Import & Export Requirements for Used Medical Equipment in Africa
| Country | Tariffs | Licensing/permits | Regulations | Customs procedures | Miscellaneous notes |
|---|---|---|---|---|---|
| Africa | |||||
| Angola | Specific exemptions for health related goods. | - Import License from ARMED (Ministry of Health) - Companies must be registered with the Ministry of Industry and Trade to import. | - Labels must include product ingredients, expiration dates, quantity, production batch, manufacturer/seller info, and country of origin. - Proof of quality and safety, and must meet sanitary standards | - Commercial invoice in Portuguese, certificate of origin, and potentially a batch quality control certificate. Pre - Shipment inspection is not mandatory but can expedite clearance if done. | Labeling in portuguese is mandatory |
| Algeria | No importation of used and refurbished medical equipment is allowed. | ||||
| Benin | 0% to 35%, depends on hs code | Import license | - Used medical equipment can only be imported after registration with ABREP. - Must meet the requirements outlined in the ABREP 2020 guidelines. | - Invoice, bill of lading, inspection certificates, and attestation of origin - Power of Attorney - Free Sale Certificate - GMP inspection letter - Laboratory analysis is required for approval | |
| Botswana | It depends on the equipment’s classification. | - Import permits are required for goods entering Botswana from outside the Southern African Customs Union (SACU) - Permits must be obtained from BoMRA (Botswana Medicines Regulatory Authority) | Used medical equipment must be registered with bomra before importation | - Customs duties are paid using SAD 500 (bill of entry) form - Invoice, bill of lading, inspection certificates, and attestation of origin | - Goods from SACU countries enjoy duty - Free access, but used equipment must comply with BoMRA regulations |
| Burkina Faso | 11.5% on average | Import permit issued by ministry of commerce, industry, and handicrafts | - All used medical equipment must be registered with the Directorate General of Pharmacy, Medicines, and Laboratories (DGPML) to ensure it meets Burkina Faso's safety, quality, and efficacy standards. - Must comply with ABNORM standards. | - Pre shipment inspection is required for used medical equipment with a value exceeding FCFA 1,000,000 (USD 1,565), conducted by COTECNA. - On arrival, DGPML will verify invoices, and the National Laboratory of Public Health (LNSP) will perform quality control checks. | Imports from waemu and ecowas countries may benefit from preferential tariff rates but must follow all regulatory steps. |
| Burundi | Depends on classification of the equipment | - License Exception MED allows the export, reexport, and in - Country transfer of EAR99 medical devices (low - Tech medical products) to Russia, Belarus, and the occupied regions of Ukraine. | - Must meet Russian health and safety standards, which may include additional inspection or testing, - Used devices may need certification from a recognized authority | ||
| Cabo verde | It depends on the specific category of the equipment. | - Import license from the Chambers of Commerce - Commercial operator certificate for importers - Marketing Authorization from ERIS: application must follow ICH guidelines | Must comply with eris regulations | - Commercial invoices, Bill of Lading, health certificates if applicable, and Certificate of Origin - Customs checks may include inspections | - Labeling must be in Portuguese - Waterproof packaging is necessary due to the tropical climate - Cabo Verde follows phytosanitary controls on wood packaging and materials like hay/straw but does not adhere to ISPM 15 standards. |
| Cameroon | Used medical equipment may be exempt from customs duties under certain conditions (e.g., for health related imports) | Technical import opinion required | - Only approved organizations by the Ministry of Public Health can import used medical equipment. - Fumigation certificate is required for used medical equipment to certify it is free from harmful germs or viruses. - Quality certificate for environmental safety might be needed | - The importer must submit a technical file for registration with the Direction des Médicaments et de la Pharmacie (DMP) before the equipment enters the country. - SGS verification is required for customs clearance. | |
| Central African Republic | - 5% 30% customs duties based on classification (HS code); 1% CIT for non - CEMAC origin | - Import permit from Ministry of Public Health. - CFS for medical devices | - Must be registered, labeled with manufacturer info - GMP certificate required Pre - Shipment Inspection (PVoC) mandatory | Ectn required additional taxes may apply in bangui | - Zero value invoices not accepted. - Bureaucratic procedures and potential corruption can cause delays. |
