DECCA COLLEGE OF HEALTH AND ALLIED SCIENCES

(DECOHAS)

DEPARTMENT OF PHARMACEUTICAL SCIENCE.

FIELD WORK REPORT FOR THE FULFILLMENT OF THE AWARD OF

TECHNICIAN CERTIFICATE IN PHARMACEUTICAL SCIENCES

NAME OF STUDENT : MWITA MARWA

REG.NO : DECCA/18/04/676

COURSE NAME : CERTIFICATE IN PHARMACEUTICAL SCIENCES (NTA 5)

FIELD STATION : FRELIMO HOSPITAL

SUPERVISOR 1 : MR.KALINGA

SUPERVISOR 2 :MADAM MAGRET MAYALA

DATE : 27st July to 16th Agust 2020

 EXCUTIVE SUMMARY

This document “Field Report Practice-Report for Pharmacy practice” was prepared by Mwita
Marwa with the help of Frelimo Hospital Pharmacists. The report is intended to inform all the
Practice conducted in the health centre.

The report has an underlying premise the concept that Pharmaceutical science Students
should accept responsibility for changing the entire medication use process so as to minimize
the environmental effects of Pharmaceuticals the entire process of prescribing, dispensing,
pharmaceutical care, disposal of unused medication and ultimately reduction in metabolic
waste discharge.

The aim of field work is to make sure understand and be able to dispense drugs to client,
interpret well the prescription as well as storage of drugs and arrangement according to their
alphabetical, pharmacological and Dosage form .The time period of such practices was about
only Six weeks.

In Frelimo Hospital it has pharmacy department which deals with all activities which involve
with medicine and medical supplies. At Frelimo District Hospital the pharmacy it involved
the following departments which as follows

 Main store
 Outpatient Department (OPD)
 Health Insurance Department (BIMA)
 Care and Treatment Clinic Department (CTC)

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 ACKNOWLEDGEMENT

I thank to Almighty God for his guidance in the time of my field work practice. Also, I would
like to give my sincere thanks to the entire Decca College of Health and allied Science
administration for their concern about learning and putting into practice what we have learnt
by arranging a fieldwork practices.

I sincere gratitude to my supervision for taking their valuable time accompanying and
directing to my field work these are the principal of Decca College. Dr Cassian, Mr
Mbowela(HOD), Mr.Shalom obeid ,Head of class master,and other Tutors (Mr. Jafar,
Madam Mwakasoba Mr.Medad and Mr Edwin

I would like to give thanks to the administration of Frelimo Hospital for allowing me to
conduct my field work practice, Assistant Medical Officer and Doctor In Charge Dr. PILILA
Patron and also a Nurse Officer Mr JOHNSON Head of Pharmacy Department and Medical
Store Ph.KALINGA and his assistance Mrs.Jackline head of CTC Department, Dr. Isack and
other doctors and nurses.

Also I thank to all patients whom played a great role in accomplish my field work practice.

Lastly, I want to give thanks to my family for their support which helps to accomplish my
field practice

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 LIST OF ACRYNOM

ABC abacavir
ADR adverse drug reaction
AHP allied health professional
AIDS acquired immunodeficiency syndrome
ARV’s antiretroviral
ATP adenosine triphosphate
BP blood pressure
Caps capsule
CDC centres for disease control and prevention
CTX Co-trimoxazole
CHMT council health management teams
CTC care and treatment centre
DED district executive officer
DHS demographic and health survey
DMO district medical officer
EML essential medicine list
GOT government of Tanzania
HIS health information system
HIV human immunodeficiency virus
HSA health system assessment
HMIS Health Management Information System
IP inpatient
ITN insecticide-treated bed net
MSD medical stores department
NACP national AIDS control program
NHIF national health insurance fund
NIMR National Institute for medical research
OC Other Charges
OPD Outpatient Department
PHS Primary Health Care
PLWHA People Living With HIV/AIDS
PSU Pharmaceutical Services Unit
RHMT Regional Health Management Team
RMO Regional Medical Officer
SHIB Social Health Insurance Benefit
STG Standard Treatment Guideline
TB Tuberculosis
TFDA Tanzania Food and Drug Authority
FDH
VTC Voluntary (HIV) Counselling and Testing
WHO World Health Organization
ZTC Zonal Testing Centre

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Content
AKNOWLEDGEMENT.................................................................................................................
PERFACE.......................................................................................................................................
CHAPTER ONE..............................................................................................................................
1.0 INTRODUCTION.........................................................................................................
1.2 OBJECTIVE...................................................................................................................

