JezK

Edit File: 1589211452.M43817P2669845.mocha3025.mochahost.com,S=8874,W=9125:2,S

Envelope-to: ghani@jack.ngo,
 hadi@jack.ngo,
 hafiz@jack.ngo,
 hamdard@jack.ngo,
 haroon.mahmoodi@jack.ngo,
 mirzaee@jack.ngo,
 musawy@jack.ngo,
 pharmacy@jack.ngo
Delivery-date: Mon, 11 May 2020 11:37:32 -0400
From: <pharmacy.kdz@jack.ngo>
To: <pharmacy@jack.ngo>
Cc: <haroon.mahmoodi@jack.ngo>,
	<musawy@jack.ngo>,
	<ghani@jack.ngo>,
	<hadi@jack.ngo>,
	<mirzaee@jack.ngo>,
	<hamdard@jack.ngo>,
	"'hafiz'" <hafiz@jack.ngo>
References: <!&!AAAAAAAAAAAYAAAAAAAAAGkwXFKSoCtPrH41xtwsLirigAAAEAAAAIHiGEiI/JdGmrnB3ikG/sYBAAAAAA==@jack.ngo> <00bf01d628a3$df387dd0$9da97970$@jack.ngo> <20200511064850.Horde.ArMD56IC--c0OLPpY7EwqEB@www.jack.ngo>
In-Reply-To: <20200511064850.Horde.ArMD56IC--c0OLPpY7EwqEB@www.jack.ngo>
Subject: RE: Tab Metronidazle (Near Expire)
Date: Tue, 12 May 2020 20:08:05 -0700
Message-ID: <000401d628d3$bd49f700$37dde500$@jack.ngo>
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	charset="utf-8"
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Dear KBL Pharmacy Team,

First of all f thank you very much from your comment, we are fully aware =
of MoPH pharmacy guidelines but unfortunately we couldn't apply for =
Tab-Metro 250mg at it was at provincial stock for a long time, we sacred =
to miss it like other items then immediately we distributed, somehow for =
better performance of pharmacy section we will go ahead together in =
order to get the best result.

Regards

-----Original Message-----
From: pharmacy@jack.ngo [mailto:pharmacy@jack.ngo]=20
Sent: Monday, May 11, 2020 3:49 AM
To: pharmacy.kdz@jack.ngo
Cc: haroon.mahmoodi@jack.ngo; musawy@jack.ngo; ghani@jack.ngo; =
hadi@jack.ngo; mirzaee@jack.ngo; hamdard@jack.ngo; 'hafiz' =
<hafiz@jack.ngo>
Subject: Re: Tab Metronidazle (Near Expire)

Dear KDZ colleagues,
Greetings from Kabul,
The MoPH has developed guideline for medicines donation and it is =
reflected in medicine policy.
1- If you receive near expire medicines, if it is from a donor( PHD or =
other stakeholders), it should have at least 6 month expiration date. =20
And when you accept it, it should be very planned for its consumption =
and the distribution should occur immediately.
2- If you receive items from supplier, it should have at least one year =
expiration date or if the items has les than one year expiration date, =
then the 2 /3 of the shelf life should be remained.

For the below Metronidazole, as it is may not communicated with PHD, so =
it is better to supply the maximum stock for health facilites, so agree =
with Jamal, and the KDZ PHD should be informed.

With best regards
Jack KBL Pharmacy Unit

Quoting pharmacy.kdz@jack.ngo:

> Dear Haroon,
>
>
>
> Thank from your email please review to the following point:
>
> 1.       As you=E2=80=99re in the picture and know better than me, at =
2019 =20
> pharmacy department received some items from KDZ PPHD to be stored=20
> temporary at JACK Provincial Stock, based on available document KDZ=20
> PPHD got some of those items back and some of those item had been=20
> distributed by pharmacy personnel and your sign, now this is a=20
> question for me while pharmacy personnel knew that we have some=20
> expensive near expire or expired items at provincial stock, why they=20
> didn=E2=80=99t take any action, follow up and share those info with =
technical=20
> team that this problem could solve on time.
>
> 2.       Supplied metronidazole 250mg which received from KDZ PPHD  =20
> will expire at end of June-20, till that time we have 40 official=20
> working days minus Eid holidays and Fridays, now let=E2=80=99s take a =
look=20
> from technical point and FEFO system to distributed metronidazole=20
> 250mg whether it will be used by HFs or not.
>
> -          Divide 10,000 Metro 250mg to 40 days, 10,000 Tab/40 days =20
> =3D 250 Tab/Day
>
> -          Its mg is 250, for adult we prescribe 500mg, 250 Tab/2 =3D  =

> 125 Tab with 500mg
>
> -          If we prescribe 20 Tab/prescription, then by prescribing =20
> 6 prescription per day all of these 10,000 Tab will be used nothing=20
> will be left.
>
> -          The main fact is, whether we keep or supplied, Metro =20
> 250mg expire at end of June-20, its good that HFs should use it till
> June-20 in any amount they can use.
>
> 3.       As we got an emergency plan from logistic regarding =20
> distribution of HMIS tools we couldn=E2=80=99t get the signature of PM =
and TM,=20
> that I highly present my apologize to respected Dr. Ghani and Dr.=20
> Musawi, in the future it won=E2=80=99t be repeated.
>
> 4.       I extremely respect you as an active and experienced =20
> pharmacy department member,  and I want you to work with use closely=20
> and share your experience for better performance of pharmacy=20
> activities.
>
>
>
> regards
>
>
>
> From: haroon.mahmoodi@jack.ngo [mailto:haroon.mahmoodi@jack.ngo]
> Sent: Sunday, May 10, 2020 9:09 PM
> To: musawy@jack.ngo; pharmacy.kdz@jack.ngo
> Cc: ghani@jack.ngo; hadi@jack.ngo; mirzaee@jack.ngo
> Subject: Tab Metronidazle (Near Expire)
>
>
>
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>
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>
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>
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>
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>
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>
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>
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>
>
>
>
>
>
>
> Haroon =E2=80=9CMahmoodi=E2=80=9D
>
> Pharmacy Officer
>
> Just for Afghan Capacity and Knowledge       =D8=A8=D9=84=D9=86=D8=AF =
=D8=A8=D8=B1=D8=AF=D9=86 =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =
=D9=88 =20
> =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)
>
> Address: Kunduz,Kocha Sinama,First Region
>
> Beside Da Afghanistan Bank, House # 08
>
> Ph: +93 (0) 749 200 888=E2=80=93 +93 (0) 799 268 830
>
> Email: haroon.mahmoodi@jack.ngo <mailto:haroon.mahmoodi@jack.ngo>
>
> Website:www.jack.ngo