Describe Referral System in Health Care Delivery in Tanzania from lowest to highest
ANSWER
The following are health facilities from low level to the highest level through which a referral
system go through;
o Dispensary Services
The dispensary caters for 6,000 to 10,000 people and supervises all the village health
posts in its ward. This is the first level where patients are attended to. If the patient
cannot be attended to at this level because of the complexity of the condition is then
referred to the next level which is a health centre
o Health Centre Services
A health Centre is expected to cater for 50,000 people which is approximately the
population of one administrative division. This is the second level where patients are
attended to. If the patient cannot be attended to at this level because of the complexity
of the condition is then referred to the next level which is a health centre
o District Hospitals
The district is a very important level in the provision of health services in the country
each district is supposed to have a district hospital. For those districts which donate
have Government normally negotiates with religious organizations to designate voluntary hospitals get subventions from the Government to contract terms. Patients
are referred to here from Health centres and dispensaries present within the District
o Regional Hospitals
Every region is supposed to have a hospital. Regional Hospital offer similar services
like those agreed at district level, however regional hospitals have specialists in
various fields and offer additional services which are not provided at district
hospitals. Patients from districts are referred to these hospitals for further
management
o Referral/Consultant Hospitals
This is the highest level of hospital services in the country presently there are four
referral hospitals namely, the Muhimbili National Hospital which cater the eastern
zone; Kilimanjaro Christian Medical Centre (KCMC) which cater for the northern
zone, Bugando Hospital which cater for the western zone; and Mbeya Hospital which
serves the southern Highlands.
Section 34 of the Pharmacy Act stipulates requirements for Registration of premises dealing in pharmaceutical businesses as prerequisite. Describe it?This section states the following:
ANSWER
o A person shall not sell, dispense or supply medicinal products except in premises registered under this Act. o An application for registration or renewal of registration of premises shall be made to the Council in the prescribed form, and shall be accompanied by such fee as the Council may prescribe. o The Registrar or any person in his behalf shall- keep a register of all premises registered under this section; register premises if he is satisfied that the requirements to be complied with by the applicant as prescribed by the Council from time to time have been complied with; or have powers to approve the location and name of the proposed premises. o The Council may, for good cause, refuse to register or cause to be removed from the register, any premises which is or has become unsuitable for purposes for which they were registered. o A person who contravenes the provisions of subsection (1) commits an offence and upon conviction shall be liable to a fine not exceeding ten million shillings or imprisonment for a term not exceeding two years or to both.
ANSWER
o A person shall not sell, dispense or supply medicinal products except in premises registered under this Act. o An application for registration or renewal of registration of premises shall be made to the Council in the prescribed form, and shall be accompanied by such fee as the Council may prescribe. o The Registrar or any person in his behalf shall- keep a register of all premises registered under this section; register premises if he is satisfied that the requirements to be complied with by the applicant as prescribed by the Council from time to time have been complied with; or have powers to approve the location and name of the proposed premises. o The Council may, for good cause, refuse to register or cause to be removed from the register, any premises which is or has become unsuitable for purposes for which they were registered. o A person who contravenes the provisions of subsection (1) commits an offence and upon conviction shall be liable to a fine not exceeding ten million shillings or imprisonment for a term not exceeding two years or to both.
Describe requirements for premise registrations on premise layout for warehouse
ANSWER
Warehouse Premises
Warehouses shall be designed and constructed to ensure good storage
conditions, sufficient lighting and ventilation.
Warehouses shall have sufficient capacity to allow storage of various
categories of pharmaceutical products.
The floor shall be durable to withstand heavy traffic and loads, easy to
clean; the premises shall be provided with well-fitted shelves or pallets.
The premises shall be equipped with temperature and humidity control
facilities/monitors and fire extinguishers. The required temperature storage
condition shall be below 25 centigrade and daily records should be kept
within the warehouse. In case different temperature and humidity
conditions are used, these need to be justified.
A wall thermometer should be available
A residential home shall not be used as a warehouse.
Warehouse shall only be used for storage purposes and no sells shall be
allowed
Business of pharmacy is conducted under the pharmacy act number 1 of 2011. According to this act. Location of the premise should be approved before registration and permitted. Describe the procedures for application for approval of location.
ANSWER.
Approval of location (Section 34 (c) of the Pharmacy Act). The following
procedures shall be adhered by applicants;-
o Shall apply for the approval of location to the Registrar, through zonal
coordinators, respective Regional Pharmacist (RP) and District Pharmacist
(DP).
o Application for the approval of location of the premises shall be made in a
prescribed approval of location form.
o The Application form shall be obtained from Pharmacy Council office, zonal
coordinators or through RP and DP offices of the respective Regions and
Districts or through the Pharmacy Council Website www.pctz.or.tz
o Applicant shall be required to fill in completely and accurately all the required
information in the approval of location form.
o On submission the form must be accompanied
With a payment receipt of fees as prescribed under The Pharmacy (Fees
and Charges) Regulations, 2012.
Copy of the site plan of the building indicating the location of the pharmacy
premises in relation to adjoining or surrounding businesses and access to
and from the premises’
Copy of the professionally drawn floor plan indicating the actual layout of
the pharmacy premises drawn to scale with exact measurements.
