SENTRONG SIGLA • • • • • • • In 1998, DOH embarked on a Quality Assurance Program (QAP) with the goal of making DOH and LGUs active partners in providing quality health services o • To raise public health awareness of public support and demand for, and client participation in SS Certification of their health services facility Level and Scope of Certification o In 1999, the QAP was renamed Sentrong Sigla or Centers of Vitality Movement (SSM)—also known as SS Phase I Goal of SSM was quality health care, services, and facilities In 2001, the effort to raise quality of health was intensified, leading to the expansion of the concern for quality beyond DOH-LGU interaction level into the entire health sector – also known as SS Phase II Guiding Principles: o Recognition for achieving good quality shall be the main incentive in SS Certification o Quality improvement is an unending process, thus the certification should promote the continuing drive for ever improving quality by providing multi-tired and progressively higher quality standards o Focus shall be on core public health programs that have proven to be most beneficial to the people o Quality improvement is a partnership that empowers all stakeholders, and is based on trust and transparency o The DOH shall give purposive technical assistance to targeted health facilities in order to help them achieve quality improvement in their health services particularly in the undeserved and marginalized areas o Assessment for certification shall involve other stakeholders in order to provide objectivity and varying perspective into the process Goals o Long term: Institutionalize within the health sector the leaders, processes, knowledge, attitudes, skills, and organizations to generate continuous quality improvement in health care o Intermediate: (2003-2007) to improve quality of health care in outpatient health facilities, hospitals, and public health services in the communities o Specific goal: to improve the quality of out-patient health care and of public health services in communities Objectives o To establish an efficient system of ▪ ▪ ▪ o Basic SS Certification – minimum input, process, and output standards for integrated public health services for 4 core programs, facility systems, regulatory functions, and basic curative services Specialty awards—second level quality standards for selected 4 core public health programs o • Award for excellence—highest level quality standards for maintaining Level 2 standards for the 4 core public health programs and level 2 facility systems for at least 3 consecutive years The SS Certification validity of certification is every two years o Facilities which did not progress to a higher level of certification but maintain current certification ▪ ▪ o SCOPE AND STRUCTURE OF THE SS QUALITY STANDARDS—LEVEL 1 • • The primary function of the health facility is to provide public health services Standard coverage o Facility and System Standards ▪ ▪ ▪ ▪ o ▪ Assessing health services against established standards ▪ 1) ▪ 2) standards for all core public health programs 1 Provide basic curative services Provide a safe, functional, and effective environment for clients, patients, and health facility staff Ensure that the health facility and staff promote public health programs and prevent and control public health problems through direct patient/client care and support that are consistent, well planned, and well executed The Core Public health Programs are: ✓ ✓ ✓ o o Safe Motherhood and Family Planning Child Care Prevention and Control of Infectious Diseases Promotion of Healthy Lifestyle Basic curative services ▪ At least 50% of health centers successfully meet revised SS Phase II Basic Certification standards (Level At least 20% of Level 1 certified health centers successfully meet SS Phase II Specialty Award (Level Prevent and control core public health problems ✓ Monitoring key indicators in the SS Certification quality standards Ensure that the health facility is appropriately equipped with sufficient manpower, adequate logistics, and organized procedures to efficiently and effectively promote core