Reproductive Health Kit for emergency situations. Block 1 Primary health care/health centre level people for 3 months

Transcription

1 Reproductive Health Kit for emergency situations Block 1 Primary health care/health centre level people for 3 months Subkit 0 Training and administration 1 Condom 2 Clean delivery sets for home deliveries 3 Post-rape (emergency contraception) 4 Oral and injectable contraception 5 STD drugs Block 2, Health centre level or referral level people for 3 months Subkit 6 Professional midwifery delivery kit 7 IUD insertion 8 Management of complications of abortion 9 Suture of cervical and vaginal tears 10 Vacuum extraction for assisted deliveries Block 3, Referral level obstetric materials people for 3 months Subkit 11 A Surgical (reusable equipment) 12 B Surgical (consumable items and drugs) 13 Safe blood transfusion

2 Reproductive Health Kit for Emergency Situations REVIEWED SPECIFICATIONS AND CONTENTS OF THE KITS (Draft) Subkit 0: Reference, Training and Administration subkit 1 Calculator Solar 1 PCE 1 2 Board, 67 x 100cm, white adhesive, off-washable 1 ROL 2 3 Binder with lever, 310x 290mm, various colors 1 PCE 5 4 Exercise book, 170 x220mm, spiral, 5mm squared, 180p 1 PCE 20 5 Exercise book, 210x 297mm, spiral, 5mm squared, 180p 1 PCE 3 6 Typing paper white A4 80g 210 x 297 mm 1000 sheets/box 1 BOX 1 7 Pritt gluestick, large 1 PCE 3 8 Sticker UNFPA, 6 x 12cm 1 PCE 20 9 Sticker UNFPA, 11 x 22 cm 1 PCE Ballpoint, Bic, black 1 PCE Ballpoint, Bic, red 1 PCE Marker, black, erasable 1 PCE Marker, red, erasable 1 PCE Marker, Blue, erasable 1 PCE Marker, LARGE,RED 1 PCE Marker, LARGE, BLACK 1 PCE Pencil universal HB 1 PCE Pencil sharpener double (TWO SIZES) 1 PCE 2 19 Scissors, 17cm, blended 1 PCE 1 20 Tape, azdhesive, 19x33mm invisible roll 1 ROL 4

3 Subkit no. 1 Part A : Male condoms 1 Male condoms pcs 2 20% wastage 2880 pcs Total (120gross) pcs Part B : Female condoms 1 Female condoms 450 pcs 2 20% wastage 90 pcs Total 540 pcs Safe sex leaflets 25 sets Female condoms use leaflets 25 sets Subkit no. 2 Clean Delivery subkit Part A individual deliveries : 200 x of the following items, packed individually: 1 Bar of toilet soap (approx 50gm) - wrapped pc 1 2 Square meter of - Clear PVC sheet -able to withstand boiling water,moisture proof - pc 1 thickness - approx 0.08mm 3 Razor blade ( Stainless steel) single edge pc 1 4 String for umbilical cord 3pcs each 15 cm long (non sterile) 3mm(1/8") wide - white woven, cotton ligature set 1 5 Pictorial instruction sheet (Clean delivery) (to be given by UNFPA - 4 pages (2 A4 size sheets) 1 6 Sealed bag, plastic (25 x 16 cm),polyethylene - thickness mm (zip loc) 1