CHAPTER TWO

2.1 HANDLING MEDICINE AND GIVING

INSTRUCTION...............................................................................................................
2.2 DEDUCTION OF INFORMATION FROM HEALTH DATA SPREED
SHEET..................................................................................
CHAPTER THREE
2.0 GENERATION OF REPORT FROM
MTUHA.........................................................................

CHAPTER FOUR
3.0 MTUHA.......................................................................................
4.1 HOW TO ACCES DATA IN E LMIS.....................................................
CHAPTER FIVE

5.1 TO IDENTIFIES R AND R FORM........................................................

5.2 HOW TO REPORT CONSUMPTION OF PRODUCT BY R AND R
FORM.......................................................................................................
5.3 HOW TO REQUEST PRODUCT BY USING R AND R
FORM.....................................

CHAPTER SIX

CHALLENGES......................................................................................................
RECOMENDATION.............................................................................................
REFERENCE.....................................................................................................

CHAPTER ONE

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 1.0 INTRODUCTION

I conducted my field practice at FRELIMO DISTRICT HOSPITAL found at Iringa

District at IRINGA region this field practice I conducted from 27th.07.2020 up to
16rd.04.2019 which took only Three weeks to accomplish all field practice. This field work
was conducted in rotation form at different department in accordance to the roster.

In Frelimo District Hospital it have pharmacy department which deals with all
activities which involve with medicine and medicinal supplies. At Frelimo District Hospital
the pharmacy includes the following departments as follows

 Main store
 Outpatient Department (OPD)
 Health Insurance Department (BIMA)
 Care and Treatment Clinic Department (CTC)
 CTC Store

On my first day at field practice I introduced myself to my fellow health personnel. The
introduction includes my full name, where I live including with the college name on which I
study health service. After the introduction I got chance to be introduced with health
personnel who works in the health centre.

Onwards after I got to know my fellow health personnel they gave me hope that I will
easily get to understand how to conduct health services, I had to be patience for some days
and concentrate on what they are doing and what they taught me.

1.2 OBJECTIVES

 Receiving and Interpret prescription from the pertinent establish clearly locality of
prescription
 Identify pack and label medicine and medical supplies for dispensing-Issue medicine and
medical supplies to patient with clear instruction and advance
 Keep record of dispensed medicine and medical supply
 Practice Ordering, Receiving, Location and coding of medical and medical supply storage
fertility
 Carry out store control of medicine and medical supplies

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 CHAPTER TWO

2.0 HANDLING MEDICINE AND GIVING INSTRUCTION TO PATIENT OR

CLIENT

MUTUHA is a short term of mfumo wa taarifa za uendeshaji huduma za afya. is the system
designed to collect facility based health and health related data, compile, store and retrieve
for data analysis to produce report which in turn inform service providers, health managers,
decision markers/policy makers and the public to make informed decision on health planning,
monitoring and evaluation and provision of services at all levels of health care delivery.
SOURCES OF MTUHA DATA AT LDH
I. RCH
II. Pharmacy
III. Medical store
IV. Substore
V. Laboratory
VI. Outpatient
VII. Inpatient

TOOLS USED TO COLLECT MTUHA DATA AT

In use of MTUHA at Liwale district hospital three main tools are used in collection,
analysis, storage, management and reporting MTUHA data and these are:
 Books/Registers: various books are used at Liwale district hospitalin collection
of MTUHA data.
But are HMIS books are subdivided into five ( 5 ) main groups;-
 HMIS Guideline
 Data collection book
 Tally sheet forms
 Monthly Report Book
 Annual Report Book
 Tally sheet form
 Monthly report forms.

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 HOW TO LOGS IN MTUHA SOFTWARE
( MTUHA DATA ENTRY AT LDH )
The facility in charge liwale district hospital access or logs in MTUHA data base or software
by accessing the following processes;-
 Access your internet
 Opening your internet browser e.g fire fox or google chrome
 Enter your URL: That is https/dhis.moh.go.tz
 Enter the facility account ( user name and password ) like thus one

 Then click on Application Menu

 Then select the form ( data set ) to fulfil data

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 CHAPTER THREE

GENERERATION OF REPORT FROM MTUHA

There are four most common periods in MTUHA frequencies organized but at FDH most
data are collected and retrieve in monthly frequency.

