THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN

GUIDELINES TO ESTABLISH AND OPERATE A PRIVATE HOSPITAL

PRIVATE HOSPITALS ADVISORY BOARD,

P. O. Box 9083,
6 SAMORA MACHEL AVENUE,
11478 DAR ES SALAAM

email : [email protected]
Mobile phone: +255 689447330
Landline & Fax No: +255 22 2127663

OCTOBER, 2018
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Table of Contents Page

FOREWORD.............................................................................................................................................. 2

1.0 INTRODUCTION ......................................................................................................................... 4

1.1 Definition of Terms ...................................................................................................................................4

1.2 Purpose of these Guidelines: .................................................................................................................4

2.0 ORGANISATIONS AND PERSONS QUALIFIED TO OWN PRIVATE HOSPITALS

.......................................................................................................................................................... 5

2.1 Approved Organisation or Persons .......................................................................................................5

3.0 PROCEDURES FOR APPROVAL OF AN ORGANIZATION OR A PERSON ....... 5

3.1 Application for approval ..........................................................................................................................5

4.0 MANAGEMENT OF A PRIVATE HOSPITAL .................................................................... 6

4.1 Persons Qualified to Manage Private Hospitals ..................................................................................6

4.2 Restrictions on Managing Private Hospitals........................................................................................6

5.0 SUPERVISORS OF PRIVATE HOSPITALS AND THEIR RESPONSIBILITIES ... 7

6.0 FEES ............................................................................................................................................... 7

7.0 APPROVAL OF AN ORGANISATION OR PERSON ..................................................... 7

7.1 Consideration of Application ..................................................................................................................7

7.2 Refusal of an Application ........................................................................................................................8

7.3 Revocation of Registration of Approved Organisation or Person ...................................................8

8.0 PROCEDURES FOR REGISTRATION OF PRIVATE HOSPITALS ........................10

8.1 Categories of Private Hospitals ............................................................................................................ 10

8.2 Accreditation ........................................................................................................................................... 11

8.3 Categories of Registration .................................................................................................................... 11

8.4 General Requirements for Registration of a Private Hospital ........................................................ 12

8.5 Specific Requirements for Registration of Private Hospital ........................................................... 12

8.6 Grant of Registration of a Private Hospital; ....................................................................................... 14

8.7 Refusal to Grant a Registration of a Private Hospital: ..................................................................... 15

9.0 REGISTRATION AND ANNUAL FEES .............................................................................15

9.1 Registration Fees .................................................................................................................................... 15

9.2 Validity of Registration of a Private Hospital ..................................................................................... 15

9.3 Display of Certificate of Registration of a Private Hospital ............................................................. 16

10.0 SUSPENSION OF SERVICES PROVIDED BY A REGISTERED PRIVATE

HOSPITAL ..................................................................................................................................16

11.0 RENEWAL OF REGISTRATION .........................................................................................16

12.0 CHANGE OF OWNERSHIP OF PRIVATE HOSPITAL ................................................17

13.0 CHANGE OF MANAGEMENT OF A REGISTERED PRIVATE HOSPITAL .........17

14.0 CHANGE OF LOCATION OF A PRIVATE HOSPITAL................................................17

15.0 PLACES NOT SUITABLE FOR LOCATING PRIVATE HOSPITALS .....................18

ANNEXES: ...............................................................................................................................................19

ANNEX 1 FEES AND PENALTIES ................................................................................................................... 19

ANNEX 2. NOTIFICATION FOR CHANGE OF OWNERSHIP ................................................................... 22

ANNEX 3. NOTIFICATION FOR CHANGE OF MANAGEMENT OF A HEALTH FACILITY ................... 25

ANNEX 4 NOTIFICATION OF CHANGE OF LOCATION ......................................................................... 28

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FOREWORD
These Guidelines are intended to assist stakeholders who wish to establish
and operate private hospitals or those who wish to understand how private
hospitals can be established and operated in mainland Tanzania. The
referred to stakeholders may be an approved organisation or an individual
person. They need to understand the essential requirements which have to
be fulfilled for the application to establish and operate a private hospital to be
considered and approved. These Guidelines can be considered as a
summary of the Regulations of the Private Hospitals Act, (Cap. 151).

The Ministry of Health, Community Development, Gender, Elderly and

Children decided that there is a need for these Guidelines to be prepared in a
participatory manner and disseminated to stakeholders so that the
requirements and procedures for registration of Private Health facilities are
better streamlined and better known to the various stakeholders.

The use of these Guidelines is therefore expected to lead to a much reduced

frequency of applications which face outright rejection by the Private
Hospitals Advisory Board.

It is therefore advised that, stakeholders who wish to establish and operate

private hospitals should read and understand these Guidelines before
embarking on filling the application forms. This will enable their applications
to be considered and approved at the earliest time.

