JUSTIFICATION CODES

In case the order of an article has to be justified, one or more justification codes (P, M, E, F, A, S) appear on the top of the technical sheet in the catalogue, and in a separate column on the order list. These codes give the reasons why the order of that article has to be justified. A more detailed explanation can be found in the catalogue, under the heading “Article to be justified”.

The request for justification aims at ensuring the programs’ quality, preventing medical risks, and highlighting the existence of programs that the medical or logistics department needs to be aware of.

P PROGRAM

Article reserved for a specific program (e.g.: drugs used in TB programs) or for specific applications (e.g.: HIV testing equipment used for pre-transfusion screening in surgical programs).

M MEDICAL RISK

Article involving a potential medical risk if misused. Its use is reserved for duly trained staff having sufficient knowledge of the medical context which is concerned (e.g.: drugs used in the treatment of angina pectoris).

■ Particular case:

Drug implying a potential risk of abuse and which must be used and/or prescribed by duly trained staff, and safely managed. It may be subject to particular national or international controls (e.g.: narcotic and psychotropic drugs).

E EXPENSIVE

Expensive article of which the choice has to be justified in comparison with cheaper alternatives, considering the cost-effectiveness, the sustainability of the program and the severity of the situation (e.g.: surgical sets for external fixators).

F FOLLOW-UP OR MONITOR

Article newly introduced in the MSF list, for which additional information is necessary in terms of criteria for use, evaluation, consumption, ease of use, follow up of side effects, etc.

A ACKNOWLEDGE

Article that needs to be adapted to each situation after a technical evaluation (e.g.: bungalow containers of which the configuration is specific to each installation).

S SECOND CHOICE

Article must only be used if the first choice is not available or cannot be used in a specific context

Once the order of an article has been justified and agreed by the medical or logistics department for one project, there is no need to justify the following orders of the same article for the same project.

CAUTION: All orders of non-standard medical articles have to be justified