By Alfred Sasako
AS the drugs shortage crisis deepens, the Ministry of Health and Medical Services has provided further details on the steps it has taken to address the situation.
Permanent Secretary Tenneth Dalipada yesterday provided the table below which gives an overview and status of drugs replenishment between now and 2019.
In response to questions put to him by Island Sun, Dr Dalipada said some emergency drugs have already arrived in Honiara and are being cleared over the next two days
- The status of replenishments of our drugs and supplies with effect of today, Sunday 15 July 2018 are as follows:
| Date Contract Awarded to Supplier | Description | Delivery ETA Status | Comments |
| April 2018 | Interim Order 10 months drugs and supplies. 4 suppliers | Supplies being sent progressively since end of June | Some supplies will arrive by end of July Total 10 months supplies will be in the country by August / September. Once in the country, the supply will cater for the period up to June 2019. The 2019 supplies are anticipated to be in the country by April / May 2019. |
| 7 May 2018 | Critical drugs, dressings and consumables 3 suppliers. To cover shortfalls in the period leading up to receipt of Interim Oder (‘10 months’ supply) | All supplies airfreighted and now in the Country. The final stocks will be cleared from the wharf in the next two days. | This supply mostly addresses NRH’s needs.
We still require an emergency stock up for the country |
|
31 May 2018 |
Essential drugs, dressings and consumables 4 Suppliers |
All these drugs and supplies will arrive in August. |
These supplies do not duplicate other orders and are on schedule. |
| 4 June 2018 | Emergency Drugs, dressings and consumables 6 Suppliers | Orders have already been sent to each of the 6 suppliers.
Airfreight products will be ready for shipment within 2 weeks.
Sea-freight will be within 2-3 months.
| This is the most urgent to address. There are two components – the airfreight and the sea freight which can come later.
The airfreight component needs to come in from within 2 weeks.
Government to advise Solomon Islands to prioritise Airfreight Drugs and Supplies ahead of other cargo in the next month. |
Dr Dalipada said the most urgent action needed now is to bring in the emergency drugs which are shown in a separate attachment.
“If we can obtain emergency airfreight within the next 2 weeks, then together with the critical drugs (already in the country) and the essential drugs ((arriving in August) will tie the country over to when the interim order arrives in August/September.
Financing for the procurement
He also explained arrangement for financing the procurement.
“Existing arrangement with all our prequalified supplier is that will supply to order, and payment is made following receipt of products and validation of their quality. Basically, the only money we need to provide upfront is for the airfreight to the airlines,” he said..
Dr Dalipada said the Solomon Islands Government would be taking over the financing of drugs for the hospital from hereon. This, he said, would be lessened by the fact that SIG would be taking on the total financing of the country’s drugs and supplies.
