30.7 Nebulizer 1 1 2 2 2 2 more required 30.8 Billirubino-meter 1 1 2 0 2 30.9 Exchange Blood Transfusion Set 1 1 2 0 4 4 more required 30.10 Nasal Probe Paed size 2 2 4 0 4 31 Anaesthesia/ICU 31.1 Anaesthesia Machine 1 1 2 2 2 2 more required 31.2 Ventilators 1 1 1 1 1 1 more required 31.3 Nebulizer 1 1 1 0 1 31.4 Pulse Oximetry 1 1 1 1 1 1 more required 31.5 Defibrillator 1 1 1 1 1 1 more required 31.6 Airway Oral and Nasal 2 3 4 4 4 4 more required 31.7 Tracheostomy tube (adult and paeds) 2 2 4 0 4 31.8 Face mask of all sizes 2 2 4 4 4 4 more required 31.9 Double Cuff Tourniquet (for regional block) 1 2 2 0 2 31.10 AMBO bag adult 2 2 4 3 1 31.11 AMBO Bag paeds 2 2 4 1 3 31.12 Red Rubber Nasal tubes all sizes without cuff 4 4 8 0 8 32 Blood Bank 32.1 Blood storage cabinet (100 bag capacity) 1 1 2 2 2 2 more required 32.2 Packed cell machine 1 1 1 1 1 1 more required 32.3 Cell Separator 1 1 1 1 1 1 more required 32.4 Freezer for Fresh Frozen Plasma 1 1 1 1 1 1 more required 32.5 Blood bag shaker 1 1 2 1 2 32.6 RH view box 2 2 4 2 4 32.7 Water bath 2 2 2 2 2 2 more required
26.6 Hysterectomy Clamps (Curved) 8 8 8 0 8 26.7 Uterine Sound 2 2 2 2 0 26.8 Needle Holder (7”) 2 2 4 0 4 26.9 Needle Holder (10”) 2 2 2 0 2 26.10 Artery Forceps (Straight 6”) 16 16 16 0 16 26.11 Artery Forceps (Curved 6”) 16 16 16 10 6 26.12 Allis Forceps 8 8 8 4 4 26.13 Towel Clamps 8 8 8 4 4 26.14 Single blade Sims speculum 4 4 4 0 4 26.15 Double blade Sims speculum 4 4 4 2 2 26.16 Sponge holding forceps 8 8 8 4 4 26.17 Volselum forceps 4 4 4 4 0 26.18 Uterine Sound 2 2 2 2 0 26.19 Bladder Sound 2 2 2 0 2 27 Delivery Sets 27.1 Episiotomy Scissors 6 6 10 0 10 27.2 Straight Scissors 6 6 10 0 10 27.3 Needle holder 6 6 10 4 6 27.4 Non-toothed tissue forceps 8 inches 6 6 10 4 6 27.5 Toothed tissue forceps 8 inches 6 6 10 4 6 27.6 Sims Speculum single blade 12 12 20 0 20 27.7 Sims Speculum double blade 12 12 20 0 20 27.8 Sponge holding forceps 40 40 40 10 30 27.9 Artery forceps 40 40 40 10 30 27.10 Straight clamps (cord) 20 20 30 10 30 27.11 Vacuum Extractor pump 1 1 1 0 1 27.12 Towel clip 40 40 40 10 30 28 Caesarian Section 28.1 Scalpel 4 4 6 0 6 28.2 Artery Forceps Straight 6 inches 16 16 24 14 10
Gender discrimination Deworming campaign Short refresher trainings of LHWs about balanced diet and provision of micro-nutrients Batch of 50 LHWs For 1 Days 40 20 10 10 Social taboos and norms of supplements Procurement of tablets No. of courses 450,000 150,000 150,000 150,000 Worm infestation Diagnosis and treatment of infections Purchases of micronutrients & Distribution through LHWs / health facilities Pack of 100 Tablets 450,000 150,000 150,000 150,000 Purchases of micronutrients & Distribution through LHWs / health facilities Pack of 100 Tablets 450,000 150,000 150,000 150,000
2 Diarrhea under 5 children Poor Hygiene & sanitation Coordination with TMA for improvement of water supply and sanitation Quarterly meetings with TMA and other agencies Meetings 12 4 4 4 Lack of safe drinking water Awareness raising campaign Messages on local cable network Monthly Telecast - - - - Integrated activity Unhygienic practices Proper treatment of Diarrhoea including ORT Printing and distribution of IPC material Brochure 400,000 200,000 100,000 100,000 Lack of awareness among mothers about feeding and weaning practices Health awareness in the community Conduction of HES in the community Session 2,000 600 700 700 Capacity building of health staff in Integrated Management of Childhood Illnesses (IMCI) Training of medics and paramedics in IMCI Batch 8 4 2 2
Procurement and distribution of ORS and Zinc Sulphate ORS packets 4,500,000 1,500,000 1,500,000 1,500,000 3 Hepatitis Poor sanitation Health Quarterly meetings with TMA and other agencies - - - Integrated activity Unsafe drinking water Campaign against quackery Messages on local cable network Monthly Package - - - - Integrated activity Sharing of used syringes Strengthening blood transfusion services for safe transfusions Printing and distribution of IPC and hepatitis awareness material Brochure 300,000 100,000 100,000 100,000 Transfusion of unsafe/unscreened blood and blood products Campaign against drug addiction Procurement and supply of screening kits Kits 600,000 200,000 200,000 200,000