public health programs Integrated public health programs ▪ Providing technical and other forms of assistance To progressively raise the average quality of public health services through recognition of successful attainment of No other incentives given for mere renewal of SS status Facilities that slide back; seal will not be removed but not issued an SS sticker process o Given stickers to confirm the renewal of the validity of seal Ensure that the health facility and staff provide basic curative services that consists of primary level outpatient and emergency care for commonly encountered non program diseases in the community that are consistent, well planned, and well executed Regulatory functions ▪ Ensure that the health facility and staff support and provide an environment to prevent, reduce, and o control risks and hazards to the community they serve and maintain safe conditions as mandated by health laws and regulations o SCOPE AND STRUCTURE OF SS QUALITY STANDARDS—LEVEL II • Local Health Systems Development o Goal: The RHU/HC has established mechanism to strengthen local health systems development through effective and efficient governance and stewardship, resource generation, financing, and delivery of health services • o 2. 1. 3. Lagundi (Vitex negundo) • Also known as: o Kamalan (Tagalog) o Dabtan (Ifugao) o Limo-limo (Ilokano) o Molave aso (Sul) o Tugas (Cebuano) o 5 leaves Chaste Tree (English) • A shrub growing wild in vacant lots and waste land • Matured branches are planted • The flowers are blue and bell-shaped • The small fruits turn black when ripe • Uses: o Asthma, cough, and fever ▪ ▪ Decoction—Boil chopped raw fruits or leaves in 2 glasses of water left for 15 minutes until the water left in only 1 glass Strain Dosages of the decoction Age Group Dried Leaves Fresh Leaves Adult 4 tablespoons 6 tablespoons 7-12 years old 2 tablespoons 3 tablespoons 2-6 years old 1 tablespoon 1 ½ tablespoons o Dysentery, colds, and pain in any part of the body as in influenza ▪ o Boil a handful of leaves and flowers in water to produce a glass full of decoction three time a day Skin diseases (dermatitis, scabies, ulcer, eczema)— prepare a decoction of the leaves. Wash and clean the skin/wound with the decoction Aromatic bath for sick patients—prepare leaf decoction for use in sick and newly delivered patients Ulasimang Bato (Peperonia pellucida) • Also known as: o Pansit-pansitan (Tagalog) • Integrated Public Health Functions covering 5 core public health programs o Integrated women’s health o Child care o Prevention and control of infectious diseases o Integrated prevention and control of lifestyle related diseases o Environmental health o Goal: to ensure that the health facility and staff promote public health programs and prevent and control public health problems through direct patient/client care and support that are consistent, well planned, and well executed HERBAL MEDICINE Headache—crushed leaves may be applied on the forehead Rheumatism, sprain, contusions, insect bites— pound the leaves and apply on affected part A weed, with heart-shaped leaves that grow in shady parts of the garden and yard • Uses: lowers uric acid (rheumatism and gout) • Preparation o Wash the leaves well o One and a half cup leaves are boiled in two glassfuls of water over low fire o Do not cover pot o Cool and strain o Divide into three parts o Drink each part three times a day after meals • May also be eaten as salad o Was the leaves well o Prepare one and a half cups of leaves o Divide into three parts and take as salad three times a day Bawang • Also known as: o Ajos (Spanish/Bisaya) o Garlic (English) • Uses: o For hypertension o Toothache o To lower cholesterol levels in blood • Preparation o Can be fried, roasted, soaked in vinegar for 30 minutes, or blanched in boiled water for 5 minutes o Take two pieces three times a day after meals • Caution: take on a full stomach to prevent stomach and intestinal ulcers • 4. For toothache: pound a small piece and apply to affected area Bayabas/Guava (Psidium guajava L.) • Also known as: o Guyabas, Kalimbahin, Tayabas (Tagalog) o Bagabas (Ig) o