some ‘improvement nas come with the
Marshall Islands.
initiation cf service from Air
This is used and should continue to be ufed only as a
supplementary means
of
distribution
since
it
is
signifficantly
more
expensive.
Recommendations :
l.
The problem of not reimbursing suppliers
should be
[taken care of
through the administrative structure suggested in sectfion IV.
With
these suggested changes it should then become more fefsible for the
funds budgeted for supplies to be available for prompt payment of
invoices.
A separate department should be set up independent of thé
hospitals for
the organization, coordination, and control of the supply function for
hospitals and clinics.
The person in charge should
ve sufficient
expertise and experience to handle the inventory cont¥ol and supply
system for a health care system of this size.
The physigal location of
this department can remain at the hospital provided adequate storage
Space exists.
Development and maintenance of standard inventory lists
hospitals and outlying clinics.
For each of the
One list could be devel@ped for use in
most of the clinics since their situations will most [likely be very
similar to one another.
Lists such as these would ma
for the community health worker or heaith assistant to
supplies they are in most need of.
apply to the hospitals.
it very easy
determine which
This same reasoning would also
As new supplies are adopted
additions and
deletions should be made to keep the list up-to-date.
4.
Development of usage patterns related to workload so aq
to be able to
establish standing orders of some supplies and anticipafe needs of all
units.
Biweekly communication between the central supply dep
and outlying
centers with regard to needed supplies so that the central supply depot
can make use of al? opportunities to keep the outlying
For example, a particular clinic may be running low
medicine due to a local epidemic.
If the central depo
of the situation, alternate emergency shipments may
@nits supplied.
a particular
is kept aware
arranged for
through private boats or through Air Marshall Islands.
C57