4 7 Cotton cloth (Green colour) size : ( 2m x 1 m ) 1 Yarn count : 36 t0 40 wrap & weft, Construction : wrap 60-69/ inch, weft /inch Part B : For use by Birth Attendants 8 Shoulder bag (with UNFPA logo) UNIPAC code or PPCP injection moulded bag(35 x 22 x 20 cm) pcs 5 toggle locks to be made easily operational. (Engraved UNFPA logo preferable) 9 Gloves, examination, latex MEDIUM size, disposable box of 100 bxs 4 10 Flash light ( approx cm length ) wit h batteries dry cell "D" type 1.5 V - 4 CELLS pcs 5 11 Apron, utility made of Embossed soft PVC sheet thickness mm -Width 36" length 38"(+/-2") pcs 5 stitched edges. Boilable, moisture proof and stain resistant ; withstand temperature extremes 12 Rain poncho, plastic, Embossed soft PVC sheet, with hood and moulded press fit buttons pcs 5 thickness of the PVC sheet mm, Width approx 51(+/-2")" length approx. 40(+/-2") Note : Cost of Part A + Part B to be quoted separately Cost for packaging/ handling/duplicating of leaflets to be included in the unit price. Subkit no. 3 Emergency Contraception subkit 1 1 packet Postinor per woman containing 2 pils /pkt (To be purchased from UNFPA supplier ) pkt 50 pck 2 10%wastage pkt 5 pck Total pkt 55 pck 3 Erythromycin 500 mg tablet tabs Cefixime 400 mg tablet (single dose) tabs 50 5 Emergency Contraception Leaflet sets 2 6 Pregnancy test, hcg test strip pcs 25

5 Subkit no. 4 Oral and Injectable contraception subkit 1 Cycle Levonorgestrel 0.15 mg +Ethinyloestradiol 0.03mg (113 cycles x 3 months) 340 cycle 2 10% wastage 34 cycles Total 374 cycles 3 Instruction on use of Combined Oral Contraceptive (Leaflet for Service Provider) 5 sets 4 Emergency contraception pills (Postinor 2) (20 women x 3 month) 60 tabs 5 Progestin only Pills Levonorgestrel 0.03mg (20 women x 3 months) 60 cycles 6 Instruction s on use of POP (Leaflet for service provider ) 2 sets 7 Medroxyprogesterone Acetate injection 150 mg/ 1ml for 3 months 300 vials 8 Syringes disposable 2 ml 300 pcs 9 Needles, disposable, 21 G (injection and aspiration) 600 pcs 10 Chlorhexidine solution 1litre 3 btls 11 Cotton wool, absorbent, non sterile, 100g 4 btls 12 Instruction on use of Injectables (Leaflet for Service Provider) 5 sets 13 Safety box for used syringes and needles, Capacity 5 L 3 pcs Subkit 5: Sexually transmitted infections (STI) Kit Genital Ulcers: 1 Benzathine penicillin 2.4MIU units, 1 dose injection vials 50 2 Syringe, 5ml, Luer, disposable, hypodermic. pcs 50 3 Needle 21 guage x 1.5" disposable pcs Water for injection, 10ml plastic vials vials 50 5 Cotton Wool, 100g BP, 100% cotton, absorbent, non sterile 1 roll 3 6 Chlorhexidine digluconate, 5% solution, 1L. bottle 3 7 Erythromycin, 500mg tablets tabs 1100

6 Urethral discharge 8 Ciprofioaxin, 500mg. (single dose) tabs Doxycycline, 100mg. Tablets tabs 2000 Vaginitis 10 Metronidazole 250 mg tabs tabs Clotrimazole 500 mg pessaries (single dose ) tabs 100 Cervicitis: 12 Ciprofioaxin, 500mg. (single dose) tabs Doxycycline, 100mg.tabs tabs 300 For pregnant women: 14 Cefixime, 400 mg tablets(single dose) tabs Erythromycin, 500mg (as stearate) tabs 560 Condom distribution 16 Condoms (20) gross pcs Safe sex leaflets sheets Poster for syndromic diagnosis of STDs pcs 1 19 Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) bxs 4 20 Sealed polyethylene Envelope, plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm pcs 10