Bayabo (Ibm) o Bayawas (Bik, Pang) o Biabas (Sul) o Guyabas (Ilokano) • • A tree about 4-5 meters high with tiny white flowers with round or oval fruits that are eaten raw Uses o For washing wounds—may be used twice a day o For diarrhea—may be taken 3-4 times a day o As gargle to relieve toothache ▪ Warm decoction is used for gargle ▪ Freshly pounded leaves are used for toothache ▪ ▪ Guava leaves are to be washed well and chopped ▪ Boil for 15 minutes at low fire ▪ Do not cover pot ▪ Cool and strain before use 5. Yerba Buena (Mentha cordifelia) • Also known as: o Herba Buena (most dialects) o Hierba/Yerba Buena (SPANISH) o Hilbas (Davao, Leyte) o Opiz Ablebana (Ifugao) o Malipuen (Als.) o Peppermint mint (English) • A small multi-branching aromatic herb • The leaves are small, elliptical, and with toothed margin • The stem creeps to the ground and develops roots • Uses: o For pain in different parts of the body as head ache, stomach ache ▪ Boil chopped leaves in 2 glasses of water for 15 minutes ▪ Cool and strain Dosages of the decoction Age Group Dried Leaves Fresh Leaves Adult 6 tablespoons 4 tablespoons 7-12 years old 3 tablespoons 2 tablespoons o Rheumatism, arthritis, and headache ▪ Crush the fresh leaves ▪ Squeeze sap ▪ Massage sap on painful parts with eucalyptus o Cough and cold ▪ Get about 10 fresh leaves ▪ Soak in a glass of hot water ▪ Drink as tea ▪ Acts as an expectorant o Swollen gums ▪ Steep 6 grams of fresh plant in a glass of boiling water for 30 minutes ▪ Use solution as gargle o Toothache ▪ Cut fresh plant ▪ Squeeze sap ▪ Soak a piece of cotton in the sap ▪ Insert this in aching tooth cavity ▪ Mouth should be rinsed by gargling salt solution before inserting the cotton ▪ Salt solution: add 5 grams of table salt to one glass of water o Menstrual and gas pain ▪ Soak a handful of leaves in a glass of boiling water ▪ Drink infusion ▪ It induces menstrual flow and sweating o Nausea and fainting ▪ Crush leaves ▪ Apply at nostrils of patients o Insect bites Crush leaves Apply leaves on affected part ▪ Pound leaves until paste-like ▪ Rub on affected area o Pruritus ▪ Boil plant along or with eucalyptus in water ▪ Use decoction as a wash on affected area Sambong (Blumea balsamifera) • Also known as: o Alibhon, Alimon (p. vis.) o Kambihon, Lakdanbulan (Vis) o Ayohan, Bulaklak Ga buen, Kaliban (Tagalog) o Gintin-gintin, Haliban/Camphor (English) ▪ 6. • A plant that reaches 1 ½ to 3 meters in height with rough hair leaves • Young plants around mother plant may be separated when they have three or more leaves • Uses o Anti-edema, diuretic, anti-urolithiasis ▪ Boil chopped leaves in water for 15 minutes until one glassful remains ▪ Cool and strain ▪ Divide decoction into 3 parts. Drink one part 3 times a day Dosages of the decoction Age Group Dried Leaves Fresh Leaves Adult 6 tablespoons 4 tablespoons 7-12 years old 3 tablespoons 2 tablespoons 7. 8. Akapulko (Cassia, alata L.) • Also known as o Bayabas-bayabasan, Kapurko, Kantada, Katandang Aso, Pakagonkon, Sonting (Tagalog) o Andadasi, Andadasi-a dakdako, Andadasi-bugbugtong (Ilokano) o Adadasi (Ting) o Ancharasi (Ig) o Andalan (Sul) o Bayabasin , Bibs-bibs (Bik., Tag., Bis) o Kasitas (Bik., Bis) o Sunting, Palo china (Bis.) o Pakayomkom Kastila (Pamp.) o Ringorm bush or shrub (Eng.) • Use: anti-fungal for Tinea Flava, ringworm, athletes foot, and scabies • Preparation: o Fresh o Matured leaves are pounded o Apply as soap to the affected part 1-2 times a day Niyug-Niyogan (Quisqualis indica L.) • Also known as o Balitadham, Pnones, Pinio, Bonor (Bisaya) o Bawe-bawe (Pampanga) o Kasumbal, Talolong (Bikolano) o Tagrau, Tagulo Totoraok (Tagalog) o Tartarau (Ilokano) o • • Burma creeper, Chinese honey suckle (English) A vine which bears tiny fruits and grows wild in backyards. The seeds must come from mature, dried, but newly opened fruits Use o Anti-helminthic ▪ Used to expel round worms—ascariasis ▪ The seeds are taken 2 hours after supper ▪ If no worms are expelled, the dose may be repeated after one week ▪ Do not give to children below four years old Age Group Adult 7-23 years old 6-8 years old 4-5 years old • • o Apapet (Itn) o Palia (Bis.,Ban.,If.,Ilk.) o Pubia (Sub.) o Suligum (Sul) o Balsam Apple, Balsam Pear, Bitter Gourd (English) Use: lower blood sugar levels, and Diabetes Mellitus Preparation: o Gather and wash young leaves very well o Chop o Boil 6 tablespoons in two glassful of water for 15 minutes under low fire o Do not cover pot o Cool and strain Number of Seeds 8-10 seeds 6-7 seeds 5-6 seeds 4-5 seeds o Take one third cup 3 times a day after meals o Young leaves may blanched/steamed and eaten ½ glassful 2 times a day REMINDERS ON THE USE OF HERBAL MEDICINE 9. Tsaang Gubat (Carmona retusa) • Also known as o Alibungog (Vis) o Kalabonog, Maragued (Ilokano) o Kalimunog, Taglokot, Talibunog, Tsa (Tagalog) o Malatadian (Gad) • A shrub with small, shiny, nice-looking leaves that grows in wild uncultivated areas and forests. • Uses o Diarrhea ▪ Boil the following amount of chopped leaves in 2 glasses of water for 15 minutes or until amount of water goes down to 1 glass ▪ Cool and strain ▪ Divide decoction into 4 parts ▪ Let patient drink 1 part every 3 hours Dosages of the decoction Age Group Dried Leaves Fresh Leaves Adult 10 tablespoons 12 tablespoons 7-12 years old 5 tablespoons 6 tablespoons 2-6 years old 2 ½ tablespoons 3 tablespoons o Stomachache ▪ Wash leaves and chop ▪ Boil chopped leaves in 1 glass of water for 15 minutes ▪ Cool and filter Dosages of the decoction Age Group Dried Leaves Fresh Leaves Adult 2 tablespoons 3 tablespoons 7-12 years old 1 tablespoon ½ tablespoon • Avoid the use of insecticides as they may leave poison on plants • In the preparation of herbal medicine, use a clay pot and remove cover while boiling at low heat Use only the part of the plant being advocated Follow accurate dose of suggested preparation • • • Use only one kind of herbal plant for each type of symptoms or sickness • Stop giving the herbal medication in case untoward reaction such as allergy occurs • If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor HEALTH EMERGENCY PREPAREDNESS AND RESPONSE PROGRAM • The Public Health Nurse should be able to act accordingly when disaster strikes based on the preparedness and response plan • Administrative Order No. 6 Bs of 1999—DOH institutionalized the Health Emergency Preparedness and Response Program within the department • This program is designed to a comprehensive, integrated and responsive emergency, disaster related service, and research oriented program • Goal of promoting health emergency preparedness among the general public and strengthening the health sector capability and response to emergencies and disaster Legal Mandate o Presidential Decree No. 1566 (1978)—Strengthening the Philippine Disaster Control Capability and Establishing the National Program on Community Disaster Preparedness • ▪ This law implemented the following: ✓ 10. Ampalaya (Mamordica charantia) • Also known as o Amargoso (Spanish) o Margoso, Ampalaya (Tagalog) o Apalia (Pamp) o Apape (Ibn) ✓ ✓ o Creation of the National Disaster Coordinating Council (NDCC) Creation of the Multi-level Organizations Funding for a 2% reserve for calamities Republic Act No. 7160 (Local Government Code of 1991) ▪ Transfer of responsibilities from the national to the local government units thereby giving more power, authority, responsibilities, and resources to the LGU ▪ • Allocation of five percent calamity fund for emergency operations such as relief rehabilitation, reconstruction, and other works of services Disaster and Health Emergency Management • o Vulnerability assessment and the dissemination of information related to particular hazards and emergencies o Emergency planning o Training and education o Warning system o Specialized communication systems o Resource and information databases and management systems and resource stocks o Emergency exercises/drills o Disaster—a serious disruption of the functioning of a society, causing wide spread human, material, or environmental losses which exceed the ability of the affected society to cope, using only its own resources o Emergency—as any occurrence, which requires an immediate response o Hazards—any phenomenon, which