| Chad | 10% | - Import permits from Ministry of Public Health - Import permits for pharmaceuticals and veterinary medicines required from relevant ministries | - Certain devices may require a Certificate of Free Sale (CFS) and a Certificate of Good Manufacturing Practice (GMP) - Special labeling and registration for medical products under the Ministry of Health | Commercial invoice, certificate of origin, packing list, bill of lading/air waybill, and ectn reference required for customs clearance | |
| Comores | 10 to 30% | - Import license required - Ministry of Health approval for medical devices - Certain devices may require special permits | - Must comply with health regulations - Specific labeling in French may be required Health certifications - CE marking may be necessary. | - Commercial Invoice, Certificate of Origin, Packing List, Bill of Lading/Air Waybill, and ECTN may be required 4 - 6 weeks processing time - Documents in French preferred | - Bureaucratic delays; Paper - Based customs process - Documentation requirements may vary |
| Democratic Republic of the Congo | 2% tariff on cif for medical materials and equipment | - Import license required for medical equipment - License obtained through an authorized commercial bank, validated by BIVAC | - No specific regulations for used medical equipment - Must meet health and safety standards - Used equipment should resist tropical conditions (heat, moisture, pests) - Equipment must comply with local infrastructure and maintenance capabilities post - Market oversight challenges (focus on pre market approval) | - Pre shipment inspection by BIVAC for equipment valued over $2,500 - Certification of validation issued after inspection | - VAT exemption for medical equipment - Medical devices donated or imported for humanitarian purposes are exempt from VAT - No specific packing regulations, but must follow international packing norms (IATA, ICAO) |
| Republic of Congo | 30% | No specific import permits required for used medical equipment | No special labeling or marking requirements | - Bill of lading and invoice required. - Processing fee of 20 - 60% of CIF cost | French labeling required (not strictly enforced) |
| Djibouti | Tariff rates depend on product type. | Import permits are required | - Must comply with GHTF/IMDRF regulations, ensuring safety and performance standards. - Certificates of Origin and other relevant technical documents may be necessary. | - Commercial invoices must be detailed and translated into French, including currency, unit value, and HTS code. Pre - Shipment inspections (BIVAC) are required for items over $2500. | |
| Egypt | No importation of used and refurbished medical equipment is allowed | ||||
| Equatorial Guinea | Depends on the classification of the used medical equipment | Type approval from ortel is required for all imported used medical equipment | - Must meet technical, safety, and environmental standards. - Equipment must be evaluated for safety, electromagnetic compatibility, and environmental impact. - Compliance with international health standards, such as WHO guidelines, is mandatory. - A conformity assessment must be conducted to ensure compliance with technical regulations. | - Invoices, packing lists, and the ORTEL type approval certificate. - Customs will require additional documentation, including the conformity assessment report. - Ensure that the equipment passes inspection for functionality and safety before customs clearance. | - A type approval certificate is required for used medical equipment to verify that it meets Equatorial Guinea's standards. - All used medical equipment must undergo testing and certification before importation. - Expert advice may be needed to navigate the complex regulatory framework. - Importers should be aware of restrictions on certain types of medical equipment based on safety concerns |
| Eritrea | 25% | Import permit from the ministry of health required | - Medical equipment must be registered with the Ministry of Health. - CFS and Health Certificate required for medical devices. | - Customs clears based on invoices, CFS, and Health Certificate. - Inspection may be required. | |
| Eswatini | 0% to 30% | - Import permit required - Issued by the Ministry of Finance and Ministry of Health. | - Equipment must meet Eswatini’s health and safety regulations. - Country of origin labeling is required. | - Bill of entry, supplier invoices, and import permit must be submitted. - Customs clearance includes a health inspection by the Ministry of Health | Non compliance may result in fines, penalties, and seizure of goods |
