This document summarizes primary healthcare services in Garankuwa and Soshanguwe, South Africa. It details that there are 17 total facilities, including 3 community health centers and 11 day clinics. The facilities provide a range of services from family planning to childhood illness treatment. Staff include nurses, doctors, pharmacists and other personnel. Medications are prescribed according to an essential medicines list and dispensed either in consulting rooms or on-site pharmacies. The document also describes centralized chronic medication distribution programs and standard pharmacy operations around stock receipt and storage.

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