has the potential to cause disruption or damage to humans and their environment o Risk—the level of loss or damage that can be predicted from a particular hazard affecting a particular place at a particular time from the point of view of the community. The concept of risk has two components: ▪ ▪ Vulnerability—the factors which allows a hazard to cause a disaster Classification of Disaster According to its Cause o Natural disaster—force of nature o Human generated/manmade • Classification of Disasters According to Onset o Acute or sudden impact events o Slow or chronic genesis (creeping disasters) • Contributing Factors to Disaster Occurrence and Severity o Human vulnerability resulting from poverty and social inequality o Environmental degradation resulting from poor land use o Rapid population growth especially among the poor General Principles of Disaster Management o The first priority is the protection of people who are at risk o The second priority is the protection of critical resources and systems on which communities depend o Disasters management must be an integral function of national development plans and objectives o Disaster management relies upon an understanding of hazard risks o Capabilities must be developed prior to the impact of a hazard o Disaster management must be based upon interdisciplinary collaboration o Disaster management will only be as effective as the extent to which commitment, knowledge, and capabilities can be applied Major Risks to be Considered: o Natural risks such as flood, earthquake, cyclones, landslides, etc. o Technological risks, other events caused by the failure of socio technical systems such as industrial sites, infrastructure, and transportation o Epidemics caused by infectious diseases o Societal risks caused by social exclusion extreme poverty and group violence with the exception of complex emergencies and wards where community structure is partly or completely dismantled • • • Susceptibility—the factor which allows a hazard to cause an emergency • More Specific within Preparedness includes: • Principles of Emergency Preparedness o It is the responsibility of all o Should be woven into the community and administrative levels of both government and government organizations o Emergency preparedness is an important aspect of emergency management o Emergency preparedness is connected to other aspects of emergency management o Should concentrate on process and people rather than documentation o Emergency preparedness should not be done in isolation o Emergency preparedness should not concentrate only on disasters but integrate prevention and response strategies for any scale of emergency o Hospital plays a very vital role in the management of disaster o The main objective is to decrease mortality, morbidity, and to prevent disability o Every hospital should have a regularly updated disaster plan. The plan should be distributed read and understood by everyone concerned The Purpose of the Disaster Plan o To provide policy for effective response to both internal and external disaster situations that can create impact to the operation of the hospital and may affect hospital staff, patients, visitors, and the community o Identify hospital capability to handle mass casualty o Identify responsibilities of individuals and departments in the event of a disaster situation o Identify standard operating guidelines for emergency activities and responses NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM (NVBSP) • • RA 7719—Blood Services Act of 1994 o DOH with the Philippine National Red Cross (PNRC), Philippine Blood Coordinating Council (PBCC), and other government agencies and non-government organizations are mandated to plan and implement a National Voluntary Blood Services Program (NVBSP) Main Objectives are: o To promote and encourage voluntary blood donation by the citizenry and to instill public consciousness of the principle that blood donation is a humanitarian act o To provide, adequate, safe, affordable, and equitable distribution of supply of blood, and blood products o To mobilize all sectors of the community to