Prof. Muhammad Bakari Kambi

CHAIRMAN OF THE BOARD
PRIVATE HOSPITALS ADVISORY BOARD

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ACKNOWLEGMENT

The Ministry would like to thank the Registrar of Private Hospitals Advisory
Board Dr. Pamella L. Sawa and the entire Secretariat Team and Board
Members Dr. David Isaya and Dr. Aifena Mramba for their inputs, comments
and made these process to the final version for our Clients, who wish to
establish a New Facility.

Lastly but not the least, special thanks to Dr. Edwin P. Mung’ong’o the former
Registrar of Private Hospitals Advisory Board who tirelessly Coordinated the
whole task, on behalf of the Ministry.

I Once again thank everyone who made the accomplishment of this

document a reality.

Dr. Mpoki M. Ulisubisya

PERMANENT SECRETARY - HEALTH

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1.0 INTRODUCTION

1.1 Definition of Terms

In these Guidelines, unless the context otherwise requires;

Approved organization means an organization approved by the

Minister
under section 6 to manage a private hospital in
accordance with the provisions of Private
Hospitals Act No. 6 of 1977 and its 1991
Amendment,

Approved person means a person approved by the Minister

under section 6 to manage a private hospital in
accordance with the provisions of Private
Hospitals Act No. 6 of 1977 and its 1991
Amendment,

Hospital means any institution for the reception and

medical treatment of persons who are injured,
infirm or suffering from illness, and includes a
dispensary, clinic (whether mobile or not) and
also any place or premises used for purposes of
medical treatment, whether regularly or
periodically,

Stakeholder means Organisations, individuals who wish to

establish private hospitals or those who wish to
understand the requirements which have to be
met in order to be allowed to establish a private
Hospital,

Private Hospital means any hospital which is not public as

defined in the Private Hospitals Act No. 6 of
1977 and its 1991 Amendment,

Private Hospitals
Advisory Board means the Board established by the 1991
Amendment of the Private Hospitals Act No. 6
of 1977.

1.2 Purpose of these Guidelines:

These Guidelines are intended to:-
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 a) Inform approved Organisations, persons and the general public the
requirements which must be met in order to establish and operate a
private hospital.

b) Facilitate the implementation of the Regulations of Private Hospitals

Act No.6 of 1977 and its 1991 Amendment in registering private
hospitals.

c) Facilitate the DMOs and RMOs in identifying applications to register

private hospitals which do not meet the requirements and therefore
advise the applicants on how to correct the identified shortcomings.

d) Facilitate the general public to assist the Government in identifying

hospitals which are being operated illegally and therefore contribute
in monitoring the provision of quality health services.

2.0 ORGANISATIONS AND PERSONS QUALIFIED TO OWN PRIVATE

HOSPITALS

2.1 Approved Organisation or Persons

An organization or person is qualified to own and operate a private
hospital if that organisation or person is approved by the Minister
responsible for Health in accordance with the Private Hospitals Act
No.6 of 1977 and its 1991 Amendment. The approved person can be a
registered or licensed medical or dental practitioner.

A medical or dental practitioner employed on full time basis by the

Government or any other organization may own a health centre or a
hospital, provided that, he is not the manager of the Health Centre or
Hospital i.e. he is not required to be present in the facility all the time
the facility is operating. The Manager of a Health Centre or Hospital is
supposed to be present at all times when a facility is operating.

3.0 PROCEDURES FOR APPROVAL OF AN ORGANIZATION OR A

PERSON

3.1 Application for approval

An application for approval of an organization or person shall be made
to the Board upon payment of the prescribed fee and shall contain the
following particulars:
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 a) name of the organization or person as appearing in the certificate of
incorporation, registration or licence;
b) physical address of the organization or person applying for approval;
c) name and registration status of the Doctor who shall be the advisor
of the organization on health matters. He must be currently
registered and must have a retention certificate.
d) employment contract of the Doctor who shall be advising the
organization on health matters;
e) proof of the existence of such organization; and
f) proof on whether memorandum and articles of association, or
constitution of such organizations allows it to engage in the provision
of health services.

4.0 MANAGEMENT OF A PRIVATE HOSPITAL

4.1 Persons Qualified to Manage Private Hospitals

A person is qualified to manage (supervise the day to day activities) a
private hospital if such person:-

a) has relevant academic qualifications suitable for managing a private

hospital;
b) has a full registration and has paid the retention fees as required by
the relevant professional statutory body.
c) is approved under the Private Hospitals (Regulation) Act of 1977
and its amendment of 1991.

4.2 Restrictions on Managing Private Hospitals

The management of private Medical Clinic, Dispensary, Health Centre
and Hospitals shall be restricted to qualified Medical Doctors or
Assistant Medical Officers. Dental clinics shall be managed by Dental
Surgeons or Assistant Dental Officers. Dental Laboratories shall be
managed by Dental Laboratory Technologists.