| Ethiopia | No specific tariff for used medical equipment | Import license required. | - Used medical equipment must comply with EFDA’s registration requirements for medical devices - Used medical devices must be cleaned, disinfected, sterilized (as appropriate), reconditioned and tested. - Documentation must include product safety, performance, and technical specifications. - The EFDA assesses the risk associated with each device. | - Importers must submit a bill of lading, certificate of origin, and commercial invoices. - A certificate from EFDA confirming product registration is required. - Clearance at customs based on documentation and EFDA approval. | Service fees for medical device registration: 350 birr for screening, 1300 birr for evaluation. |
| Gabon | 20% | - Regulated under PROGEC (Gabonese Conformity Assessment Program). - Must comply with AGANOR standards for safety and performance. - Medical equipment must meet international or national standards (e.g., ISO) before import. | - Bill of lading and invoice are mandatory. - Certificate of Conformity (CoC) required - Goods must undergo conformity assessment before shipment. | French labeling required (though not strictly enforced) | |
| Ghana | 10% | - Importer must register used medical equipment with Ghana FDA - Import permit valid for one year | - Equipment must meet safety and performance standards (ISO, IEC) - Used equipment must be fully operational and meet standard performance requirements - Equipment must be documented (source, repair history, service records) - Labeling: Product name, expiry date, country of origin, and batch/lot number - FDA must be notified of any performance or safety issues - Used equipment must be accompanied by a user manual, maintenance records, training manual, and spare parts guarantee - Equipment that has been recalled or flagged for hazards is not accepted - Local agent required for non resident importers | - Submit Import Declaration Form - Obtain Tax Clearance - Submit Bill of Entry via ICUMS - Inspection by FDA and Customs - Verification that the equipment is fully operational and meets required standards - Required documents: Service and maintenance history, installation manual, user manual, spare parts guarantee | |
| Guinea | 10% | Import authorization (ddi) required from the ministry of commerce for imports exceeding 12 million gnf (approx. usd 1,250) | No specific labeling or marking requirements for used medical equipment | Use guichet unique portal for importation process | Corruption is a concern in customs clearance, delays may occur |
| Guinea-Bissau | 41% | No specific permit required for used medical equipment. | - Used medical equipment must meet basic safety and hygiene standards. - Used medical equipment cannot be sold, lent, or otherwise disposed of during stay. | - Bill of Lading/Air Waybill (original). - Documents must be submitted to the Destination Agent at least 8 days prior to shipment's arrival. - Customs clearance typically takes 10 to 30 days. | |
| Ivory Coast (Cote d'Ivoire) | 0% | Import license may be required for certain types of medical devices | - Used medical equipment must be registered/approved with the Direction de la Pharmacie, du Médicament et des Laboratoires (DPML) - Medical equipment must meet Ivoirian health and safety standards. - Must be labeled with the country of origin (e.g., “MADE IN THE U.S.A.”) - Equipment must meet European electrical standards and metric system requirements. - CE Certification required for medical devices and other specified products - Expiration dates and manufacture dates must be clearly visible for medical equipment to avoid health risks. | - Commercial Invoice, Certificate of Origin, Packing List, and Pro - Forma Invoice (if applicable). - If the FOB value exceeds 1 million CFA (approx. $1,600), a pre - Shipment inspection is required to verify the value and ensure compliance with import declarations. - The inspection is conducted by an inspection company (fee: 0.75% of the FOB value). | French language requirement for manuals, software, and symbols |
| Kenya | 0% to 25% | Import permits are not required | - Used medical equipment must be inspected under the PVoC program to ensure it meets required health and safety standards. - The equipment must also comply with any Kenya Bureau of Standards (KEBS) regulations. - Equipment may need to be tested to ensure it is safe for use in medical settings. | - Certificate of Conformity (CoC) through the Pre - Shipment Verification of Conformity (PVoC) process. - All customs documentation must be submitted via the Kenya National TradeNet System (KESWS). - Customs may require a detailed inventory or an inspection report. | |