Unsafe sexual practices Regulatory mechanism to ensure use of safe instruments by dentists, barbers etc. · Procurement of safety boxes cutter 1,000 500 300 200 Ear piercing and tattooing · Procurement of drugs for treatment of Hepatitis patients Injection 30,000 10,000 10,000 10,000 Use of unsterilized equipment by dentists and barbers · Develop and implement SOPs for sterilization of equipment - SOPs
Sr. Problem Causes Intervention Activity Unit Plan Activities Targets Target for Target for 2011-12 Target for 2012-13 Remarks 4 TB Low status Health Messages on local cable networks Monthly telecast 36 12 12 12 Integrated activity housing facilities Strengthening TB DOTS program through involvement of private sector Messages through FM radio channels Alternate Month 36 12 12 12 Integrated activity Malnutrition Printing and distribution of IPC and TB awareness material Brochure 300,000 100,000 100,000 100,000 Seasonal variation Procurement of drugs to address deficiency according to regimen Treatment day 3,132,000 960,000 972,000 1,200,000 Lack of proper sanitation Lack of awareness and hygienic practices
5 Resistant Malaria (Falciparum) Breeding places for mosquitoes Public awareness campaign Printing and distribution of Health Education material Poster 100,000 40,000 40,000 20,000 In judicious use of anti malarial by GPs And HCPs Strengthening Malaria eradication program Provision of lab Microscope , allied kit 60 60 - - Lack of awareness for prevention Training of health care providers / GPs on Roll back malaria Training 40 20 10 10 Antimalarial drugs aursonate tablets, Tablet (Pack of 100) 3,000 1,000 300 200 Antimalarial drugs Primaquin, Tablet (Pack of 100) 8,000 3,000 1,000 1,000 Antimalarial drugs Chloroquin Tablet (Pack of 100) 400,000 75,000 45,000 30,000
Purchase of insecticide delta methrine (Liquid 1.5 % ) Litre 8,000 2,000 2,000 2,000 Purchase of larvicidal Drug (Phenthion Granules) Kg 8,000 2,000 1,000 1,000 Purchase of larvicidal Drug ( Temiphos) Liquid Litre 4,000 500 500 500 Spray man 10 Squad of 6 persons x 25 days 30 10 10 10 Purchase of motor cycle for CDCSs Motor cycle 65 35 15 15 POL for motor cycles litre 27000 6300 9000 11700
6 ARI Malnutrition Health promotion campaign Messages on local cable networks Monthly Telecast 36 12 12 12 Integrated activity Air contamination Capacity building of health staff in Integrated Management of Childhood Illnesses (IMCI) Messages through FM radio channels Monthly Telecast 36 12 12 12 Integrated activity housing facilities Provision of medicines for ARI Printing and distribution of IPC material Brochure & Poster 100,000 50,000 30,000 20,000 Lack of proper sanitation Timely referral of complicated cases Training of medics and in IMCI Batch 8 4 2 2 Integrated activity Seasonal variation Procurement of drugs Oral Medicine Package 1,500,000 500,000 500,000 500,000
Lack of awareness related to winter season and hygienic practices Injectable 30,000 10,000 10,000 10,000 Procurement of nebulizing drugs Drug 2,100 700 700 700 7 Accident & Injuries Lack of traffic sense Coordination with police department to improve traffic sense and ensuring observance of traffic rules Quarterly meetings with Traffic Police department Meetings 12 4 4 4 Poor maintenance of vehicles Advocacy for improving the condition of roads Quarterly meetings with Highway department Meetings 12 4 4 4
Poor road conditions Health to prevent domestic accidents Preparation of Disaster Management Plan including the Patient Management protocols - - Plan Lack of safety measures at work place Ensure enforcement of safety laws at work places Training of the medics and the paramedics in first aid and emergency Training in Batch for 25 trainees 24 16 4 4 Fire-arm injuries Provision of emergencies medicines Provision of emergency kits for victims Kits 4,500 1,500 1,500 1,500 Domestic accidents Procurement of equipments / instruments / various splints and Plaster casts - - - - Plan Burns Drugs Drugs
