations Department of Humanitarian Affairs

UNDPUnited Nations Development Programme

UNDROUnited Nations Disaster Relief Organization

UNEPUnited Nations Environmental Programme

UNESCOUnited Nations Educational, Scientific and Cultural Organization

UNFPAUnited Nations Fund for Population Activities

UNHCRUnited Nations High Commission for Refugees

UNICEFUnited Nations Children's Fund

UNIDOUnited Nations Industrial Development Organization

UNIENETUnited Nations Electronic Mail System

UNIPACUnited Nations International Packing Centre

UNJLCUnited Nations Joint Logistics Centres

UNOUnited Nations Organization

UNSECOORDUnited Nations Security Coordinator

UOMunit of measurement

UPSuninterrupted power supply

USBupper side band, universal serial bus

USPUnited States Pharmacopeia

UTCuniversel temps coordonné (coordinated universal time)

UVultraviolet

UXOunexploded ordnance

V

Vvolt, volume, five

VAvolt ampere, value-added

VACvoltage alternating current

vacc.vaccination, vaccine

VAMvulnerability analysis and mapping

VATvalue-added tax

VDCvoltage direct current

VENvital, essential, non-essential

VFRvisual flight rules

VGAvideo graphics array

VHFvery high frequency

VHSvideo home system

VHWvillage health worker

VMIvendor managed inventory

VoIPvoice over internet protocol

VSATvery small aperture terminal

VVMvaccine vial monitor

W

Wwatt, weight

WatSanwater and sanitation

wbwaybill

WBWorld Bank for Construction and Development, waybill

WCOWorld Customs Organization

WFPWorld Food Programme

Whwatt hour

WHISWorld Health Imaging System

WHIS-RADWorld Health Imaging System for Radiography

WHOWorld Health Organization

W/Mweight or measurement