| Liberia | 5% to 15% | Lmhra requires import permits | - Registration with the Liberia Medicines and Health Products Regulatory Authority (LMHRA) is mandatory for medical products. - MOCI requires proper labeling with details such as expiration dates, manufacture dates, and origin. - LMHRA may suspend registration if the device does not meet required Good Manufacturing Practices (GMP). | - Used medical equipment must pass through Liberia Revenue Authority (LRA) clearance. - Electronic filing and payments via LITAS system are required for customs procedures. Pre - Shipment inspection through BIVAC may apply for goods above US$3,500. | Used medical equipment may be subject to additional quality control checks by the lmhra. |
| Libya | 10% to 30% | No specific import permits required for used medical equipment | - Used medical equipment must comply with Libyan health and safety standards or international standards if no Libyan standards are available. - Conformity assessment must be conducted before shipping. - Products are assessed by Bureau Veritas for conformity to Libyan regulations under the ARN 2020/68 list | - Bureau Veritas inspects the used medical equipment before shipment to check for conformity. - Inspection includes reviewing documents, physical inspection, and potentially laboratory testing of equipment if no Libyan standards exist - Certificate of Inspection (CoI) - Letter of Credit (L/C) Inspection Report - If issues are found, a Non - Conformity Report (NCR) is issued. | |
| Madagascar | 5% to 20% | Not generally required for used medical equipment unless specifically classified. | Used medical equipment must comply with malagasy or international standards | - Must include unit value, number of units, and currency. Packing List: - Certificate of Origin - BSC (Bordereau de Suivi des Cargaisons): filled out online - HTS Code: Include for proper product classification | |
| Mali | Exemptions for medical equipment may apply | Import license may be required | - Importers must comply with the Directorate of Pharmacies and Medicines (DPM) - All used medical equipment must meet health safety standards as overseen by the National Health Laboratory (LNS). Risk - Based post marketing surveillance (RB - PMS) is applied to monitor the quality of medicines and medical devices | - Commercial invoice, packing list, certificate of origin - Cargo tracking document (BSC) - Inspection and physical examination may be required to ensure compliance with health and safety standards | There is ongoing work to establish a stronger regulatory framework for used medical equipment. |
| Mauritania | 0% to 35%, depending on the classification | Sanitary certificate may be required, depending on the nature of the medical equipment | - Pre shipment inspection by SGS (Société Générale de Surveillance) is required. - Certificate of Inspection (issued by SGS) - Commercial invoice, bill of lading, certificate of origin SGS certificate - | ||
| Mauritius | 0% to 30% | - Import permits may be required for used medical equipment under certain regulations. Pre - Import permits or health certifications may be necessary for second - Hand medical equipment. | - Used medical equipment must meet Mauritian health and safety standards. - It may be subject to inspection to ensure it complies with local medical regulations. Re - Certification and disinfection of used medical equipment might be required. | - Bill of lading/airway bill - Bill of entry, Invoice, Packing list - Certificate of origin (if applicable) - Insurance certificate (if applicable). - Inspection and clearance by Mauritian authorities | |
| Morocco | No importation of used and refurbished medical equipment is allowed | ||||
| Mozambique | 0% to 25% | An import license is required | - All medical equipment importers must be registered as a foreign trade operator with the Ministry of Health. - Used medical equipment must comply with Mozambican health and safety standards. - Equipment may need to be re - Certified for safety and effectiveness before being allowed into the country. Pre - Shipment inspections are mandatory for all medical imports. - Must comply with the Mozambique Conformity Assessment Programme (CAP). | - Certificate of Conformity (CoC) - Bill of Lading, Commercial Invoice, and Certificate of Conformity - Inspection and approval by National Institute of Standards and Quality (INNOQ) may be required. | Labeling must be in portuguese. |
| Namibia | - No tariff barriers for imports from SACU members (South Africa, Botswana, Lesotho, eSwatini). - 0% to 25% for other countries | Import permits may be required | - Importers must be licensed by the Ministry of Industry and Trade - Used medical equipment must comply with Namibian health and safety standards - Equipment must be in working condition | - Import declaration is required - Inspection on arrival - Conformity checks mandatory - Compliance with Conformity Assessment Program (CAP) - Certificate of Conformity | |