7 Subkit 6: Delivery kit ` General equipment: 1 Sphgmomanometer, Aneroid, 300 mm with cuff 2latex bags and bulb, air flow/intake valve with zipper case pc 1 2 Stethoscope, Binaural, Dual head chestpiece aluminium, private label. Non-chill rubber ring,external spring I pce 1 3 Stethoscope, Foetal pinard pc 2 4 Kidney basin, 825ml, appr.205 x 108 x 40 mm, SS 18/8, deepdrawn 0.8mm 1 pce 2 5 Clinical thermometer, oral/rectal,(easily readible dual scales) 1 pce 4 6 Hand/nail brush, surgeon's, white nylon bristles, plastic block, 14x6 rows 1 pce 2 7 Utility Apron, 90x112cm, PVC, opaque, plastic, bib type 1 pce 2 8 Sheeting, 90x180cm, clear pvc, able to withstand boiling water, moisture proof and stain resistant to blood etc 1 pce 2 9 Tourniquet, Latex rubber, 75 cm latex rubber tubing I.d. 7mm x o.d. 10mm pcs 2 Drugs; 10 Amoxycillin, 250mg, tabs. tabs Metronidazole, 250mg, tabs. tabs Tetracycline HCI, 1% eye ointment, 5g, tube. tube 6 13 Xylocaine, 20 ml vial vials xytocin, 10iu/ml, 1mi. vials 50 *KEEP COOL* 15 Sodium chloride (normal saline), 0.9%, 1000mi. bottle Infusion giving set, with airinlet and needle, sterile, disp. pcs Dextrose, 5% in water, 1000ml. pcs Infusion giving set, with airinlet and needle, sterile, disp. I pce Plasma expander, 500 ml pcs Magnesium Sulfate, Injectable,10ml vials Guidelines for Management of women with pre-eclampsia and eclampsia(to be provided by UNFPA) pc 1 22 Calcium Gluconate, amp, 10 ml 100mg/ml vials 5 23 Water for injection, 10mi. vials Chlorhexidine, 5% solution, 1L. bottle Urinary test strips for determination of glucose and protein.bx of 50 bx 3 26 Ferrous sulfate, 200mg and Folic acid 25mg - bx of bx 5 Disposable equipment: 27 Soap, toilet, 100gr, wrapped. Approx 3 1/2oz bar pc 30

8 28 Gloves, surgical latex size 8, sterile, disposable pair Gloves, surgical latex size 7, sterile, disposable pair Gloves examination latex, medium disposable - box of 100 bx 3 31 Umbilical tape, suture, 3mm wide, 100mm spool, cotton, non sterile. I pce 1 32 Urethral catheter, female, CH 12, 20cm. 2 eyes, disposable 1 pce Mucus extractor, disposable 20 ml,sterile pcs Suction tube, CH10, 53cm, straight, central opening, disposable. 1 pce Suction tube, CH12, 53cm, straight, central opening, disposable. 1 pce Syringe, 50ml, w/conical tip, dispsosable. pcs Suture, synthetic, absorb DEC3 2/0 needle semi-circled 3/8 round pcs Gauze pad, sterile 12-ply 10 x 10 cm pack of 5 pkts Cannula IV 20 G pcs Tape, adhesive tape, roll, 2cm x 5 m pcs 5 41 Syringes, disposable, 10ml pcs Syringes, disposable, 2ml pcs Needles, disposable, 21 G pcs Cotton wool, absorbent, non sterile 100gm rolls Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) bx 6 46 Sealed polyethylene Envelope, plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm pkts 10 Delivery set: 47 Scissors, cord cutting, Busch, curved or fiat, 160mm, (baby) I pce 1 48 Dissecting scissors, Mayo, straight, B/B, 17cm, SS. (mother ) I pce 1 49 Tissue forceps, spring type, Ix2 teeth, 14.5cm, SS. I pce 2 50 Instrument tray, stainless steel approx 22 x8 x 4cm with Crossbar handle. I pce 1 Suture set: 51 Dissecting scissors, Mayo, straight, B/B, 17cm, SS. I pce 1 52 Needle holder, Mayo-Hegar, straight, narrow jaw, 16cm, box lock, multiple ratchet, SS I pce 1 53 Tissue forceps, spring type, Ix2 teeth, 15 cm, SS. 1 pce 1 54 Instrument tray, 20 x 10 x 3cm, with lid recessed Crossbar handle. 1 pce 1 Administration: 55 Note Exercise book, 200 x 130 mm, 50 sheets ruled every 8mm Spiral wire bound on longside. 1 pce 2 56 Ballpoint pen, blue, with cap. 1 pce Nylon handbag, approx. 50 x 40cm x 30cm, w/handles and top opening w/zipper multipurpose 1 pce 1