Problem Causes Intervention Activity Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks 1. Inadequate medicine and supply Less budget allocation for medicines Need-based demand for provision of sufficient budget for medicines and supplies · Inclusion of enhanced amount for medicines and supplies in the proposed annual budget according to the needs - - - - - Need assessment Frequent increase in price - Demand generation for medicine. - - - - - Demand generation Procurement of essential drugs on the basis of allocated budget - - - - - Already addressed in health problems 2. Shortage of skilled staffs MNCH related · of trained staff · Filling of the vacant posts · Filling of the vacant posts of medics and the paramedics through existing recruitment committees - - - - - - · of staff according to MSDS · Sanctioning of trained staffs according to MSDS Temporary filling of vacant positions on contract - - - - - availability
Lack of permanent postings · Incentivized pay package at all levels Demand generation and request to the Department of Health by the districts for recruitment through PSC against vacant posts - - - - - Plan Lack of incentivized and differential pay package · Well defined career structure including opportunities for higher education · Orientation trainings of the recruited staffs Batch 8 4 2 2 - Frequent transfer postings · High level political commitment for providing protection to staff working in health facilities · Consensus building between the districts for uniform incentivized pay package for all categories and levels staff - - - - - Meeting Job insecurity - · Request to the Provincial Government for approval and implementation of agreed pay packages - - - - - Plan
· Lack of basic amenities at workplace Review and revise the career structure of medics and paramedics - - - - - Technical assistance · Lack of conducive environment including insecurity and transport of children for education Filling of Human Resource gaps as per MSDS Posts 129 62 34 33 Detail HR plan is attached - Posts 28 14 7 7 Detail HR plan is attached · Political and media interference HR 157 76 41 40 Detail HR plan is attached - · Capacity and need assessment of the medics and the paramedics - - - - - NO COST ACTIVITY
· Prepare training programs for providing higher professional education based on TNA - - - - - TNA 3. Inadequate budget for POL · Generator provision for backup of electricity supply Rational increase in POL budget Assessment of additional requirement - - - - - NO COST ACTIVITY · Less budget allocation - Costing and submission of additional demand - - - - - - · Frequent increase in prices - · Provision of POL budget for supervisory vehicles for DHQ litre 25,200 8,400 8,400 8,400 - - - · Provision of POL budget for supervisory vehicles for THQ litre 10,800 3,600 3,600 3,600 - - - · Provision of POL budget for EPI litre 54,360 18,120 18,120 18,120 -
- - · Provsion of POL budget for generator litre 810,000 270,000 270,000 270,000 - 4. Deficient infra structure · Debilitated condition of existing ·Make up the deficiencies against standards specified in MSDS · Identify the gaps in infrastructure of THQ and DHQ hospitals individually - - - - - - · Lack of repair and maintenance · Devise appropriate mechanisms for repair and maintenance · Costing of the gaps - - - - - - · Inadequate infrastructure for Emergency, Operation Theatre, OPD and Inpatients, residences for staff at THQ and DHQ hospitals · Provision of infrastructure at THQ and DHQ according to the MSDS · Phasing - - - - - Demand submission - · Provision of infrastructure MNCH services at DHQ hospital · Construction of MNCH blocks at DHQ hospital 1100 per square yard 7,700 - 7,700 - Estimated base