Meanwhile Dr Dalipada has provided further details on Emergency Drugs and Dressing for airfreighting.
Below is the airfreight part which is being airfreight as well with estimated time of arrival (ETA) and deliveries after two weeks. Part of this list which is very critical, its ETA will be within the next two weeks.
1.0 AIRFREIGHT QUOTATION
| Item Code | Item Name | Total Quantity required | Preferred pack size |
| 3467 | ACETYLCYSTEINE INJ 200MG IN 1ML | 10 | Each |
| 12 | ACTINOMYCIN INJ 0.5MG | 10 | Each |
| 42 | AMOXYCILLIN TABS/CAPS 250MG | 1,400,000 | 1000 |
| 4030 | APPLICATOR STICKS,SINGLE,WOOD,COTTON TIP,PKT/100 | 3,000 | 1000 |
| 1475 | AZITHROMYCIN TABLETS 500MG | 12,000 | Each |
| 52 | BACLOFEN TABS 10MG | 200 | 100 |
| 3018 | BANDAGE, GAUZE 10CM | 2,000 | Each |
| 3019 | BANDAGE, P.O.P. 7.5CM | 500 | Each |
| 1672 | BENZYLPENICILLIN 5 MEGA IU (3G) | 3,500 | Each |
| 4095 | BLOOD LANCETS BOX/200 | 300 | Box/200 |
| 1190 | CALCIUM GLUCONATE INJ 10% 10ML | 20 | Each |
| 4139 | CANNULA, INTRAVENOUS 24G YELLOW | 1,400 | Each |
| 85 | CARBIMAZOLE TABS 5MG | 24,000 | 1000 |
| 4150 | CATHETER, FOLEY, 2 WAY 14FG | 380 | Each |
| 4151 | CATHETER, FOLEY, 2 WAY 16FG | 830 | Each |
| 4153 | CATHETER, FOLEY, 2 WAY 20FG | 60 | Each |
| 4154 | CATHETER, FOLEY, 2 WAY 22FG | 180 | Each |
| 4161 | CATHETER, NELATON 12FG | 30 | Each |
| 4162 | CATHETER, NELATON 14FG | 30 | Each |
| 4172 | CATHETER, Y-SUCTION 16FG | 50 | Each |
| 2120 | CHLORHEXIDINE MOUTHWASH 0.2% BOT/200ML | 300 | Each |
| 100 | CHLORPHENIRAMINE MALEATE TABS 4MG | 17,000 | 1000 |
| 1205 | CHLORPROMAZINE INJ 50MG IN 2ML | 150 | Each |
| 109 | CHLORPROMAZINE TABS 100MG | 12,000 | 1000 |
| 2124 | CIPROFLOXACIN SYRUP 250MG IN 5ML BOT/100ML | 15 | Each |
| 1213 | CISPLATIN INJ 100MG IN 100ML | 15 | Each |
| 126 | CLOMIPHENE TABS 50MG | 100 | 100 |
| 2127 | CLOTRIMAZOLE PESSARY 500MG PKT/1 | 1,000 | Each |
| 2126 | CLOTRIMAZOLE SKIN CREAM 1% TUBE/20GM | 200 | Each |
| 2128 | CLOTRIMAZOLE VAGINAL CREAM 2% TUBE 20GM/35GM | 60 | Each |
| 133 | CLOXACILLIN CAPS 250MG | 330,000 | 1000 |
| 135 | COLCHICINE TABS 0.5MG | 5,000 | 100 |
| 145 | DAPSONE TABS 100MG | 100 | 100 |
| 150 | DIETHYLCARBAMAZINE TABS 50MG | 300 | 100 |
| 1256 | DIGOXIN INJ 500MCG IN 2ML | 100 | Each |
| 156 | DIGOXIN TABS 250MCG | 11,300 | 1000 |
| 3711 | DRESSING,PARAFFIN GAUZE DRESSING,7M | 150 | Each |
| 177 | ERYTHROMYCIN SUSPENSION 200MG IN 5ML | 260 | Each |
| 409 | ERYTHROMYCIN TABS 250MG | 24,000 | 1000 |
| 205 | FERROUS SULPHATE 200MG & FOLIC ACID 0.4MG TABS | 95,000 | 1000 |
| 1302 | FLUCLOXACILLIN SUSPENSION 125MG IN 5ML /100ML | 1,500 | Btl |
| 1300 | FLUCONAZOLE CAPS 200MG | 200 | 100 |
| 3737 | FLUOXETINE CAPS 20MG | 700 | 100 |
| 3860 | GAUZE PAD, ABDOMINAL BP (O.T SPONGE) 38 X 50CM | 960 | 38 |
| 240 | GAVISCON TABS (or EQUIVALENT) | 5,000 | 48 |
| 4280 | GIVING SET, PAED, BURETROL 150ML | 480 | Each |
| 4275 | GIVING SET,IV,BLOOD | 100 | Each |
| 4296 | GLOVES, EXAMINATION LATEX NON-STERILE LGE BOX/100 | 600 | Box/100 |
| 4302 | GLOVES, SURGEON SIZE 7.5 | 8,500 | Pair |
| 260 | GRISEOFULVIN TABS 500MG | 33,000 | 1000 |
| 2265 | HOMATROPINE 2% EYE DROPS BOT/10ML | 600 | 600 |
| 1370 | HYDROXYCOBALAMIN INJ 1MG IN 1ML | 100 | Each |
| 1371 | HYDROXYPROPYL METHYLCELLULOSE INJ 20MG IN 1ML | 100 | Each |