participate in mechanisms for voluntary and non-profit collection of blood Vision: Envision a network of modernized national and regional • blood centers operating on a fully voluntary, non-remunerated blood donation system Mission: ensure adequate, safe, and accessible blood supply • buy: o Promoting voluntary blood donation as a way of life for every qualified healthy Filipino o Establishing new blood service facilities and upgrading existing ones o Organizing association of blood donors and training medical practitioners on national blood use • Requirements a blood donor must have: o o Weigh more than 45kgs for 250 ml of donated blood; 50kg for 450ml of donated blood Be in good health o Be aged 16-65 years of age o Have blood pressure in safe range 90-160mmHg systolic and 60-100mmHg diastolic o Have hemoglobin at least 125g/l • Conditions preventing one from donating blood: o Diabetes o Cancer o Hyperthyroidism o CVD o Severe psychiatric disorder o Epilepsy/convulsions o Severe bronchitis and other lung disorders such as TB o AIDS, syphilis, and other STI (past and present) o Malaria o Kidney and liver diseases o Prolonged bleeding o Use of prohibited drugs • Steps on how to donate blood o Go to the nearest Blood Collection Unit (BCU) located in a government hospital o Register as a potential blood donor o Your health history will be taken o A physical examination follows to check on your weight, temperature, pulse, and blood pressure o A blood test will be done to know your blood group type • • After donating blood, do the following: o Keep an eye on your dressing. You should leave the adhesive dressing on your arm for at least 3 hours but not more than 12 hours. o Do not be alarmed if some bruising or discoloration occurs. It will disappear in a few days o Avoid carrying heavy objects with your donating arm o Do not smoke for the next 2 hours and avoid alcohol intake for the next 12 hours o Eat regular meals and increase fluid intake RHU must have a list of “Walking Blood Donors”—requirements in complying with Sentrong Sigla Certification BOTIKA NG BARANGAY • Administrative Order No. 23—a dated July 5, 1996 that outlines the guidelines on the development and establishment of Botika ng Barangay (BnB) • BnB refers to a drug outlet managed by a legitimate Community Organization (CO), NGO, and the LGU with a trained operator and a supervising pharmacist, and specifically licensed by the Bureau of Food and Drugs (BFAD) to sell, distribute, offer for sale, and or make available low-priced generic home remedies over the counter (otc) drugs, two selected, antibiotic drugs, medication for chronic diseases. • In 2001, this project was given a shot in the arm by a Presidential Mandate to cut by half the prices of medicines commonly bought by the poor through its Pharma50 project • Goal: To promote equity in health by ensuring the availability and accessibility of affordable, safe, and effective quality essential drugs to all, with priority for marginalized, undeserved, critical, and hard to reach areas • Objectives: o medicines among intended beneficiaries o To serve as mechanism for DOH to establish partnership o with LGUs and CO Optimize involvement of the BHW addressing the health need of the community • Criteria for Establishing a Botika ng Barangay: o o Patients suffering from shock o Lost 20% or more in an accident o Loss in surgery o o Leukemia Childbirth Managed or operated by an established CO which is duly recognized as a judicial body Service or coverage area is Barangay that is far flung, depressed, hard to reach area as defined in the Magna • Donation blood is given to those who have: o To rationalize the distribution of common drugs and Carta for Public Health Workers Implementing Rules and Regulations o Community-sourced funds at least 1/3 of the initial capital requirements o LGU/other government officials-sourced funds at least 1/3 o Major trauma o Liver transplants o Hemophilia • Blood extracted for donation such as… o Whole blood and red blood cell concentrates were in the past stored for four weeks o With the new blood preservatives the shelf life can be