A private Hospitals Manager shall:-

a) ensure that members of staff working in the hospital abide to ethics
and professionalism.
b) ensure that the infrastructure including equipment used in the
hospital are working normally.
c) be responsible for technical issues within the hospital; and
d) be allowed to manage one private hospital at any time.
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5.0 SUPERVISORS OF PRIVATE HOSPITALS AND THEIR
RESPONSIBILITIES
Each registered Hospital shall have a supervisor who shall:-
a) be responsible for the day to day activities of the Hospital,
b) shall be available at all times at the Hospital, except for a dispensary
or a Medical Clinic where the supervisor shall visit the facilities for at
least twice a week and spend at least two hours per visit.
c) a supervisor to the Hospital or Health Centre shall be a full time
employee of that hospital or health centre, and shall supervise only
one Hospital or Health Centre.
d) a supervisor to a Medical, Dental Clinic, or Dispensary shall
supervise the maximum of five Clinics or Dispensaries at any time.
e) a supervisor of a Dental Laboratory shall supervise the Laboratory
where he/she works

6.0 FEES
In order for any application for; approval of an Organisation or a
person, the applicant shall pay the prescribed application fees. The
fees may be reviewed by the Board whenever the Board is of the
opinion that it is necessary to do so. The Fee schedule is as shown in
Annex 1, Established in July 2011.

7.0 APPROVAL OF AN ORGANISATION OR PERSON

7.1 Consideration of Application

The Board shall accord equal weight to all applications which are
properly submitted to it by organizations or persons, as the case may
be.

In considering applications, the Board shall be guided by the need to:-

a) maintain good, quality, effective and efficient health services
delivery,
b) attaining equitable distribution of health facilities and
c) ensure accessibility of health services.

The Registrar shall within one week from the date of receiving an
application inform the applicant whether or not the application has met
all requirements for consideration for approval by the Board.

Where the Board is satisfied that an applicant has met all requirements
for approval, it shall approve the applicant. Thereafter the Registrar

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 shall inform in writing the applicant the decision of the Board within
seven days from the date of approval of the Board.

The approved organisation and persons shall be entered into the

Register of approved organisations and persons and the list of
approved Organisations and persons will subsequently be published in
the Government’s Gazette each year.

7.2 Refusal of an Application

The Board may refuse an application if:-

a) an application is defective in material particular including not being

readable;
b) the applicant has no relevant qualifications to enable approval under
the Private Hospitals (Regulation) Act of 1977 and its amendment of
1991 and its Regulations.
c) is suspended or is subject to any disciplinary proceedings by the
competent professional body.
d) within the period of two years before application, the applicant was
convicted for an offence relating to serious professional misconduct
or malpractice.
e) the applicant has intentionally provided false or misleading
information.
f) the applicant was convicted of any criminal offence relating to
corruption, tax evasion or any other related offence and sentenced
to imprisonment for a term of six months or more.
g) the memorandum and articles of association, or constitution of the
applicant’s organization does not allow it to engage in the provision
of health services.
h) the applicant has not paid application fees.
i) the applicant is being used as an umbrella either by another person
or organisation to register the private hospital.

Where the Board has refused an application, the Registrar shall inform
the applicant in writing about the decision of the Board. The Registrar
shall give reasons for the Board’s refusal to approve the application,
within seven days from the date of Board’s decision.

7.3 Revocation of Registration of Approved Organisation or Person

The Board may revoke the approval of any person or organization
approved to own a private hospital if the person or organization is no
longer fit to own a private hospital.
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 An Organisation or Person is deemed to be unfit to own a private
hospital if:-

7.3.1 In the case of an approved person-

a) the registration of such person is suspended or cancelled by the
relevant professional body;
b) the person is convicted of any criminal offence relating to corruption,
tax evasion or any other related offence and sentenced to
imprisonment for a term of six months or more;
c) the private hospital to which he is approved to own, offers services
without issuing electronic fiscal receipts or invoices;

7.3.2 In the case of an approved organization-

a) the organization is operating against the public policies, including the
National Health Policy;
b) the private hospital to which such organization is approved, offers
services without issuing electronic fiscal receipts or invoices;
c) in any way ceases to exist or operate for a period of not less three
months;
d) services in such a private hospital are offered by unqualified or
incompetent personnel;
e) the facility has inadequate essential medical equipment and
supplies or has an infrastructure that is below the accepted
standards as determined by qualified inspection;
f) an approved person or organization has failed to pay annual fees for
three consecutive years;
g) there is gross mismanagement or mistreatment of medical staff to
the extent that services provided by the facility are affected.

A person or an organization whose approval is revoked shall not be

eligible to own any private hospital for a period of not exceeding five
years, or as the Board shall determine.

Before revoking the approval, the Board may require in writing, the
organization or person against whom any shortcomings have been
observed, to rectify such shortcomings within the prescribed time as the
Board may direct, or show cause as to why his approval should not be
revoked.