| Niger | 0% | An import license is required | - Importer must be licensed by the Ministry of Health for medical devices - Compliance with NAFDAC regulations for registration | - Preliminary Import Declaration required for goods ≥ CFA 1 million - COTECNA inspection required for goods ≥ CFA 2 million | Labeling in french required (origin, expiration, usage) |
| Nigeria | 0% | Import license required | - Must meet NAFDAC registration requirements - Must meet health and safety standards. - Compliance with international standards. - Local Authorized Representative is required for foreign manufacturers. | - Pre shipment inspection required. - Shippers must ensure IDR number is quoted on the manifest. - Name, country of origin, batch number, expiration date. - Bill of lading, commercial invoice, certificate of origin - Goods inspected on arrival by Nigeria Customs Service (NCS) | Local insurance required for all imported goods |
| Rwanda | 35% | Import license required | - Proof of compliance to international standards required (ISO, CE, IEC). - Equipment must meet labeling requirements (Kinyarwanda, English, French) - Importer must submit Clinical trial approval if applicable for investigational use. | - Submit proforma invoice and other import documents. - Certificate of refurbishment - A Certificate of Analysis or Certificates of Conformity - Goods must undergo physical inspection upon arrival or at the importer’s premises. - Submit goods arrival notice to the Rwanda Standards Board for verification | |
| Senegal | 5% | Import permits may be required | Ce certification required for certain medical devices | - Pre shipment inspection (PSI) by Cotecna for goods valued at FCFA 3 million and higher - Preliminary Declaration of Import (DPI) for goods over FCFA 1,000,000. - Invoice, certificate of origin, packing list, insurance certificate. | Labeling must be in french; "vente au senegal" marking for sale in senegal. |
| South Africa | 0% to 30% | Import permit required for used medical equipment from itac | - Registration with SARS - Compliance with South African Bureau of Standards (SABS) required; CE marking may be needed for certain devices; must meet health, safety, and environmental standards. | Bill of lading, commercial invoice, packing list, insurance certificate, sad form; | |
| Sudan | Sudan's customs tariff rates are subject to changes by the government, especially after the 2022 military takeover | - Export licensing may be required by the BIS for the U.S. - Import permits may be required | - Importers must be registered with Sudan Customs and the Ministry of Interior to bring goods into the country - Compliance with local and international standards, such as ISO and CE marking, may be required for certain types of medical devices - Medical equipment should meet Sudan’s health and environmental regulations | - Commercial invoice, bill of lading, packing list, certificate of origin, and insurance certificate. - Sudan requires letters of credit (LCs) for transactions | |
| Tanzania | 0% to 25% | Import permits required from tmda | - Importers must apply for importation permit through TMDA’s online portal - Proforma invoice required - Devices must be labeled according to TMDA approved specifications | - Must appoint Licensed Clearing and Forwarding Agent (CFA) - Invoices, permits, transport documents must be lodged 7 days before arrival through TANCIS system | Labeling in english/kiswahili |
| Togo | 5% to 30% | Import permit required from the ministry of agriculture, animal, and fish production | - Used medical equipment must be registered and have marketing authorization before importation. - Medical equipment must comply with labeling and health standards. - Labeling must include the manufacturer's name and address. | Certificate of free sale (cfs gmp certificate | |
| Uganda | 0% | Import permit required | - All medical devices, including used ones, must be registered in Uganda - Medical devices must comply with National Drug Authority (NDA) requirements. - Labels should include the manufacturer's name, address, and safety information. | - Bill of lading, commercial invoice, health certificate (if applicable), import certificate - Certificate of Free Sale (CFS) GMP Certificate - Single Administrative Document (SAD) | |
