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Pharmacovigilance requirements in São Tomé and Príncipe

In São Tomé and Príncipe, the pharmacovigilance system is non-operational. There is no modern legal framework, national center, or active membership in the WHO PIDM. Activities are limited to ad-hoc support from WHO and NGOs, particularly during vaccination campaigns.

1. Clinical Safety (Clinical Trials)

Clinical trials are extremely rare and typically humanitarian.

  • Framework: No national guidelines; sponsors follow international standards (ICH E2A).

  • Expedited Reporting: Sponsors generally follow 7 days (fatal/life-threatening) and 15 days (other serious unexpected) for SUSARs as a matter of best practice.

  • Submission: Reports go directly to the Ministry of Health (MoH).

2. Post-Marketing Pharmacovigilance

There are no enforceable local obligations for Marketing Authorization Holders.

  • Personnel & Infrastructure:

    • No Local QPPV: Not required.

    • No PSMF Mandate: Not required.

  • Incident Reporting (ICSRs):

    • Enforcement: Voluntary/Ad-hoc.

    • Practice: Reporting is negligible; serious ADRs are handled ad-hoc.

  • Risk & Periodic Reporting:

    • PSURs/RMPs: Not required.

Summary of Requirements

Component Requirement in São Tomé and Príncipe
Regulatory Authority MoH (Ministério da Saúde)
Framework Non-functional / Ad-hoc
Local QPPV / PSMF Not required
Safety Reporting None / Ad-hoc
Clinical Reporting SUSARs (7/15 days - International practice)
Submission Language Portuguese