Where an approved organization or person fails to comply with the

directives of the Board or make a representation that dissatisfies the
Board, the Board may revoke the certificate of approval.
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7.3.3 Validity of Certificate of Approval
Unless otherwise including revocation, an approval of a person or
organization shall be valid for-

a) in the case of a person, five (5) years

b) in the case of a local organization, five (5)
c) in case of a foreign organization three (3) years.

7.3.4 Renewal of Approval

The holder of certificate of approval issued under the Act and these
Regulations may apply for renewal of such approval not later than three
months before expiry of the approval.
An application for renewal shall be in a prescribed form set out in
Annex 2. On submission it must be accompanied with-

a) a non-refundable renewal fee;

b) proof of fulfilment of such other requirements as may be prescribed
by the Board;
c) a certificate of good performance issued by the Registrar of Private
Hospitals

7.3.5 Review of approval renewal

In determining application for renewal, the Board may uphold, vary or
set aside its previous decision.

8.0 PROCEDURES FOR REGISTRATION OF PRIVATE HOSPITALS

8.1 Categories of Private Hospitals
A private hospital (as referred to in the definition of terms) may be
categorized in the following levels:

a) Hospital, Level I (equivalent to Council Hospital level), Level II

(Regional Referral Hospital) Level III (Zonal Referral Hospital) Level,
IV (National and Specialized Hospital)
b) Health Centre;
c) Diagnostic Centre; (Diagnostic & Radiology imaging Services)
d) Medical/General Clinic or Dental Clinic, including Specialized Clinic,
Poly Clinic and Specialized Poly Clinic;
e) Dental Clinic
f) Dispensary
g) Dental Laboratory Services
h) Physiotherapy Services
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8.2 Accreditation
The Directorate of Health Quality Assurance (DHQA) shall have the
mandate to accredit all hospitals to appropriate levels as prescribed in
the Standard Guidelines for Health Facilities, Vol. I – IV. (Signed and
inaugurated in May, 2018)

Where a person applies for registration or upgrading of a hospital, such

application shall, upon being received by the Registrar, be forwarded to
the Director of Health Quality Assurance who in collaboration with the
Department of Curative Services (DCS) shall evaluate and prescribe
the level to which such hospital qualifies to be placed.

8.3 Categories of Registration

A private hospital may be temporarily or fully registered.

A private hospital shall be qualified for full registration if the applicant

for such registration has complied with all requirements for registration
as prescribed in the Regulations of Private Hospitals (Regulation) Act
of 1977 and its amendment of 1991.

Where an applicant has failed to comply with any of the requirements

specified in the Regulations, and the Board is of the opinion that the
non-compliance of such requirement may be remedied within the
earliest possible time, the Board may advise that such applicant be
temporarily registered subject to conditions which the Board may
specify:

Provided that, the temporary registration so granted, shall not be for a

period of more than six months.

A foreign investor who has met all requirements for registration set out
under the Act and these Regulations shall be granted a full registration
for a period of three years.

In determining whether or not the applicant who is not a foreign investor

has to be granted temporary registration, the Board shall have regard
to overall scores of the applicant during inspection as set out in the
Fifth Schedule of the Regulations of the Private Hospitals (Regulation)
Act of 1977 and its amendment of 1991.

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 For purposes of this regulation, “foreign investor” does not include a
person who is a citizen of any member states of the East African
Community.

8.4 General Requirements for Registration of a Private Hospital

A private hospital may be registered if the applicant for such
registration has complied with the Basic Standards for Health Facilities
as determined by DHQA and such other requirements relating to staff,
infrastructure, equipment and location as set out in the Second
Schedule of the Regulations of Private Hospitals (Regulation) Act of
1977 and its amendment of 1991.

8.5 Specific Requirements for Registration of Private Hospital

An Organisation or a person intending to register a private hospital of
any category as prescribed in the Regulations of Private Hospitals
(Regulation) Act of 1977 and its amendment of 1991 shall ensure that:-

8.5.1 In the Case of Medical Clinic, the Clinic:-

a) offers services on outpatients basis by Specialists only;
b) is at all times operated by a Specialist and not any other medical
practitioner;
c) the premises have a minimum of three rooms, including a reception,
a working room and toilet facilities;
d) other specific requirements as set out in the Second Schedule of
Regulations of Private Hospitals (Regulation) Act of 1977 and its
amendment of 1991, relating to a medical clinic have been complied
with.