5. Inadequate MNCH Related · Deficient equipment to cater basic and comprehensive EmONC at primary and secondary level of care · Provision of the equipment in accordance with the notified equipment list Procurement of equipments for THQ and DHQ hospitals based on the gaps between MSDS and existing available - - - - - Detail attached · Old and equipment · Provision of adequate budget for maintenance and repair Allocation of enhanced amount for M&R of equipments - - - - - Submission of demand · Shortage of regular budget for M&R · Capacity building of staff regarding maintenance of log books of each equipment Orientation of staffs in maintenance of logos for equipments - - - - - Plan 6. Ineffective supervision / monitoring · No monitoring policy · Development of supervision/ monitoring policy Training of district managers in supervision and monitoring batch 6 2 2 2 - - · Lack of skills · Capacity building of mangers Procurement of transport for supervision Vehicles 2 2 - - -
Printing and distribution of IPC material Brochure 5 300,000 500,000 550,000 605,000 1,655,000 Short refresher trainings of LHWs about balanced diet and provision of micro-nutrients Batch of 50 LHWs For 1 Days 52,000 40 1,040,000 572,000 629,200 2,241,200 Procurement of de-worming tablets No. of courses 40 450,000 6,000,000 6,600,000 7,260,000 19,860,000 Purchases of micronutrients & Distribution through LHWs / health facilities Pack of 100 Tablets 30 450,000 4,500,000 4,950,000 5,445,000 14,895,000
Purchases of micronutrients & Distribution through LHWs / health facilities Pack of 100 Tablets 50 450,000 7,500,000 8,250,000 9,075,000 24,825,000 2 Diarrhea under 5 children · Quarterly co-ordination meetings with TMA and other agencies Meetings 3,000 12 12,000 13,200 14,520 39,720 · Messages on local cable network Monthly Telecast - - - - Integrated activity · Printing and distribution of IPC material Brochure 5 400,000 1,000,000 550,000 605,000 2,155,000 · Conduction of HES in the community Session 10000 2,000 6,000,000 7,700,000 8,470,000 22,170,000
· Training of medics and paramedics in IMCI Batch 244000 8 976,000 536,800 590,480 2,103,280 · and distribution of ORS and Zinc Sulphate ORS packets 5 4,500,000 7,500,000 8,250,000 9,075,000 24,825,000 3 Hepatitis · Quarterly co-ordination meetings with TMA and other agencies - - - - - - Integrated activity · Messages on local cable network Monthly Package - - - - - - Integrated activity · Printing and distribution of IPC and hepatitis awareness material Brochure 30 300,000 3,000,000 3,300,000 3,630,000 9,930,000
· Procurement and supply of screening kits Kits 50 600,000 10,000,000 11,000,000 12,100,000 33,100,000 · Procurement of safety boxes Syringe cutter 500 1,000 250,000 165,000 121,000 536,000 · Procurement of drugs for treatment of Hepatitis patients Injection 12,000 30,000 120,000,000 132,000,000 145,200,000 397,200,000 · Develop and implement SOPs for sterilization of equipment - - - - - SOPs 4 TB Messages on local cable networks Monthly telecast 36 - - - - Integrated activity
Messages through FM radio channels Alternate Month 36 - - - - Integrated activity Printing and distribution of IPC and TB awareness material Brochure 5 300,000 500,000 550,000 605,000 1,655,000 Procurement of drugs to address deficiency according to regimen Treatment day 25 24,000,000 26,730,000 36,300,000 87,030,000
Management Problems Human Resource plan to bridge gap between MSDS and existing sanctioned posts Sr. Name of Post BS Basic Pay Allowances as per Gap Financial Targets Year I Year II Year III Pay of Officers Pay of other staff Pay of Officers Pay of other staff Pay of Officers Pay of other staff Allowances 1 18 12,910 18,099 - - - - - - - - - - 2 18 12,910 18,099 2 154,920 - 217,188 340,824 - 477,814 749,813 - 1,051,190 3 Anesthetists 18 12,910 18,099 4 309,840 - 434,376 511,236 - 716,720 749,813 - 1,051,190 4 MO / WMO 17 9,850 15,345 107 - 9,759,420 - - 23,394,987 5 Nurses 16 6,060 8,934 23 799,920 - 1,179,288 - 2,004,790 2,023,798 - 2,983,599 6 Lady Health Visitors 9 3,820 4,750 10 - 229,200 285,000 - 403,392 501,600 - 689,700 Grand Total 229,200 403,392 29,170,665
