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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
close this folderCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
View the document16.1 Prescriptions
View the document16.2 Dispensing
View the document16.3 Records
View the document16.4 Storage
View the document16.5 Procurement
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

16.5 Procurement

The procurement of ARVs will be done by the Medical Stores Department which will then distribute the medicines to all the accredited facilities across the country. Requisition of antiretrovirals from the facilities will follow the normal procedures except that a separate requisition form will be used.

On receipt of the drugs at the facility, the pharmacist should check the ARVs brought by MSD and sign the delivery note.

Closely monitored adequate buffer stock must be kept at all times to avoid stock outs.

Ordering ARVs

Ordering of ARVs will be done by the pharmacist using the "Integrated logistic system" register which is made of Form A1: Dispensing Register for Antiretroviral drugs (ARVs) and Form A2: Report and Request for Antiretroviral drugs (ARVs). The built-in inventory control system is designed to ensure that drugs are ordered monthly based on existing stock levels and not on morbidity data. Relevant data on the consumption of the antiretroviral medicines must be kept and sent to the Ministry of Health every month, according to the MSD indent format.

Orders to the Medical Stores Department (MSD) should be made timely and well in advance to allow supplies to reach the facilities in time.

Collaborating with clinical staff

While the pharmacist will not re-order ARVs based on morbidity data because consumption data will be available, the pharmacist should be prepared to work with clinical staff to obtain an estimate of the number of patients expected to be enrolled on therapy.

The pharmacist should keep the clinical staff informed on the current stock levels of ARVs, particularly on items nearing stockout. In the event of national-wide supply shortage of which the pharmacist may be the first person to know, this information should be communicated to the clinical staff so they can pursue the best course of action.

Monitoring of adverse drug events

Monitoring and reporting of adverse drug events should follow the Tanzania Food and Drug Authority guidelines. Adverse drug reactions reporting forms will be distributed to facilities as they become certified to deliver ART.

Audit

Procurement, storage, distribution and dispensing procedures and records as well as stock on hand will be subject to internal and external audit. Given the cost and complexities of handling ARVs, frequent auditing is anticipated.

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