8.5.1 In the case of a Dispensary, the Dispensary-

a) offers health services on outpatients basis, including reproductive
and child health services, laboratory services, and observation
services for selected patients for less than twelve hours in
accordance with Standards for Health Facilities for Dispensaries
b) has all required medical staff as specified in the Standards for
Health Facilities - Dispensaries
c) has a minimum total of eight rooms as specified in the Standards for
Health Facilities Dispensaries

8.5.2 In the case of a Health Centre, The Health Centre:-

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 a) offers services, including reproductive and child health services to
both outpatients and inpatients with a maximum of twenty five (25)
beds
b) has all relevant staff consisting of clinical cadre, nursing cadre,
pharmacy and paramedical as specified in Standards for Health
Facilities - Health Centres the premises have a minimum total of
fifteen rooms, excluding reproductive and child health as specified in
Standards for Health Facilities Health Centres

8.5.3 In the case of a Level I Hospital, the Hospital:-

a) offers services to both outpatients and inpatients, including
reproductive and child health services; in accordance with Standards
for Health Facilities for Hospital Level I
b) operates as a first referral centre from dispensaries and health
centres if it is a Level I (Council level Hospital).
c) has a minimum number of twenty six (26) inpatients beds;
d) has at least three medical officers including medical officer in
charge, six clinical officers, one nurse for each shift including one
Nurse A for each morning and afternoon shift, one pharmacist, two
pharmaceutical assistants, two laboratory technologists, two
laboratory assistants, and one radiographer in case X-ray services
are provided for;
e) the premises are comprised of a minimum of required number of
spacious rooms, including a major theatre, laboratory, pharmacy and
a blood bank with or without X-ray services as set out in Standards
for Health Facilities for Hospital Level I
f) has a functioning incinerator for waste management;
g) has met any other requirement set out in in Standards for Health
Facilities for Hospital Level I

If the Hospital is of higher level than Level I, such Hospital should

provide services corresponding to the intended level of the
Hospital as prescribed in the Basic Standards for Health Facilities
Vol. III – IV.

8.5.4 Requirements for registration of a private Hospital

An organization or person applying for registration of a private hospital
shall make such application after complying with the requirements and
conditions set out in the Basic Standards for Health Facilities Vol. I –
IV. The application shall be accompanied with the following:
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 a) full sketch map of the private hospital whose registration is applied
for;
b) certified copy of certificate of approval of the organization or person
who owns the private hospital, which the registration is applied for.
c) certified copies of certificate of incorporation or registration, in case
the applicant is an organization;
d) certified copies of academic certificates and licences of each
medical practitioner intended to be engaged in the services of the
private hospital;
e) valid copies of employment contracts of each staff of the private
hospital;
f) one copy of the latest Curriculum Vitae of each staff of the private
hospital;
g) proof of payment of application fee;
h) proof of possession of an electronic fiscal device; and
i) contract relating to waste management where the private facility
does not have its own incinerator.

An application which is submitted within seven days before the

forthcoming Board meeting shall be dealt with in the subsequent
Board meeting.

8.6 Grant of Registration of a Private Hospital;

a) The Board shall, where it is satisfied that the requirements and
conditions to register a private Hospital have been complied with
grant a registration certificate in the prescribed form.

b) The Board shall specify whether the registration in respect of a

particular private hospital is for full or temporary registration. The
Registrar will inform the applicant the decision of the Board within
fourteen (14) days after the Board’s meeting.

c) The Registrar shall ensure that recommendations of the Board to the

Minister in respect of applicants for registration are submitted in
writing to the Minister within fourteen days from the last day of the
Board meeting that issues such recommendations.

d) Where the Board has recommended that an applicant be granted a

temporary registration, the Board shall specify reasons for such
recommendations, conditions to be fulfilled and the time limit within

14
 which such conditions are to be fulfilled by the applicant before a full
registration is granted.

e) An approved person or organisation shall not apply for registration of

a facility which belongs to unapproved person or organisation.

8.7 Refusal to Grant a Registration of a Private Hospital:

The Board may refuse an application for registration hospital if:-

a) the applicant has not complied with requirements of registration

b) the application is defective in material particular, including not being
readable
c) the applicant has submitted false or misleading information in his
application;
d) the application is not supported by the proof of payment of
application fee or possession of an electronic fiscal device.

Where the Board has refused an application to register a private

hospital, the Registrar shall, within fourteen (14) days from the
date of the Board’s meeting notify the applicant in writing stating
the reasons for such refusal.

9.0 REGISTRATION AND ANNUAL FEES

9.1 Registration Fees
For every certificate of registration, there shall be a fee paid for
preparing the registration certificate, thereafter the fee shall be payable
once in every five years when the renewal for the registration of the
private hospital is made.

Every private hospital which is granted a certificate of registration shall,

in addition to registration fee, pay to the Board an annual fee payable in
each calendar year as set out in Annex 1.

Where the owner of a registered private hospital fails to pay the annual
fee for the private hospital within the particular calendar year, a
surcharge shall be imposed on him as a penalty as specified in Annex
1.

9.2 Validity of Registration of a Private Hospital

A certificate of registration shall, unless revoked, be valid for a period of
five years from the date of issue.

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9.3 Display of Certificate of Registration of a Private Hospital
The registration certificate or a certified copy of it shall, at all times, be
placed at a conspicuous place in the relevant registered facility.