9 Sterilizing equipment: 58 Kerosene stove, cap. 1.2L (2 1/2 pint), single burner, pressure type, complete with necessary spare parts 1 pce 2 as follows: 2 nipples, 9 cleaning needles, 1 nipple key, 2 packings 2 leather washer and one plastic funnel with filter. 59 Sterilizer, dressing 39L fuel, 350 x 380 mm, w/o burner. 1 pce 1 Heavy cast alluminium alloy construction with metal to metal seal. Equipped with safety valve, manual pressure release valve, pressure/temperature guage, flexible metal tubing connection to exhaust air pockets bottom platform, round dressing container and instruction booklet. 60 Indicator, TST control spot - pack of pce 1 61 Spring wound timer, 0-60min, with alarm bell, plastic housing. 1 pce mm diameter, 2 large sweep hands - one indicating seconds, the other recording minutes start stop lever and zero reset lever. Housed in metal case. Runs for 30hours on one winding. 62 Instruction manual for sterilizing by pressure cooker and autoclave pc 1 Lighting: 63 Frontal lamp, with adaptor for 4 batteries R6. 1 pce 1 64 Battery, 1.5V, type R6 (AA). Dry cell (Alkaline) 1 pce Lantern Kerosene pressure approx 400mm (16")high pc litre capacity, complete with filling can, spanner, key for needle, nipple, washer for cap with 6 spare mantles and extra socks Subkit 7: IUD Kit Set for insertion and removal IUD 1 Vaginal speculum, Graves bi-valve, small, 75x20mm blades, SS. V 1 pce 1 2 Vaginal speculum, Graves bi-valve, medium, 75x20mmbaldes, SS. 1 pce 2 3 Vaginal speculum, Graves bi-valve, large, 75x20mm blades, SS. V pc 1 4 Sponge-holding forceps, straight 20cm, serrated jaws, box lock,. Multiple ratchet, SS 1 pce 1 5 Hysterectomy forceps, Pean, 22cm, SS, straight, box lock, multiple ratchet 1 pce 2 6 Uterine sound, Simpson, graduated in 2cm, 30cm, SS. J 1 pce 3 7 Uterine foreceps, DBL-CVD Duplay, t-naculum, double curved, 28cm, box lock, multiple ratche, SS 1 pce 1 8 Uterine scissors, Sims, 20cm, curved, B/B, screw joints, SS. 1 pce 1 9 Instrnt/dressing tray, 32 x 15 x 8cm, covered, 18/8 SS, with flat overlapping cover and centre crossbar handle 1 pce 1 10 Copper T 380 A - ( To be purchased from UNFPA recommended supplier sets 90

10 11 Doxycycline, 100mg, tabs (2 tabs single dose) tabs Sealed polyethylene Envelope, plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm pkt 1 13 Chlorhexidine digluconate, 5% solution, 1L bottle 3 14 Gauze swab, sterile 76 x 76 mm pack of 20, sterile, pkt Gloves,surgical latex size 8, sterile disposable, pair pair Gloves,surgical latex size 7, sterile disposable, pair 1 pair Solution cup, 180ml, SS, 0.5mm. 1 pce 1 18 Kidney basin, 825ml, 25 x 13 x 35 cm SS 18/8, deepdrawn 1 pce 2 Subkit 8: Management of complications of abortions kit Manual Vacuum Aspiration (MVA) IPAS set 2 x IA 18) 1 Double valve syringes pcs 4 2 Replacement double valve set sets 2 3 Cannula Flexible 6 mm sterile disposable pc 8 4 Cannula Flexible 7 mm sterile disposable pc 8 5 Cannula Flexible 8 mm sterile disposable pc 8 6 Cannula Flexible 9 mm sterile disposable pc 4 7 Cannula Flexible 10 mm sterile disposable pc 4 8 Cannula Flexible 12 mm sterile disposable pc 4 9 Set of Adapters sets ml bottle of silicone blt 8 11 Dennistan dilators, set of 5 Ipas 5 double ended, tapered dilators (covering a range of 3mmto 14mm) sets 4 12 Leaflet for incomplete abortion (IPAS)(French and English version) 1 copy each ea 2 13 Manual vacuum aspiration guide for Clinician (IPAS) (French and English version) ea 2 14 Clinical Management of abortion complications - a practical guide, WHO 1997 (French /English version) ea 2 15 Protocol for reusing MVA IPAS instruments Set D&C (MSF KSURBCUR 18): 16 Curette, Gordet, 12cm, blunt SS. 1pce 1 17 Curette, Simon, 6mm, blunt, SS. 1pce 1 18 CureRe, Cuzzi, 17mm, blunt SS. 1pce 1 19 Uterine dilator, Heger, simple one-ended, SS, sizes (one of each) 4/6/8/10/12/14/16/18 mm MED 7071 set 1 20 Dressing forceps, Cheron, 25cm, straight SS. MED pce 1