· Provision of POL budget for EPI litre 75 54,360 1,359,000 1,494,900 1,644,390 4,498,290 - · Provision of POL budget for generator litre 75 810,000 24,502,500 67,027,500 - 4 Deficient infra structure · Identify the gaps in infrastructure of THQ and DHQ hospitals individually - - - - - - - - · Costing of the gaps - - - - - - - - · Phasing - - - - - - - Demand submission
· Construction of MNCH blocks at DHQ hospital 1100 per square yard 1,100 7,700 - 9,317,000 - 9,317,000 Estimated base 5 Inadequate MNCH Related Procurement of equipments for THQ and DHQ hospitals based on the gaps between MSDS and existing available - - - 2,388,745 86,614,725 Detail attached - - Allocation of enhanced amount for M&R of equipments - - - - - - - Submission of demand - - Orientation of staffs in maintenance of logos for equipments - - - - - - - Plan 6 Ineffective supervision / monitoring Training of district managers in supervision and monitoring batch 74,500 6 149,000 163,900 180,290 493,190 -
Procurement of transport for supervision Vehicles 3,800,000 2 7,600,000 - - 7,600,000 - - Suzuki jeep 900,000 3 900,000 990,000 1,089,000 2,979,000 - - Suzuki jeep 900,000 1 900,000 - - 900,000 - Development and printing of monitoring tools Stationery checklist visit form 10,000 500 3,000,000 1,100,000 1,210,000 5,310,000 - - Total - - - - 78,580,465 285,187,018 -
SECTION 5: MONITORING & EVALUATION The proposed monitoring and evaluation targets and indicators will be used to gauge the progress of implementation of the plan. This will be done through: Developing indicators Identifying means of verification (MoV); and Plan for monitoring and evaluation of the district health plan M&E of Plan Indicators Target % Achievement MoV Responsibility Frequency of monitoring Remarks % of planned supervisory visits conducted 50 visits /year Inspection Book EDOH/DOH/ DDOH Quarterly % of RHCs with availability of specialists of essential specialties (Physician, Surgeon, Paediatrician and Gynaecologist) 100% During 1st year Pay Roll EDOH / DOH 6 monthly % of health facilities with of essential MNCH related equipment (level specific) 100% During 1st year Stock Register EDOH/ DOH/ MSs 6 monthly Availability of relevant (MNCH) laboratory equipment at appropriate level of care 100% During 1st year Stock Register EDOH/ DOH/MSs, Store keeper Quarterly % facilities with availability of essential medicines 100% During 1st year Stock Register EDOH/ DOH/ MSs, Store keeper Monthly % of functional ambulances in the district 100% (DHQH/ THQH/ RHCs) Log Book EDOH/DOH/ Transport officer Quarterly
% utilization of sanctioned budget 100% of yearly budget Quarterly Reports EDOH/ DOH/ MSs/ Accounts officer Quarterly % of facilities with availability of basic EmONC 100% (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of DHQ/THQ hospitals with Comprehensive EmONC services 100% in 3 years (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of facilities with availability of separate or partitioned room reserved exclusively for delivery 100% in 3 years (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of targeted pregnant women newly registered by LHW Target according to population DHIS Report EDOH/ Statistical Officer Quarterly % of targeted pregnant women received TT-2 vaccine Target according to population DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly Delivery conducted by or under supervision of skilled persons reported 90% (…. % During 1st year) DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly %of target children between 18 - 23 months of age fully immunized Target according to population DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of referred cases attended 100% DHIS Report/ LHWs monthly report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of targeted eligible couples provided knowledge and information on Family Planning methods Target according to population LHW’s monthly/ quarterly report EDOH/ Statistical Officer /Coordinator NP-FP&PHC Quarterly