10.0 SUSPENSION OF SERVICES PROVIDED BY A REGISTERED

PRIVATE HOSPITAL
The Board or any officer acting on behalf of the Board may suspend
services of any private hospital if the Board is satisfied that:-

a) The facility offer services which contravenes other written laws.

b) The owner obtained registration by fraud or deliberate or negligent
submission of false information or statements.
c) The holder of such registration has contravened any condition
attached to his certificate of registration.
d) The private hospital has been subject to continuous professional
misconduct or malpractice.
e) The private hospital contravenes any of the requirements for
registration of a private hospital.
f) The private hospital offers services without issuing electronic fiscal
receipts.
g) there exists labour disputes between employees and owner of the
private hospital to the extent that amicable settlement of such
dispute is unlikely to be reached.

A private hospital whose services are suspended by the Board,

shall not resume services unless directed otherwise and in writing
by the Board through the Registrar.

Any person who operates a private hospital while the health

services in such hospital are suspended commits an offence.

11.0 RENEWAL OF REGISTRATION

The owner of a registered private hospital may, at least three months
before the expiry of the registration of the private hospital, apply to the
Board for the renewal of the Registration Certificate.

An application for such a renewal shall be in a prescribed form (Annex

2) and shall be accompanied with-

a. A non-refundable renewal fees as set out in Annex 1.

16
 b. Proof of fulfilment of such other requirements as may be prescribed
by the Board.

c. A certificate of good performance issued by the Registrar of Private

Hospitals

12.0 CHANGE OF OWNERSHIP OF PRIVATE HOSPITAL

An approved organization or person that wishes to change ownership
of the registered private hospital shall notify the Board by filling in a
form set out in Annex 2. at least three months before the desired
change of ownership. The notification form shall be accompanied with-

a) a valid certificate of approval of the outgoing organization or person

b) a contract or agreement that signifies the consent of both parties to
such change of ownership;
c) a valid certificate of approval of the incoming organization or person;
d) where the incoming owner is not an approved person or
organization, such person or organization shall be required to apply
for approval as prescribed in the Private Hospitals (Regulation) Act
of 1977 and its amendment of 1991 and its Regulations.

An application for change of ownership shall be subject to application

fee as set out in Annex 1.

13.0 CHANGE OF MANAGEMENT OF A REGISTERED PRIVATE

HOSPITAL
The owner of a registered private hospital who wishes to change
management of such hospital shall notify the Board by filling in a form
set out in Annex 3. at least three months before the desired change of
management. The form shall be accompanied with the following:

a. Reference letter from the District Medical Officer in whose

jurisdiction the private hospital situates;

b. Sufficient information of the incoming manager, including an up to

date Curriculum Vitae, certified copies of academic certificates and
licence, and a copy of employment contract.

14.0 CHANGE OF LOCATION OF A PRIVATE HOSPITAL

The owner of a registered private hospital shall not change location of
his hospital without prior approval of the Board.
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 a) The owner who wishes to change location shall notify the Board by
filling in a special form set out in Annex 4. at least two months
before the intended change.
b) A notification shall, before being submitted to the Board, be
approved by the District Medical Officer and the Regional Medical
Officer,
c) The notification of change of location shall be subject to inspection
fee in respect of the new location as set out in Annex 4.

15.0 PLACES NOT SUITABLE FOR LOCATING PRIVATE HOSPITALS

A private hospital (except due to special or exceptional
circumstances prevailing in the particular area, which necessitate
such area to have a private hospital), shall not be registered if such
hospital is located within the same premises with unsuitable or risky
premises. Unsuitable/risky premises include:- Bar, Restaurant, Hotel,
Mall, Petrol Station, Hair Salon and other premises with activities not
compatible with hospital services as may be determined by the Board.

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ANNEXES:

ANNEX 1 FEES AND PENALTIES

TYPE OF HOSPITAL Locals ( Foreigners
including EAC
partner states)
Amount in Tshs Amount in
US$
APPLICATION FORM FEE (non-
refundable) 100,000/= 100
REGISTRATION FEE
Council Hospital Level 500,000/=
Regional Referral Level 800,000/=
Super Specialized Level 1,000,000/=
Health Centre 200,000/= 2000
Dispensary 150,000/=
General Clinic 500,000/-
Specialized Clinic 500,000/=
Diagnostic Centre 1,000,000/=
Super Specialist Clinic 1,000,000/=
Polyclinic 1,000,000/=
Super Specialized Polyclinic 1,000,000/=
ANNUAL FEES ( 25% of Registration Fee)
TYPE OF HOSPITAL
Council Hospital Level 250,000/=
Regional Referral Level 400,000/=
Super Specialized Level 500,000/=
Health Centre 100,000/= 1000
Dispensary 75,000/=
General Clinic 250,000/=
Specialized Clinic 250,000/=
Diagnostic Centre 500,000/=
Specialized Clinic 250,000/=
Super Specialist Clinic 500,000/=