11 21 Forceps, Muzeux 24cm, jaw 10mm MED pce 1 22 Gallipot, cap. height 4.5cm, diam. 8.5cm, SS 100ml. 1pce 1 23 Probe Uterine, Sims, MED pce 1 24 Vaginal retractor, Doyen, medium, blade 8.5cm x 4.5cm, SS. MED pce 1 25 Vaginal speculum, Coilin, 100mmx35mm,SS. MED pce 1 26 Speculum, Jayle with detachable weight 1pce 1 27 Instrument tray, 40 x 20 x 10 cm stainless steel pc 2 28 Gloves, surgical latex size 8, sterile,disposable pair 1pair Gloves, surgical latex size 7, sterile,disposable pair 1pair Examination glove, size medium, latex, disposable box of 100. bx 1 31 Syringe, 10ml, disposable sterile pc Syringes, disposable 2 ml in 0.1 ml graduations, conforms to BS 5081 or equivalent pcs Needles, disposable 21 Gx1.5" (0.80 x 40mm) luer fitting sterile conforms ISO 7864 or equivalent pcs Gauze swab, 76 x 76 mm sterile, 12-ply, pkt of 20 pkt Sealed polyethylene Envelope, plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm pkt 1 36 Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) bx 3 Drugs: 37 Doxycycline, 100mg. tabs Metronidazole, 250mg. tabs NADCC tabs - box of 200 (to replace bleach solution) bottle 2 40 Oxytocin, 10iu/ml, 1ml ("KEEP COOL") amps Lidocaine HCI 1%, 20ml vials Atropine sulfate, 500 mcg, BP injection 1mI vials Water for injection, 10ml vials Chlorhexidine solution, (Hibiscrub), 500ml btl 3 45 Chlorhexidine digluconate, 5 % solution, 1L 1 bttl Leaflet for women pcs 60 Subkit 9: Suture of tears and vaginal examination. Set cervix and vaginal tears suture: 1 Dissecting scissors, Mayo, straight, B/B, 17cm, ss. 1 pce 1 2 Needle holder, Mayo-Hegar, straight, narrow jaw, 18cm, box lock, multiple rachet, SS 1 pce 1

