PUBLIC HEALTH & COMMUNITY MEDICINE

Material Management (lectures)- Mrs Sachi Regmi

Definition
• Materials management is using different methods and techniques to ensure the supply and usage of materials in right quantity, and right quality from a right source at a right price in right time and at right place.
 
Inventory control
• Inventory control is maintenance of stocks at a level at which purchasing and stocking costs are the lowest possible without interference with the supply.
• ABC analysis
A- 20% of the items= 80% of the cost
B- 30% of the items= 15% of the cost
C- 50% of the items= 5% of the cost
 
Steps in purchasing
• Specifications, requirement and requisition
• Check specification, prices and suppliers
• Purchase plan
• Select supplier-enquiry, tender, price and terms
• Place a purchase order, supliers acceptance
• Delivery, materials receipt, inspection and payment
 
Purchasing process
• Preparing tender: specification of materials, quantity and quality, qualification of suppliers and bidding process
• Call for tender: 1. technical bid and financial bid
• Discussion regarding technical bid
• Selecting technically sound suppliers
• Negotiation on financial bid.
• Selecting on the lowest bid
 
Lead time
• Lead time is the gap between the process of initiating a purchase and the acceptance of the supply.
• Internal lead time
• External lead time
• Lead time should be as short as possible
• Accelerate internal procedures
• Fix time for supply and introduce penalty clause
 
Maintenance
• Types of maintenance
• Daily maintenance
• Preventive maintenance
• Breakdown maintenance
• Ways of maintenance
• In-house maintenance
• Contract maintenance
 
Preventive maintenance
Definition
• Is a systematic maintenance procedure wherein the condition of the equipment is constantly watched through a systematic inspection programme and prevention of the incidence of breakdown
 
The system
• Periodical inspection
• Periodical servicing
• Replacement of parts
• Overhauling of equipments
 
Logistic management
• Making available the right material at the right place and the right time.
• Problems related to transportation, terrain and administrative hurdles.
• Issues related to transporting patients, blood samples, vaccines, drugs and so on.
 
Receiving and Storage of Materials
Receiving
• Receiving is actually accepting the legal responsibility for receipt and quality of receipt and consequently payment of goods and services
• During receiving, any problem in a specific purchase or error in transaction should be detected such as shortage, damage of materials, wrong items e.t.c.
• A detail report of receipt should be made.
• There should be close co-ordination between purchase and receipt
 
Steps of typical receiving
• Unloading and checking the supply
• Unpacking and inspecting the material (checking it with supply order)
• Completion of receiving report
• Delivery of materials to the users
 
Storage
• After receiving, materials are stored in store room until its distribution to respective departments.
• Concept of Central store is popular due to cost containment, reduction in space and reduction in stock outs due to better control.

 
Benefits of good storage
• Ready accessibility of major material, permitting efficient service to users
• High degree of flexibility of arrangement
• Efficient utilization of space
• Reduced need for material handling equipment
• Minimization of material deterioration
• Minimization of material pilferage
• Ease of physical counting
 
Storage Method
• FIFO: First In First Out method
• To issue the material always from one end of the shelf and keep the new material on the other end of the shelf
• It is the simplest and most practical methods of storage
 
Storage facilities
• Maintenance of temperature according to material (e.g. refrigerator for vaccines)
• Proper temperature check of room
• Fire proof room for inflammable materials
• Fire extinguisher should always be available
• No direct sun light in the room
• Adequate light for the room
• The room should be dry with adequate ventillation
• It should be cleaned regularly
• It should be vermin proof
• It should have proper material handling equipment such as cart for moving supplies easily
 
Location, Design and Size Conditions
• Usually in basement, away from laundry and autoclaving unit
• Quick and easy main road access to higher concentration of user
• Sufficient enough to store all necessary commodities of an organisation
 
Layout
• A straight line flow of activity through store room with as little back tracking as possible
• Minimum handling as possible
• Efficient use of space
• Provision for flexibility and expansion
 
Hazards to store: Physical
• Drops of shocks due to breakage of bottles
• Impacts or bumps may damage instruments or break glass ware
• Vibrations may result in breakage of electric filaments
• Compression may cause crushing of stocks at lower layers
 
Hazards of store: Climatic
Temperature: Freezing temperature may cause precipitation, crystallization and breakage of rubber articles and thickening of lubricants
• Pressure is important for pack sealed air tight
• Moisture, gases, vapor e.t.c may spoil various articles
• Dust and grit may make the items non consumable
• Light may affect photographic chemicals

 
Hazard to store: Biological
• Insects
• Micro organisms
• Rodents
 
Record keeping of store
• Ledgers and Registers: Post all the receipts and issues and maintain stock ledger
• Cardex System: uses cards, 60 cards in each 9 to 10 trays with visible lower portion. Receipts and withdrawal both are posted in these cards
• Computers: store records are stored in computers
 
Stock Verification
• Perpetual inventory method: verification by daily checking of a few items so that all items are checked at least twice a year. Any discrepancy between the card and actual stock is immediately investigated.
• Annual stock Taking method: Physical verification of all items once a year