Guidelines for Antiretroviral Therapy in Ghana: CHAPTER 4: Storage and Distribution

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Guidelines for Antiretroviral Therapy in Ghana (MOH-GHS; 2002; 40 pages)
	ACKNOWLEDGEMENTS
	FOREWORD
	LIST OF ACRONYMS
	CHAPTER 1
		Introduction
		Available care in Ghana
		Efforts at provision of ART in Ghana
		Purpose
		Goal
		Objectives
	CHAPTER 2
		Antiretroviral therapy
		Introduction of ART
		Strategies to Achieve effective ART
		Initiation
		Initiation Criteria
		Exclusion Criteria
		Interruption of Therapy
		Criteria for Changing Therapy
		Recommended ART Regimen
		Drug Interactions
		Recommendations for Antiretroviral Therapy in Patients with Tuberculosis
		Other interactions
		Management of Opportunistic Infections
		Clinical Monitoring
		Laboratory Monitoring
		Post Exposure Prophylaxis for Health Care Workers
	CHAPTER 3
		Guidelines on ART Counselling
		Considerations
		Goals of Counselling
		The Goals of Therapy
		Financial considerations
		Drug Information
		Adherence
		Disclosure
		Emotional and Social Support
		Data Management
	CHAPTER 4
		Procurement, Storage and Distribution
		Procurement
		Goals for ARV Procurement
		Criteria for selection of drugs
		Specification
		Quantification
		Quality Assurance
		Executive Procurement
		Storage and Distribution
		Dispensing of Art
		Financing and Sustainability
		Monitoring and Evaluation
		Implementation Arrangements
	APPENDIX 1
	APPENDIX 2
	APPENDIX 3
	APPENDIX 4

Storage and Distribution

ART shall be stored centrally and distributed direct to selected treatment centres on a stock rotation basis (First expiry first out). The audit trail shall be transparent to prevent possible leakages.

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