PHC Services in Tshwane

1. PHC SERVICES
10 OCTOBER 2023_KN

2. PHC SERVICES IN TSHWANE
 PHC IN GARANKUWA AND SOSHANGUWE CONSIST OF :
 Total Number of Facilities: 17
 3 COMMUNITY HEALTH CENTRE( WITH MOU (MATERNAL OBSTETRIC UNIT)
rendering a 24
 hr service 7 days a week.
 11 CLINICS DAY CLINIC rendering 8 hours per day with some opening on
Saturday till 13:00

3. SERVICES RENDERED
 Family Planning
 EPI (Expanded Programme on Immunaisation)
 ANC ( Ante Natal Care)
 Curative Service
 Chronic Service
 Youth Service
 IMCI (Intergrated Management Of Childhood Illnesses)
 Post Natal

4. PERSONNEL COMPONENT
 Area Managers
 Facility Manager
 Doctors
 Dentist( Facilities With Dental Services)
 Dental Assistants( Facilities With Dental Services)
 Nurses
 Pharmacists (Facilities With Pharmacies)
 Pharmacy Assistants
 Clerical Personnel
 General Assistants
 Security
 Programme Managers administering the various health programmers e.g. CCMDD
 programme (Central Chronic Medicine Dispensing and Distribution)

5. VARIOUS SECTIONS IN A CLINIC
 Admitting - get pat card
 Emergency
 Consulting rooms where patients are seen and examined by
either Doctor or Nurse
 Dressing Room
 ANC
 Dental where available
 IMCI (Intergrated Management Of Childhood Illnesses)
 Family Planning
 Wellness Clinics
 Mental Health in the CHC.

6. PRESCRIPTIONS AND DISPENSING
 There are various systems in use.
 Dispensing
 o in the consulting rooms by the nurses who are authorised to do so under section
 56(6) of the Nursing Act.
 o in the Pharmacy by Pharmacist and Pharmacist assistants.
 Prescribing:
 o Done by professional nurses and doctors
 o prescriptions are written according to Essential Medicine List (EML)
 o the script must be dated, be legible, signed
 Patients are to be educated on the following:
 o use of medication
 o Treatment compliance
 o side effects
 o complications

7. CCMDD: (Centralized chronic medicines
dispensing and distribution)
 o All chronic patients who are stable, more than a year on a treatment, with
normal
 blood results are referred to CCMDD
 o They collect treatment from pickup points or their facilities
 o They collect for six months and return back to their facilities to renew
scripts

8. PHARMACY:
 Each facility has a pharmacy
 The pharmacy personnel (pharmacist assistants or pharmacist) is in charge of
the pharmacy and is
 responsible for;
 Dispensing of prescriptions
 Advising the patients on
 o use of medication
 o Treatment compliance
 o side effects
 o complications

9. Ordering and maintaining the stock levels both in
the pharmacy and in the consulting rooms
 where applicable.
 o Check the quantity on hand and then order according to the ROL (reorder
level)
 o The orders are placed from the Regional Pharmacy
 On different days per facility .each facility has its unique date for placing
 their order.
 By an authorised person Pharmacist, Pharmacist Assistant (signature
 specimen is collected every year at the end of financial year)

10. Receiving of stock
 When stock is delivered ,the pharmacy assistants or pharmacist receive stock
 check and sign for the invoice which is in a duplicate. The other copy remain
and the
 other copy is send back to the regional pharmacy

11. Receiving of stock 2
 The following actions need to be taken when receiving stock;
 Fridge items should be dealt with priority
 Boxes are sealed
 If that it is what you ordered
 the items match the invoice
 Check for missing items
 Check the expiry date
 Isolate medicines that are short dated or expired
 Isolate items that are leaking or damaged
 Store fridge items in a fridge
 Apply FEFO (First Expiry First Out) or FIFO (First I First Out)

12. THANK
YOU