These four periods includes:

 Quarterly
 Monthly
 Six months yearly
 Annually

How to generate Report Form From MTUHA data base

 Click on Apps in Navigation Application Menu

 Select and click on Reports
 Select data set Report
 Define the organization unit ( LDH )

 Define the period

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 Problems faced by personnel at LDH in collection of MTUHA
data base
 Networking problems during data entry and data transfer from facility level to
another higher level e.g district and National level
 Lack of knowledge among health workers in analysis and preparing MTUHA
data
 Difficult in preparing data at FDH due to various reasons such us collection of
data from various sources within FDH
 Entering information that are invalid while there are the setup of MTUHA that
show him a sign that there are invalid inform, so the personnel collect those
invalid information by running data validation then after collect is where now
click complete and through that information have already send to t

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 CHAPTER FIVE

ELECTRONIC LOGISTICS MANAGEMENT INFORMATION SYSTEMS (eLMIS)

OVERVIEW
eLMIS
This is a electronic system of records and reports that is used to aggregate , analyze
,validate and display data (from all levels of the logistic system ) that can be used to make
logistics decisions and manage the supply chain.

I. The electronic Logistics Management Information System (eLMIS) is a revolutionary

and cost-effective system of health data management that ensures greater commodity
security and better health outcomes

How to logs in the website for eLMIS

 Access your internet

 Opening your internet browser e.g. google chrome or fire fox
 Enter your URL. That is www.elmis.co.tz
 Enter the district pharmacist account ( user name and password )

How to access data in eLMIS

 In the elmis after login there are two option first is my facility which always is the
district hospital and other facility which are always the health canter’s and
dispensaries within the district.

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How to order medicine and medical supplies by using eLMIS

 In the elmis the are two form of ordering which are emergency order and regularly
order .
II. Emergency order: Is the form of order that is placed or requesting other than that of
the specific period of time due to the shortage or out of the stock.
III. Regularly order: Is the form of order that are requested for a specific duration of time
which can be after tree months or six months.
 In order to order you suppose to fill in the elmis system like the amount that you
received at the previews order, the balance that you have, losses or adjustment and
also the amount that you want to order the system can calculate and gives you the
actual amount in which the order can consume and also you can compare to the
amount that you have on hand.

How to send the finished order through the eLMIS

 After the order being completed the district pharmacist place to the place written
submit
How is electronic logistic management information system used.

 The goal of eLMIS is to improve health logistics data collection, aggregation

and presentation in order to make informed decision
• The electronic logistic management system is an electronic system of records and
reports that is used to aggregate , analyze ,validate and display data (from all levels of
the logistic system ) that can be used to make logistics decisions and manage the
supply chain
• Electronic LMIS enables a transition from a paper-based system of data management
to an electronic format which will foster better, faster, and  more accurate reporting of

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 supply chain data, reduce stock outs of health commodities, and ultimately provide
better access to medicines to improve  health outcomes. 
• Given that the eLMIS has been built on an open source platform, any country in need
will be able to easily adapt this state of the art automated system to its requirements.

CHAPTER FIVE

REPORT AND REQUEST FORM ( R&R FORM )

 To identifies R&R form

 Form 2A: Dispensary or Health Centre Report & Request for Priority
Medicines and Related medical supplies and equipments.
 Form 2B: Hospital Report & Request for Priority Medicines and Related
Medical Supplies
 Form 2C: Blank Report & Request for Additional Medicines and Related
SMedical Supplies and Equipment To order additional medicines and related
medical supplies not printed on Forms 2A & 2B.

 How to report consumption of medicine and medical supplies using R&R form

 The consumption of medicine and medical supplies are calculated by taking the
staring balance plus the received amount minus losses or adjustment also the system
of eLMIS helps to calculate after entering those data to the required or appropriate site
the actua consumption of that product are indicated end light side and also the system
indicate the amount to be ordered and the actual costs.

 How to request medicine and medical supplies using R&R form

 First you must identify what kind of order you want to request whether is emergency
order or regularly order
 Second you must complete to fill R&R form.
 Third you must approve the data entered
 Fourth the district pharmacist ( DH ) he/she must submit the R&R form electronically
by using the eLMIS system.

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 CHALLENGES

Frelimo District Hospital has the following challenges,

- The Main Store is too small that some of medicine doesn’t have a place to be kept,
despite they just been kept in small store that doesn’t have suitable temperature for
safety medicine.
- Too many of patient that result the dispensing process to be slow and difficult on time
to time communicating and explanation of the use of medicine.
- Small room of OPD department that deals with dispensing of medicine to outpatient.
This are some of challenges that i faced and realize to be volunteer in Frelimo
District Hospital

RECOMENDATION

- Increasing of Main Store for the safety of medicine that should also have in suitable
temperature
- Increasing of OPD department in order the resultant of too many outpatient to be
decreased and additional of Pharmacist

REFERENCE........

o Medical Store Department Drug book

o Standard Treatment Guideline 2013
o Tanzania Pharmaceutical Handbook –TPH 2011
o Internet Source

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