GENERAL COMMENTS

1. Forms should be stapled according to facility to be visited

Warehouse
Public health facility pharmacy
Private pharmacy
Public health facility record section
Household

COMMENTS ON INDIVIDUAL FORMS

1. Form 1a and 1b

♦ Each person should ensure that the drugs are available. Actually go through the shelves to make sure that there are no expired drugs.

♦ If expired drugs are listed and kept somewhere in the store to be destroyed, do not register them as expired.

2. Form 2a and 2b

♦ For stock out duration use existing data on stock cards
♦ Review should cover as much as possible a one-year period.

3. Form 3a and 3b

♦ Once the windows cannot be opened for air to circulate, then the answer is no.
♦ If there is a cold chain without chart, the answer is no.
♦ The column pharmacy should be deleted in form 3a
♦ Summarise rating immediately.

4. Form 4a and 4b

♦ No standardized drug prices in public sector in Tanzania
♦ Clean form to exclude children form the heading
♦ The example with procaine penicillin should be 4mega units
♦ Summary form should read F instead of H
♦ Pre print the drugs used to treat pneumonia and put it in bold.

5. Form 5

♦ Tincture of iodine does not replace povidone iodine
♦ Fefol should be considered as two entities.

6. Form 6

♦ Each team encouraged to take along a copy of the NEDLIT (National essential drugs list for Tanzania) and STG

♦ Whenever the team arrives at a health facility, request for all the available records for the period before starting sampling.

7. Form 7

♦ If the patient fails to remember one item, then mark 0
♦ Include one line at summary form 7 for average number of drugs per prescription.

8. Form 8

♦ If you do not see personally the documents in the facility you mark not available
♦ Delete STG for URTI, Diarrhoea and Pneumonia.
♦ Simplify the form - no need for two columns.

9. Form 9

♦ Insert a line after each tracer disease
♦ Definition of non-pneumonia ARI: bronchitis, URTI, cough
♦ Definition of diarrhoea: no dysentery
♦ First line antibiotics for pneumonia: same as on form.

10. Household form

♦ Information about your visit should reach the hamlet leader one day before the visit, contact him before proceeding with interview,

♦ Groups be accompanied by someone from village government

♦ Education: primary, secondary, vocational, university, postgraduate

♦ Chronic diseases should be included

♦ Record only one case per household

♦ Interview only those having answered “yes” in question number one

♦ Do not disturb and interfere during lunch or dinner of household members

♦ Define meaning of free mediation: if taken in charge by employer, or chronic condition

♦ Use local currency only

♦ How to obtain household income or expenses: use whatever easier for the person - monthly or weekly and recalculate

♦ In question 7 the note should say: “if no one was consulted, skip to question 12”

♦ Put serial numbers at the upper right corner of the forms to be used

♦ Summary form:

♦ More space is needed for price in question 12.

♦ Check numbers of questions and correspondence with form 10 (question 6 missing)

♦ If the answer to question one in “no” do not record at all

♦ Delete “no” row from question one

♦ Leave only fifteen columns is summary form

♦ Question number 13 - total does not apply, it should rather be “average”, delete column “total” from printed forms.

♦ National summary form:

♦ Give more space for facility names (title row)

11. Summary forms 1-9

♦ Take out repeated sheet
♦ Reformat affordability indicator
♦ Add line for average number of drugs per prescription from form 7 (exit interviews)