19
Polyclinic 500,000/=
Super Specialized Polyclinic 500,000/=
Lost Certificate (Recovery) 100,000/=
New certificate –old type to new
(includes change of location) 100,000/=
To Change 500$
500,000/=
Premises/Location/Ownership/Name
TYPE OF HOSPITAL-PENALTY
PENALTY (non-payment of Amount in Tshs Amount in U$
annual fees per year) to be paid
yearly
Council Hospital Level 120,000/=
Regional Referral Level 180,000/=
Super Specialized Level 200,000/=
Health Centre 120,000/=
Dispensary 80,000/= 500
General Clinic 80,000/=
Specialized Clinic 80,000/=
Diagnostic Centre 250,000/=
Super Specialist Clinic 250,000/=
Polyclinic 250,000/=
Super Specialized Polyclinic 250,000/=
Opening after closing 50,000/=
On spot penalty for operating 200
without registration 200,000/=
Re-registration Fees (paid once in every five years)
Council Hospital 500,000/=
Regional Referral Hospital 800,000/=
Super Specialized Hospital 1,000,000/=
Health Centre 200,000/= 2000
Dispensary 150,000/=
General Clinic 500,000/-
Specialized Clinic 1,000,000/=
Diagnostic Centre 1,000,000/=
Polyclinic 1,000,000/=
Super Specialized Polyclinic 1,000,000/=
20
Super Specialist clinic 1,000,000/=

Monitoring fees (50% of the registration fees)

Council Hospital 250,000/=
Regional Referral Hospital 400,000/=
Super Specialized Hospital 500,000/=
Health Centre 100,000/=
Dispensary 75,000/=
General Clinic 250,000/=
Specialized Clinic
Diagnostic Centre 500,000/=
Polyclinic 500,000/=
Super Specialized Polyclinic 500,000/=
Super Specialist clinic 500,000/=
GUIDELINE
Guideline Standards for Health
Facilities 10,000/= 20
Guidelines for Establishing and
operating a Private Hospital 20,000/= 15

21
 ANNEX 2. NOTIFICATION FOR CHANGE OF OWNERSHIP

A. PREVIOUS OWNER’S DETAILS

Name of previous owner………………………………………………………………….

Physical address of previous owner……………………………………………………

Street……………………………………………………………………………………...

Ward………………………………………………………………………………............

Council/ Municipal……………………………………………………………………….

District ……………………………………………………………………………………

Region……………………………………………………………………………………

Contacts of previous owner………………………………………………………………

Email of previous owner………………………………………………………………….

B. NEW OWNER’S DETAILS

Name of New owner………………………………………………………………………

Physical address of previous owner…………………………………………………

Street………………………………………………………………………………….......

Ward………………………………………………………………………………............

Council/ Municipal……………………………………………………………………….

District…………………………………………………………………............................

Region…………………………………………………………………………………….

Contacts of previous owner………………………………………………………………

Email of previous owner…………………………………………………………………

Passport size photo……………………………………………………………………….

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 C. QUALIFICATION DOCUMENTS OF NEW OWNER
i. Certified copies of certificates
ii. Curriculum Vitae
iii. Valid Registration from Medical Council of Tanganyika (MCT)
iv. Valid Registration from Nursing and Midwifery Council
v. Copy of letter of approval for the organisation to provide health
services

D. REASONS FOR CHANGING OF OWNER/PHYSICAL

ADDRESS AND LOCATION
i. ………………………………………………………………………
ii. ………………………………………………………………………
iii. ………………………………………………………………………
iv. ………………………………………………………………………

E. LEGAL DOCUMENTS FOR HANDING OVER THE FACILITY

i. Memorandum of Understanding (MOU)
ii. Contracts

F. PROOFS PAYMENT (To be attached)

i. Previous Annual Fees receipt, for the past 3 years
ii. Current Annual fee receipt
iii. Last payment Annual receipt
iv. Payment of New Certificate, must be paid in advance - amount
of Tshs. 100,000 or USD 100 for foreigners and should be
attached to the application form and payment of receipt.

G. FOR OFFICIAL USE ONLY:

DISTRICT MEDICAL OFFICER’S OFFICE

Name…………………………………………………………………………

Signature……………………………………………………………………

Date…………………………………………………………………………

Stamp………………………………………………………………………

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REGIONAL MEDICAL OFFICER/FOCAL PERSON

Name………………………………………………………………………

Signature…………………………………………………………………

Date ………………………………………………………………………

Stamp ……………………………………………………………………

REGISTRAR’S OFFICE – MINISTRY OF HEALTH, COMMUNITY

DEVELOPMBENT, GENDER, ELDERLY AND
CHILDREN – HEAD QUARTERS
Name ……………………………………………………………………………………

Signature ………………………………………………………………………………

Date ……………………………………………………………………………………

Stamp ……………………………………………………………………………………

24
ANNEX 3. NOTIFICATION FOR CHANGE OF MANAGEMENT OF A
HEALTH FACILITY

A. PREVIOUS MANAGEMENT DETAILS

Name of the facility…………………………………………………………

Date and registration number of the facility:………………………………

Name of the facility owner:…………………………………………………

Name of previous Manager:……………………………………………….