12 3 Vaginal rretractor, Doyen, medium, blade 8.5cm x 4.5cm, SS. 1 pce 2 4 Vaginal speculum, Graves, bi-valve, medium, 95 x 35 mm blades, SS.(3 3/16 x 1 3/8") wide blades 1 pce 1 5 Vaginal speculum, Garves, bi-valve, small, 75X20mm (3 x 3/4 " wide blades, SS. 1 pce 1 6 Vaginal speculum, Graves, bi-valve, large.115 x35 mm blades (4 1/2 x 1 3/8" wide blades) SS. 7 Sponge-holding forceps, straight, 20cm, serrated jaws, box lock, 1 pce 2 8 Instrument/dressing tray, 32 x 15 x 8 cm wit h, 18/8 SS, 1pce 1 9 Suture, synthetic, absorb, DEC4 (1),needle 1/2, 36 mm, tri- box of 12 bx 6 10 Suture synthetic absorb, DEC3 (2/0) needle semi circled 3/8, 30mm round box/ Suture chromic absorbable 0/0, needle semi circled, box of 12 box/ Gauze pad,, 10 x 10 cm sterile, 12-ply, packet of 5 pkt Gloves, surgical latex, size 8 sterile, disposable, pair pairs Gloves, surgical latex, size 7 sterile, disposable, pair pairs Gloves, examination, latex, medium disposable box of 100 gloves box 2 16 Vaginal lubricant jelly /exploration gel 82 gm (K-Y) tube 1 17 Cholrhexidine digluconate, 5% solution, 1L. Bottle bottle 4 18 Povidone iodine solution 10 % BOT / 500 ml btl 2 Subkit 10: Vaccum Extraction Subkit 1 Vacuum extractor compl. Bird (new) - UNIPAC code PCE 1 with three bird metal extraction cups (40,50 and 60 mm opening diameter) and two soft silicone extraction cups (50 and 60 mm opening in diameter), complete with two extraction handles, hand operated vacuum pump, wire hanging rack, vacuum guage, vacuum bottle and all necessary fittings, gaskets and tubes, plus one spare bottle, spare gaskets, three meter s of extra transparent silicone rubber tubing and five pieces of extra bottom plates for each size of metal extraction cup ( (40,50 and 60mm) Subkit 11: Referral level subkit for reproductive health Part A: Reusable equipment 1 Box, abdominal, 42 instruments (MSF: KSURBABD42): 2 Instrument tray, 40 x 20 x 10 cm, shallow, SS. 1 pce 1 3 Towel clamp, Backhaus, 10.5cm, box lock, multiple ratchet, SS. 1 pce 4

13 4 Hemostatic, artery, forceps, Bengolea, 20cm, curved serrated jaws, SS. 1 pce 2 5 Hemostatic artery and tissue forcep, Chaput, 14cm, 2x3 teeth, SS. 1 pce 2 6 hemoststaic artery forceps, Crafoord (Coller), 24cm, curved, SS. 1 pce 2 7 Hemostatic artery forceps, Kelly, 14cm, SS, curved. 1 pce 10 8 Hemostatic artery forceps, Mosquito halstead, 12.5cm, curved, box lock,multiple ratchet, SS 1 pce 6 9 Hemostatic artery forceps, Kocher, 14cm, SS, straight, 1x2 teeth, box 1 pce 2 10 Hemostatic artery forceps, Mixter, 23cm, delicate. 1 pce 2 11 Dressing forceps, 14.5cm, straight, SS, spring type, serrated rounded tips. 1 pce 1 12 Dressing forceps, 25cm, SS, spring type, serrated rounded tips. 1 pce 1 13 Intestinal clamp, Doyen, 23cm, curved, box lock, multiple ratchet, 1 pce 2 14 Peritoneal forceps, Faure, 21cm, slightly curved. 1 pce 2 15 Tissue forceps, Duval, 23cm, fenestrated jaws, 20mm, SS. 1 pce 2 16 Tissue forceps, 14,5cm, 1x2 teeth, straight, SS. 1 pce 1 17 Tissue forceps, 25cm, 1x2 teeth SS. 1 pce 1 18 Gallipot, cap, 0.5 ltr., height 12cm, SS. 1 pce 1 19 Needle holder, Mayo-Hegar, straight, narrow jaw, 18cm, box lock, multiple ratchet, SS 1 pce 1 20 Abdominal retractor, Coilin, 110 mm bla., 80x38 65 x 55 mm 1 pce 1 21 Abdominal retractor, Gosset, 2 blades 55mm, opening 115mm, SS. 1 pce 1 22 Abdominal retractor, Rochard, 28cm, baldes 115x65mm, SS. 1 pce 1 23 Abdominal retractor, Farabeuf, double ended, 15cm pair 1pc 1 24 Fixation unit for abd. Retr. Rochard, 19cm fold, 1 pce 1 25 Knife handle, for major surgery, no. 4 for blade nos. 20, 21, 22, pce 1 26 Dissecting scissors, Metzbaum, 18cm, curved, B/B, SS. 1 pce 1 27 Dissecting scissors, Nelson (Metzenbaum0 23cm, curved, B/B, SS. 1 pce 1 28 Dissecting scissors, Mayo, curved, B/B,17cm, SS. 1 pce 1 29 Dissecting scissors, Mayo, curved, B/B, 23cm, SS. 1 pce 1 30 Ribbon spatula reatrctor, malleable, 27x25cm, SS. 1 pce 2 31 Nozzle suction, 28 cm Yankauer, chrome plated 1 pce 1 32 Suction tube, 22.5cm, 23 French guage, SS. 1 pce 2 33 Suture needle, size 6, surgeons regular, 1/2 circle, spring eye, round bodied needle, SS pkt of 6 pkt 8 34 Triangular point Suture needle, abdominal, 7.3cm, size 6 regular eye, SS, pkt of 20 pkt 2 Embryotomy set 35 Cranioclast, Braun, 42 cm pc 1 36 Hook, depcapitation, Braun 31 cm pc 1