safely extended to five weeks o Plasma can be stored frozen for 12 months of the initial capital requirement o Submission of a barangay resolution and barangay socioeconomic profile and health profile including a master list indigents, if available o Commitment from a licensed pharmacist to supervise Botika ng Barangay operations o Identification and selection of at least 2 accredited BHW or Community Volunteer Health Workers trained as Botika ng Barangay Aides o Availability of a Botika ng Barangay space LIST OF OVER THE COUNTER DRUG PREPARATIONS FOR BOTICA NG BARANGAY (BnB) MEDICATION DOSAGE ANALGESIC/ANTIPYRETICS Paracetamol 500 mg tablet 325 mg tablet 120 mg (125mg)/5ml syrup/suspension, alcohol-free (60ml) 100mg/ml drops, alcohol-free (15ml) ANTACID Aluminum hydroxide 225mg + Magnesium Hydroxide 200mg per 5ml suspension (60ml, 120ml, and 180ml) Aluminum hydroxide 320mg/5ml suspension (120ml) ANTHELMINTICS Pyrantel embonate 250mg tablet 125 mg tablet 125mg/5ml suspension (10ml, 30 ml) Mebendazole 500mg tablet 100mg tablet 100mg/5ml suspension (30ml) 50mg/ml suspension (10ml) ANTI-HISTAMINIC Diphonhydramine 25mg capsule/tablet 12.5/5ml syrup (alcohol free, 60ml) Chlorphenamine 2mg tablet (as maleate) 2mg/5ml syrup (as maleate, 60ml) NON-STEROIDAL ANTI-INFLAMMATORY (NSAIDs) Mefenamic Acid 250mg tablet/capsule Ibuprofen 200mg tablet Aspirin 300mg (325mg) tablet ANTI-VERTIGO Meclozine (Meclizine) 12.5mg chewable tablet 25mg tablet BRONCHODILATOR/ANTI-COUGH Lagundi 300mg tablet DIURETIC Sambong 250mg tablet ANTITUSSIVE Dextromethorphan 10mg tablet 7.5mg tablet 5mg/5ml syrup (30ml, 60ml) NASAL DECONGESTANT Phenylpropanolamine 12.5mg/5ml syrup (60ml, 120 ml) 6.25mg/ml drops (10ml) ANTI-MOTILITY Loperamide 2mg capsule SOLUTIONS CORRECTING WATER AND ELECTROLYTE LOSSES Oral Rehydration Salts LAXATIVE/CATHARTICS Disacodyl 5mg tablet Standard Senna Conc. 187mg tablet 337 mcg/3g granulos 30g sachet Magnesium hydroxide 300mg tablet Milk of Magnesia 400mg/5ml; 425mg/5ml Caster Oil-Oral USP 120ml grade ANTI-SCABIES, ANTI-LICE, AND ANTIFUNGAL Benzyl Benzoale 25% lotion, 120ml bottle Crotamiton Lotion: 10% (60ml, 120ml bottle) Cream: 10%, 10g tube Sulfur 5% and 10% ointment (30g tube) ANTI-ANEMIC Ferrous Sulfate Tablet, equivalent to 60mg Syrup equivalent to 15mg ANTIFUNGALS Benzoic Acid (6%) + 15mg tube Salicylic Acid (3%) Clotrimazol 1% cream 5g, 10g, 20g Miconazole 2% cream 5g as nitrate Ketoconazole 2% cream 3.5g VITAMINS Asorbic Acid (vitamin C) 500mg tablet 250mg tablet 100mg tablet 100mg/5ml syrup (60ml, 120ml) 100mg/ml drops (15ml, 30ml, 60ml) Vitamin B1, B6, B12 100mg + 5mg + 50mcg per tablet Vitamin A (Retinol) 25,000 IU capsule 10,000 IU capsule Multivitamins (Adult) Per tablet/capsule Vitamin A Vitamin B1 Vitamin B2 Vitamin B6 Vitamin B12 Vitamin C Vitamin D Vitamin E Folic Acid Niacin Multivitamins (Children) Vitamin A Vitamin B1 Vitamin B2 Vitamin B6 Vitamin B12 Vitamin C Vitamin D Vitamin E Folic Acid Niacin 425-525 mcg RED 0.7-1.3mg 0.7-1.3 mg 1.6-2 mg 3-5 mcg 65-80 mg 400 IU 6-10 mg 100-170 mcg 13-23 mg Per 5ml syrup 350-400 mcg RED 0.7-0.9 mg 0.7-0.9 mg 0.9-1.6mg 2-3 mcg 35-55 mg 400 IU 5-7 mg 40-80 mcg 13-17 mg VITAMIN AND MINERAL 60 mg elemental iron + 400 mcg folic acid per tablet/capsule MINERALS Calcium Lactate 325mg tablet, 650mg tablet Calcium Carbonate 500mg tablet, 1250mg tablet ANTI-INFECTIVES Amoxicillin 500mg capsule 250mg capsule 250mg/5ml powder/granules for suspension (30ml, 60ml) 125mg/5ml powder/granules for suspension (30ml, 60ml) 100mg/ml powder/granules for drops (15ml) Cotrimoxazole 800 mg sulfamethoxazole + 160 mg (sulfamethoxazole + trimethoprim tab/cap trimethoprim) 400 mg sulfamethoxazole + 80mg trimethoprim tab/cap 400 mg sulfamethoxazole + 80mg trimethoprim 5ml suspension (30ml, 60ml) 200mg sulfamethoxazole + 40mg trimethoprim 5ml suspension (30ml, 60ml) MEDICATIONS FOR CHRONIC DISEASE Metformin 500mg tablet Glibenclamide 5mg tablet Metoprolol 50mg tablet Captopril 25 mg tablet Salbutamol 2mg tablet Salbutamol 2mg/5mg syrup TOPICAL NASAL DECONGESTANT Oxymetazoline 0.05% Nasal Spray Bottle (15ml) DISINFECTANTS Chlorhexidine 4% 50ml solution