Physical address of previous Manager……………………………………

Street…………………………………………………………………………

Ward……………………………………………………………………………

District/Municipal………………………………………………………………

Region…………………………………………………………………………

Contacts of previous Manager………………………………………………

Email of previous Manager………………………………………………….

B. NEW MANAGER’S DETAILS

Name of New Manager……………………………………………………

Physical address of previous Manager:

Street………………………………………………………………………

Ward………………………………………………………………………

District/Municipal…………………………………………………………

Region……………………………………………………………………

Contacts of previous Manager…………………………………………

Email of previous Manager………………………………………………

25
C. QUALIFICATION DOCUMENTS OF THE NEW MANAGER
(To be attached)

i. Certified copies of certificate

ii. Curriculum Vitae
iii. Valid Registration from Medical Council of Tanganyika (MCT)
iv. Coloured Passport size photo

D. REASONS FOR CHANGING THE MANAGEMENT

…………………………………………………………………………

…………………………………………………………………………

…………………………………………………………………………

E. LEGAL DOCUMENTS FOR HANDING OVER THE FACILITY

i. Memorandum of Understanding (MOU)

ii. Contracts

F. PROOF OF PAYMENT (to be attached)

i. Current Annual fee receipt
ii. Last payment Annual receipt
iii. Payment of New Certificate, Tshs. 100,000/= or USD 100 for
foreigners

DISTRICT MEDICAL OFFICER’S OFFICE

Name………………………………………………………………………………

Signature…………………………………………………………………………

Date……………………………………………………………………………….

Stamp……………………………………………………………………………

Recommendation of the DMO………………………………………………

26
REGIONAL MEDICAL OFFICER’ S OFFICE/FOCAL PERSONS

Name………………………………………………………………………

Signature…………………………………………………………………

Date ………………………………………………………………………

Stamp ……………………………………………………………………

Recommendation of the RMO……………………………………………

REGISTRAR’S OFFICE - MINISTRY OF HEALTH, COMMUNITY

DEVELOPMBENT, GENDER, ELDERLY AND
CHILDREN – HEAD QUARTERS

Recommendation by the Registrar:…………………………………

Name……………………………Signature……………………………

Date ………………………………..Stamp ……………………………

27
 ANNEX 4 NOTIFICATION OF CHANGE OF LOCATION

A. PARTICULARS OF CURRENT LOCATION:

Name of the owner of the facility: …………………………………
Name of the facility: …. .……………………………………………
Physical address of current location:
Street……………………………………………………………
Ward……………………………………………………………
District / Municipal………………………………………………
Region……………………………………………………
Email ……………………...…………………………………………
Telephone number(s):……………………………………………
Date of approval of the facility:…………………………………..
Certificate of approval Number………………………………….

B. PARTICULARS OF NEW LOCATION:

Name……………………………………………………………………
Physical address of new location:
Street……………………………………………………
Ward………………………………………………………
District / Municipal…………………………………………
Region……………………………………………………
Nearest surrounding / neighbours (on all directions of the facility)
Email ……………………...……
Date of approval …………………………………
Number of approval Certificate ……………………………
Inspection report of the new location (be attached)

28
C. REASONS FOR CHANGING OF LOCATION
…………………………………………………………………………………
…………………………………………………………………………………
…………………………………………………………………………………
…………………………………………………………………………………

D. LEGAL DOCUMENTS FOR CHANGING LOCATION

Proof of PAYMENT of fees

i. Current Annual fee receipt
ii. Last payment Annual receipt
iii. Payment of change of Location or premises from one area to another
area

E. FOR OFFICE USE ONLY

DISTRICT MEDICAL OFFICER’S OFFICE

Name……………………………………………
Signature…………………………………
Date…………………………………………….
Stamp……………………………………..
Recommendations (the suitability of location) …………………
………………………………………………………………………
………………………………………………………………………

REGIONAL MEDICAL OFFICER’S OFFICE/FOCAL PERSON

Name………………………………………………………..
Signature……………………………………………………
Date ………………………… Stamp ……………………..
Recommendations …………………………………………
…………………………………………………………………
29
 …………………………………………………………………
…………………………………………………………………
…………………………………………………………………

REGISTRAR’S OFFICE - MINISTRY OF HEALTH, COMMUNITY

DEVELOPMBENT, GENDER, ELDERLY AND
CHILDREN – HEAD QUARTERS
Name ……………………………………………………………………
Signature …………………………………………………………………
Date ………………………………………………………………………
Stamp ………………………………………………………………………

30