| 293 | HYOSCINE BUTYLBROMIDE TABS 10MG | 2,000 | 100 |
| 992274 | IBUPROFEN TABS 200MG | 180,000 | 100 |
| 1385 | IRON DEXTRAN INJ 50MG IN 2ML | 50 | Each |
| 2310 | ISOFLURANE ANAESTHETIC BOT/250ML | 24 | 6 |
| 2517 | IVERMECTIN TABS 3MG | 200 | 100 |
| 2390 | LIGNOCAINE ANTISEPTIC JELLY 2% + CHLORHEXIDINE 0.05% | 150 | Each |
| 2425 | LUBRICANT, JELLY, 15ML TUBE | 850 | Each |
| 1540 | MANNITOL INJ 20% 500ML | 50 | Each |
| 1548 | METHOTREXATE INJ 50MG IN 2ML | 60 | Each |
| 1553 | METHYLPREDNISOLONE INJ 40MG IN 1ML | 250 | Each |
| 1554 | METHYLPREDNISOLONE INJ IV 500MG | 10 | Each |
| 2820 | MORPHINE INJ 10MG IN 1ML | 1,300 | Each |
| 555 | MULTIVITAMIN TABS | 110,000 | 1000 |
| 4527 | NEEDLE, SPINAL DISPOS 25G , 3.5″ | 350 | Each |
| 562 | NITROFURANTOIN TABS 50MG | 22,000 | 1000 |
| 565 | NORETHISTERONE TABS 5MG | 12,000 | 1000 |
| 3612 | ORTHOPAEDIC WADDING,15CM X 2.7M ROLL | 500 | Roll |
| 629 | PARACETAMOL 500MG + CODEINE PHOS 8MG TAB | 34,000 | 1000 |
| 1088 | PARACETAMOL 500MG INJ VIAL/50ML | 100 | Each |
| 635 | PENICILLIN V TABS 250MG | 190,000 | 1000 |
| 2971 | PETHIDINE INJ 100MG IN 2ML | 100 | Each |
| 2580 | PHENYLEPHRINE HYDROCHLORIDE 10% EYE DROPS MINIMS | 550 | Each |
| 2581 | PHENYLEPHRINE HYDROCHLORIDE BP 2.5% EYE DROPS MINIMS | 450 | Each |
| 1680 | PHENYTOIN INJ 250MG IN 5ML | 200 | Each |
| 705 | PRAZOSIN TABS 1MG | 1,300 | Each |
| 684 | PROMETHAZINE ELIXIR 5MG IN 5ML BOT/100ML | 10 | Each |
| 680 | PROMETHAZINE TABS 10MG | 55,000 | 1000 |
| 702 | PYRIDOSTIGMINE BROMIDE TABS 60MG | 800 | 100 |
| 3428 | RESUSCITATION MASK – ADULT | 50 | Each |
| 3430 | RESUSCITATION MASK – NEONATAL | 50 | Each |
| 3429 | RESUSCITATION MASK – PAEDIATRIC | 50 | Each |
| 3426 | RESUSCITATION BAG & MASK – ADULT | 50 | Each |
| 3427 | RESUSCITATION BAG & MASK – PAEDIATRIC | 50 | Each |
| 1770 | SALBUTAMOL INJ 0.5MG IN 1ML | 50 | Each |
| 2660 | SALBUTAMOL METERED DOSE INHALERS 100MCG DOSE | 3,200 | Each |
| 2661 | SALBUTAMOL NEBULISER SOL 5MG IN 1ML 30ML/BOT | 750 | Each |
| 4632 | SCALP VEIN SET, 23G | 100 | Each |
| 3812 | STOCKINETTE, 15CM ROL/20M | 10 | Each |
| 732 | SUMATRIPTAN TAB 50MG | 100 | 200 |
| 5410 | SUTURE, NYLON MONOFILAMENT 0 RBT BOX/12 | 10 | Box/12 |
| 5440 | SUTURE, NYLON MONOFILAMENT 1 RCT BOX/12 | 30 | Box/12 |
| 5390 | SUTURE, NYLON MONOFILAMENT 2/0 RCT BOX/12 | 20 | Box/12 |
| 5360 | SUTURE, NYLON MONOFILAMENT 3/0 RCT BOX/12 | 25 | Box/12 |
| 5370 | SUTURE, NYLON MONOFILAMENT 3/0 ST BOX/12 | 10 | Box/12 |
| 5350 | SUTURE, NYLON MONOFILAMENT 4/0 RCT BOX/12 | 30 | Box/12 |
| 4708 | SYRINGE, DISPOSABLE 10ML | 7,000 | Each |
| 1820 | THIOPENTONE SOD INJ 0.5G DP | 100 | Each |
| 4760 | TISSUE DRAIN, CORR/SHEET | 10 | Sheet |
| 775 | TRIFLUOPERAZINE TABS 5MG | 1,200 | 100 |
| 2720 | TROPICAMIDE EYE DROPS 1% | 85 | Each |
| 4806 | TUBE, STOMACH RYLES FG12 | 20 | Each |
| 4812 | TUBING, STERILISATION, N/LAYFLAT, 100MM W, ROL/200M | 30 | Roll |
| 4810 | TUBING, STERILISATION, N/LAYFLAT, 75MM W, ROL/200M | 10 | Roll |
| 2740 | URINE TEST STRIPS,GLUCOSE,BOT/100 | 100 | btl |
| 1900 | VERAPAMIL INJ 5MG IN 2ML | 60 | Each |
| 1908 | VERAPAMIL TABS 80MG | 200 | 100 |
| 883 | WARFARIN TABS 2MG – COUMADIN | 5,400 | 100 |
| 881 | WARFARIN TABS 5MG – MAREVAN | 3,600 | 100 |