14 37 Perforator, Smellie, straight 27 cm pc 1 38 Scissors, gyneco, curved, blunt/blunt 27 cm pc 1 Desinfection equipment: 39 Solution cup, 180ml, SS, 0.5mm. 1 pce 1 40 Sponge-holding forceps, straight, 22.5cm serrated jaws, box lock, multiple ratchet, SS 1 pce 1 Suction apparatus 41 Foot operated suction pump for adults set 1 Pump Aspirating, surgical portable -f oot operated with suction capability up to 600mm Hg Twin cylinder piston pump easily operated by foot or hand 42 Suction apparatus pediatric foot-operated set 1 same as item 41 but for pediatric use Resuscitation equipment: 43 Baby resuscitator, (Laerdal) Neonatal hand operated with mask no set 2 44 Adult resuscitator, Ambu type Mark III - including mask no set 1 45 Set of airways Guedel, transparent (Mayo cannula ) 6 sizes (00, 0, 1, 2, 3,4) 1 pce 1 Subkit 11: Referral level subkit for reproductive health Part B: Drugs and Disposable Equipment Drugs: 1 Ampicillin powder, 1gr vial vials Gentamycin, 40mg/ml, 2ml. Injectable amps Water for injection, 20 ml vials vials Metronidazole, injectable, 100ml, plastic pouch, 5mg/ml box of 50 bx 4 5 Methylergometrine maleate, 0.2mg/ml. Injectable 1ml (KEEP UNDER REFRIGERATION) amps Oxytocin, 10iu/ml, 1ml. (KEEP UNDER REFRIGERATION) amps Xylocaine 1%, 20ml vials vials Calcium gluconate, 10%, 10ml. 100mg/ml amps 30 9 Magnesium sulphate, 15% 10ml. amps Guidelines for management of women with preeclampsia and eclampsia ea 1 11 Hydralazine HCI, pwd for inj mg/ml 2ml. vials Quinine di-hci, 300mg/ml, 2ml. amps 200

