Fistula kit by Figo and WAHA


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Obstetric Fistula: WAHA and FIGO work on fistula surgery kit. The kit contains medicine and medical material needed for 50 fistula surgeries. The aim is to lower costs in obtaining high quality surgical material for hospitals with fistula repair capacity.

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Fistula kit by Figo and WAHA

  1. 1. Fistula repair Kits Instruments, medical supplies and drugs June 2011
  2. 2. Rationale and aims <ul><li>Rationale : </li></ul><ul><ul><li>Controlling Fistula repair costs </li></ul></ul><ul><ul><li>Addressing shortages in drugs and medical supplies </li></ul></ul><ul><ul><li>Ensuring the quality of medical material </li></ul></ul><ul><ul><li>Standardizing the purchasing procedures and utilization </li></ul></ul><ul><ul><li>providing needed consistency and uniformity among partner hospitals </li></ul></ul><ul><ul><li>Facilitating the setting of standards of best practice during training sessions </li></ul></ul><ul><li>Aims: design 2 kits </li></ul><ul><ul><li>First Kit : Set of needed instruments for the O.T and a set for inpatient and outpatient care </li></ul></ul><ul><ul><li>Second Kit: Package of supplies that contains the materials and medications necessary for a fixed number of fistula repair surgeries </li></ul></ul><ul><ul><li>The kits should be cost-effective without compromising quality </li></ul></ul><ul><ul><li>Develop an efficient business plan </li></ul></ul>
  3. 3. Instruments Set (O.T)
  4. 4. Set of instruments for outpatient and inpatient care Kidney dish, 500ml 10 Galipot 57ml 5 Forceps sponge-holding Rampley 24cm 5 Artery Forceps, mosquito curved 5 Artery forceps (Kocher) 5 Sims speculum medium 5 Langenback retractor 3.5*1.5cm 5 Probe with eye 13cm or 15 cm, silver platted 5 Female metal catheter 12 FG 5 Needle holder Mayo-Hegar 20 m 5 Blade Holder No 4 1 Scissors suture sharp, straight 5 Forceps dressing 127mm toothed 5 Uterine sound 2
  5. 5. Methodology: drugs and medical supplies kit <ul><li>Drawing a list: </li></ul><ul><ul><li>Classify fistula cases schematically according to their complication degree: simple, medium or complicated </li></ul></ul><ul><ul><li>Determine the percentage of each category encountered in the specialists normal practice </li></ul></ul><ul><ul><li>List the materials and medications that are currently used for fistula surgery in general </li></ul></ul><ul><ul><li>Determine the average quantity of needed items for one procedure in accordance with its degree of complication </li></ul></ul><ul><li>The Package: </li></ul><ul><ul><li>Final design of the kit for an average of 50 procedures in accordance with the degree of complication and the percentage of each of the three above mentioned categories </li></ul></ul><ul><ul><li>Weight and volume optimization </li></ul></ul><ul><ul><li>Cost optimization and business model development </li></ul></ul><ul><ul><li>Transport issue </li></ul></ul><ul><ul><li>Kits Production </li></ul></ul>
  6. 6. Medical Supplies
  7. 7. Medical Supplies continued….
  8. 8. Project implementation <ul><li>Pilot project </li></ul><ul><ul><li>Piloting the use of Kits will take place with FIGO in WAHA ’ s projects </li></ul></ul><ul><ul><li>Monitoring the use of each item per surgical procedure will be implemented in parallel with the project data collection </li></ul></ul><ul><ul><li>The assessment of the project in term of effectiveness will help refining the kit content and distribution methods that suits better the needs of our partners </li></ul></ul><ul><li>Scaling up </li></ul><ul><li>WAHA will provide a fixed number of kits to each center in accordance with the projected number of cases to be treated in a determined period of time. </li></ul><ul><li>A kit will be reserved as backup. The center have to submit a report on the surgeries provided and, in return, will receive another set of kits. </li></ul><ul><li>Newly trained surgeons will also receive kits at the end of their training that will continue in accordance with the performance of the center </li></ul>
  9. 9. The way forward <ul><li>Collaboration </li></ul><ul><ul><li>The kits lists and contents are public, our aim is to share it largely </li></ul></ul><ul><ul><li>Fistula care providers are free to use the kits in any way they may find appropriate </li></ul></ul><ul><ul><li>Agencies and NGOs who are specialized in supplying medical material and drugs have a central role in the preparation, distribution and development of a business plan for the Kits </li></ul></ul><ul><li>Evolution </li></ul><ul><ul><li>The Kits shall evolve with time and with the acquired experience </li></ul></ul><ul><ul><li>Feed backs, critics and suggestions are welcome and it ’ s the only way forward in order to improve the Kits and to optimize their content. </li></ul></ul>
  10. 10. Thank you!