TABLE 3.

Descriptions of Reports Submitted via the Smartphone Application in Tanzania and Subsequent Outcomes

RegionnReport TypeProductProduct TypeProduct Suspected to Be Substandard or FalsifiedProduct Suspected to Have Caused Adverse Reaction or Unexpected Lack of EfficacyReporting ReasonTesting ResultsConclusionTMDA ActionReported to WHO
Mbeya6MedicineCombiartAntimalarialSubstandard

No (n=5)

Yes (n=1)

N/APassed Minilab by TLC but failed visual inspection - foreign marks on tablets and no manufacturing date on primary containerFalsifiedRecallYes
Mbeya1Medical deviceNeoVacIV cannulaFalsifiedYesNot functioning properlySterility failureSubstandardRecallYes
Mbeya1Medical deviceKit KathIV cannulaFalsifiedYesNot functioning properlySterility failureSubstandardRecallYes
Dar es Salaam1Medical deviceCareStart MalariaRapid diagnostic testSubstandardYesErrored/no results; using up to 5 rapid diagnostic test per patientN/ASubstandardRecallYes
Dar es Salaam3MedicineDiclofenac InjectionAnalgesicSubstandard

Yes (n=2)

No (n=1)

N/AN/ASubstandardRecallYes
Arusha1MedicineAdrenalineBroncho-dilator/cardiac stimulantSubstandardYesN/AN/AUnregisteredRecallN/A
Tabora2MedicineMetronidazole tablets

Antibiotic/antibacterial/

antiprotozoal

Substandard

Yes (n=1)

No (n=1)

N/AN/AUnregisteredRecallN/A
Mwanza1MedicineTranexamic acid tablets (Tranacad)AntifibrinolyticSubstandardYesN/ANot tested due to no sample availableNo conclusionN/AN/A
Mwanza1Medical deviceSterile umbilical cord clampUmbilical cord clampSubstandardYesN/ANot tested due to no sample availableNo conclusionN/AN/A
Mwanza1MedicineCoram 10AntihypertensiveSubstandardYesN/AN/AGenuineN/AN/A
Arusha1MedicineD5 infusion injectable solutionHydrous dextroseSubstandardYesLeakage of productN/AGenuineN/AN/A
Mtwara1MedicineLARTEMAntimalarialSubstandardYesADRsN/AGenuineN/AN/A
  • Abbreviations: ADR, adverse drug reaction; N/A, not applicable; TLC, thin-layer chromatography; TMDA, Tanzanian Medicines and Medical Devices Authority; WHO, World Health Organization.