15 13 Metronidazole, 250mg.tabs tabs Amoxycillin, 500mg tabs tabs Paracetamol, 500mg.tabs tabs Quinine sulphate, 300mg.tabs tabs Doxycycline, 100mg.tabs tabs Pregnancy Test kit. Temperature stable hcg (Planosec 505) (KEEP COOL) tests Tetracycline HCI, 1%, eye ointment, 5g, tube. tube Dextrose 5% in water, 1000ml 1 pce Infusion giving set, with airinlet and needle, sterile, disp for Dextrose 1 pce Saline solution Sodium chloride (normal saline), 0.9%, 1000ml. bottle Infusion giving set, with sirinlet and needle, sterile, disp for Saline soln. 1 pce Haemacell 500 ml with set bottle Chlorhexidine soap 5 % solution, (Hibiscrub), 500ml. bottle NaDCC tabs - box of 200 bx 2 27 Chlorhexidine digluconate, 5% solution, 1L. bottle Lidocaine 2%, 20ml. vials Lidocaine HCI 5%, spinal heavy 2ml. (dextrose 7.5%) vials Ketamine injectable 50mg/ml, 10ml. vials Water for injection, 20ml vials 100 Renewable material: 31 Suction tube, Ch10, 53cm, straight, central opening, disposbale. 1 pce Suction tube, Ch12, 53cm, straight, central opening, disposable. 1 pce Catheter I.V. cannulae, 20gxi 1/4", disposable 1 pce Catheter IV 18 g, disposable pc Spinal needle 23G x 3.5" pc Syringe hypo, 1ml, 0.1 graduation r pc Adhesive plaster, 2 cm x 20 m, zinc-oxide on plastic spool. 1 pce Infusion giving set, with airinlet and needle, sterile, disp. 1 pce Hand/nail brush, surgeon's nylon bristles, plastic block, 95x40mm 1 pce Gloves, surgical latex size 8, sterile, disposable, PAIR 1 pair Gloves, surgical latex size 7, sterile, disposable, PAIR 1 pair Gloves, examination,latex, size medium, disposable - box of 100 bx 5 43 Suture, synthetic absorbable, DEC4 (1) needle 36 mm, 4/8 tri pcs Suture synthetic, non absorbable DEC3 (2/0), needle 3/8 30mm, round pcs 140

16 45 Suture, synthetic absorbable, DEC 3 (2/0), spool pc Suture, synthetic, absorbable DEC 3 (2/0) needle 4/8, 30mm round pc Catheter, Urethral Foley,sterile with balloon, ch 14 pcs Plastic urine bag for catheter Urethral Foley with outlet pcs Drapes in strong cotton, 1.5 square meter pcs 6 50 Spinal needles 22g (0.7x90mm) sterile disposable pcs Syringes 2ml, luer disposable pcs Syringes 5ml, luer disposable pcs Syringes 10 ml, luer disposable pcs Needles 21 g- hypo - disposable pcs Gauze pad, sterile 12Ply, 10 x 10 cm pack of 5 pkt Tape, adhesive 2cm x 5 m pcs 5 57 Surgical knife blades no. 10 pcs Sealed polyethylene Envelope, plastic 10 x 15 cm pack of 100 (for drugs distribution)-thickness 0.08mm pkt 1 60 Safety box for disposal of used syringes and needles by incineration Capacity 5 L boxes (Polynor) bx 5 Subkit 12: Transfusion Subkit 1 Bloodgroup anti-a, 10ml fl.dropper amp 1 2 Bloodgroup anti-a + b, 10 ml fl.dropper amp 1 3 Bloodgroup anti-b, 10 ml fl.dropper amp 1 4 Rhesus Test, anti D, 10ml dropper amp 1 5 HIV HIV- Rapid test, (HIV SPOT) 100 tests/kit (Maximum shelf life to be indicated) (REFRIGERATION) kit 1 6 HBsAg rapid test, 100tests pc 1 7 HCV rapid test, 100 tests pcs 1 8 RPR test, 100 tests pc 1 9 Microhaemotocrit centrif. (battery/mainstream) Het2075, incl.reading disc "Compur +Transformer" 1 PCE 1 10 Capillary tube, haematocrit per microcentiliter "Compur"(9microliter) pcs Cuff for bloodbag 0-1L with sphygmomanometer 1 PCE 1 12 Battery alkaline, R14, 1.5V Type C26 x 50 mm 1 PCE 6 13 Blood bag + CPD- 35ml for 250ml blood + taking set bags Blood giving set with air inlet and needle, disp pcs 100

17 Population data on which the RH kit is based Adult males 20% Women of reproductive age (WRA) 25% Crude birth rate (CBR) 4% number of pregnant women number of deliveries Complicated abortions/pregnancy 20% Vaginal tears/delivery 15% Caesarean sections/delivery 5% WRA who are raped 2% WRA using contraception 15% oral contraception 30% injectables 65% IUD 5%