Annex-I List of Private Health Facilities Name of facility Bed strength Remarks Rafique Anwar Memorial Hosp. 120 Jinnah Memorial Hosp. 120 -do- Allama iqbal Memorial Hosp. 100 -do- Alraee Hosp. 120 -do- Siddique Sadique Hosp. -do- Hawaa Memorial Hosp. 15 -do- Chatha Hosp. 33 -do- Fazal Memorial Hosp. 35 -do- Gondal Complex 35 -do- Cheema Hosp. 30 -do- Chohdary Hosp. 30 -do- Ashraf Hosp. 10 -do- City Medical Complex 30 -do- Haji Murad Hosp -do- Niaz Memorial Hosp. 40 -do- Sarwar Hosp. N. Virkan 10 -do- Salamat Hosp. kamoki 20 -do- M. Ali Family Hosp. Kamoki 10 -do- Rathore Hosp. Kamoki 10 -do- Hariis Medical Complex 20 -do- Faitma Hosp. 8 -do- Shazia Mehmood Hosp. 10 -do- 10 -do- Fatima Bashir Hosp. Gakhar 10 -do- Iqra Hosp. Alipur Chatha 10 -do- Umer Hosp. GT Road Gakhar 10 -do- Gakhar 15 -do- Niaz Hosp. Alippur Chatha 8 -do- Klair Hosp. Ali pur Chatha 10 -do- Iqra Complex Model Colony WZD 10 -do- Mother & Children clinic WZD 8 -do-
26.15 Double blade Sims speculum 4 4 8 8 30 150 4500 26.16 Sponge holding forceps 8 8 16 16 16 150 2400 26.17 Volselum forceps 4 4 8 4 4 300 1200 26.18 Uterine Sound 2 2 4 2 2 300 600 26.19 Bladder Sound 2 2 4 0 4 500 2000 27 Delivery Sets 27.1 Episiotomy Scissors 10 10 15 10 5 200 1000 27.2 Straight Scissors 10 10 15 10 5 200 1000 27.3 Needle holder 10 10 15 10 5 100 500 27.4 Non-toothed tissue forceps 8 inches 10 10 15 10 5 150 750 27.5 Toothed tissue forceps 8 inches 10 10 15 12 3 150 450 27.6 Sims Speculum single blade 20 20 30 20 30 400 12000 27.7 Sims Speculum double blade 20 20 30 3 27 400 10800 27.8 Sponge holding forceps 40 40 60 13 47 200 9400 27.9 Artery forceps 40 40 60 15 60 200 12000 27.10 Straight clamps (cord) 20 20 30 6 24 100 2400 27.11 Vacuum Extractor pump 1 1 1 1 1 10000 10000 27.12 Towel clip 40 40 60 60 0 125 0 28 Caesarian Section 6 8 10 28.1 Scalpel 6 8 10 1 9 400 3600 28.2 Artery Forceps Straight 6 inches 24 32 40 40 0 125 0 28.3 Artery Forceps Curved 6 inches 24 32 40 40 0 125 0 28.4 Artery forceps 8 inches 24 32 40 40 0 175 0 28.5 Myoma Scissors straight 7 inches 6 8 10 10 10 200 2000 28.6 Dissecting scissors (curved) 7 inches 6 8 10 10 10 3000 30000 28.7 Green Armtage forceps 8 inches 24 32 40 40 40 300 12000 28.8 Obstetric outlet forceps (pair) 6 8 10 1 9 400 3600 28.9 Doyene’s Retractor 6 8 10 4 6 1000 6000 28.10 Small Retractors 12 16 20 20 20 1000 20000 28.11 Towel Clippers 24 32 40 40 40 100 4000
30.9 Exchange Blood Transfusion Set 1 1 1 0 1 1000 1000 30.10 Nasal Probe Paed size 1 2 2 0 2 3000 6000 31 Anaesthesia/ICU 31.1 Anaesthesia Machine 1 1 1 0 1 100000 100000 31.2 Ventilators 1 1 1 1 0 525000 0 31.3 Nebulizer 1 1 1 1 0 165000 0 31.4 Pulse Oximetry 1 1 1 0 1 3000 3000 31.5 Defibrillator 1 1 1 1 0 10000 31.6 Airway Oral and Nasal 1 2 2 0 2 200 400 31.7 Tracheostomy tube (adult and paeds) 1 2 2 1 1 30000 30000 31.8 Face mask of all sizes 1 2 2 0 2 200 400 31.9 Double Cuff Tourniquet (for regional block) 1 1 1 1 0 320 0 31.10 AMBO bag adult 1 2 2 1 1 200 200 31.11 AMBO Bag paeds 2 2 2 1 1 200 200 31.12 Red Rubber Nasal tubes all sizes without cuff 4 4 4 0 4 400 1600 32 Blood Bank 32.1 Blood storage cabinet (100 bag capacity) 1 1 1 1 0 812000 0 32.2 Packed cell machine 1 1 1 1 0 600000 0 32.3 Cell Separator 1 1 1 1 0 5225000 32.4 Freezer for Fresh Frozen Plasma 1 1 1 1 0 1150000 0 32.5 Blood bag shaker 1 1 1 1 0 10000 32.6 RH view box 1 2 2 1 1 10000 10000 32.7 Water bath 2 2 2 2 1 20000 20000 32.8 Micro-pipette 4 4 6 4 2 20000 40000 32.9 Blood grouping tiles 3 3 3 3 1 10000 10000 32.10 Plasma Extractor 1 1 1 1 0 1000000 0 32.11 Platelets agitator 1 1 1 1 0 1000000 0 32.12 Blood thawing bath 1 1 1 1 0 3000 0 32.13 Microscopes 1 1 1 1 0 115000 0 33 Gynae & Labour Room Related Laboratory Equipment 0 33.1 Hematology Analyzer 1 1 1 6 0 425000 0 33.2 Electrolyte Analyzer 1 1 1 0 1 60000 60000