| Zambia | 0% | Import permit may be required | - Used medical equipment must comply with Zambia Medicines Regulatory Authority (ZAMRA) regulations. - All medical equipment, including used items, be registered before importation. - Equipment must be inspected and certified as safe for use. | - Declaration made through the ASYCUDA system. - Commercial invoice, bill of lading, import declaration, and ZAMRA certification (if required). - The Zambia Revenue Authority (ZRA) may request further inspection or documentation - A clearing agent may be required for larger consignments (CIF value above USD 2,000). | |
| Zimbabwe | Based on the harmonized system | Import permit from the medicines control authority of zimbabwe (mcaz). | Zimbabwe lacks a comprehensive regulatory framework for medical devices | Bill of lading, commercial invoice, packing list, insurance certificate, etc... |
Africa
Angola
https://www.mea.gov.in/Portal/CountryNews/16509_Pharma_Sector_Angola25may_22NNK.pdf
https://www.trade.gov/country-commercial-guides/angola-trade-agreements
Algeria
Benin
https://www.trade.gov/country-commercial-guides/benin-standards-trade
https://www.santegouvbj.com/medicals
Botswana
https://www.trade.gov/country-commercial-guides/botswana-trade-agreements
https://www.bomra.co.bw/medical-devices/
Burkina faso
https://amrh.nepad.org/amrh-countries/burkina-faso
http://www.douanes.bf/sydoniabf/index.jsf
https://www.trade.gov/country-commercial-guides/burkina-faso-trade-agreements
Cabo verde
https://amrh.nepad.org/amrh-countries/cape-verde
https://app.croneri.co.uk/countries/cabo-verde#documentation
Cameroon
https://fdacameroon.com/division/the-medical-devices-department
https://minepat.gov.cm/wp-content/uploads/2020/07/Imports_Exports-procedures-guide.pdf
https://www.trade.gov/country-commercial-guides/cameroon-trade-agreements
Central Africa
https://app.croneri.co.uk/countries/central-african-republic
Chad
https://www.trade.gov/country-commercial-guides/chad-customs-regulations
https://tecex.com/countries/import-into-chad/
Democratic Republic of Congo
https://www.privacyshield.gov/ps/article?id=Congo-Democratic-Republic-Prohibited-Restricted-Imports
https://www.trade.gov/country-commercial-guides/democratic-republic-congo-customs-regulations
Republic of Congo
https://www.trade.gov/country-commercial-guides/congo-republic-customs-regulations
Djibouti
https://www.dgra.de/media/pdf/studium/masterthesis/master_samadi_f.pdf
https://www.shiprrexp.com/global_shipping_documents/Djibouti.html
https://app.croneri.co.uk/countries/djibouti
Egypt
Equatoral Guinea
https://icertifi.com/equatorial-guinea-type-approvals/
Eritrea
https://1997-2001.state.gov/about_state/business/com_guides/1999/africa/eritrea99_06.html
Eswatini
https://www.trade.gov/country-commercial-guides/eswatini-customs-regulations
Ethiopia
https://www.trade.gov/country-commercial-guides/ethiopia-customs-regulations
Gabon
https://www.trade.gov/country-commercial-guides/gabon-customs-regulations
https://www.maersk.com/local-information/imea/gabon/import
Ghana
https://www.trade.gov/country-commercial-guides/ghana-customs-regulations
https://fdaghana.gov.gh/guideline-for-used-and-refurbished-medical-equipment/
Guinea
https://www.trade.gov/country-commercial-guides/guinea-customs-regulations
https://www.maersk.com/local-information/imea/guinea/import
Guinea-Bissau
Ivory Coast (Cote d’Ivoire)
https://www.trade.gov/country-commercial-guides/cote-divoire-customs-regulations
https://www.cma-cgm.com/static/eCommerce/Attachments/Cote%20d%20Ivoire%20111115.pdf
https://www.certvalue.com/ce-certification-in-ivory-coast/
Kenya
https://www.trade.gov/country-commercial-guides/kenya-customs-regulations
https://infotradekenya.go.ke/procedure/320?l=sw
Liberia
https://www.trade.gov/country-commercial-guides/liberia-customs-regulations
Libya
Madagascar
https://www.trade.gov/country-commercial-guides/madagascar-customs-regulations
https://www.shiprrexp.com/global_shipping_documents/Madagascar.html
Mali
https://www.trade.gov/country-commercial-guides/mali-standards-trade
Mauritania
https://www.trade.gov/country-commercial-guides/mauritania-customs-regulations
https://www.mauritaniatrade.com/en/importing-into-mauritania/procedures.html
Mauritius
https://www.trade.gov/country-commercial-guides/mauritius-customs-regulations
https://www.mauritiustrade.mu/en/trading-with-mauritius/import-procedures
Morocco
Mozambique
https://www.trade.gov/country-commercial-guides/mozambique-customs-regulations
https://www.privacyshield.gov/ps/article?id=Mozambique-Customs-Regulations
Namibia
https://www.trade.gov/country-commercial-guides/namibia-customs-regulations
Niger
https://legacy.export.gov/article?id=Niger-Customs-Regulations
Nigeria
https://www.trade.gov/country-commercial-guides/nigeria-customs-regulations
https://www.mondaq.com/nigeria/healthcare/1344970/the-registration-of-imported-medical-devices
Rwanda
https://www.trade.gov/country-commercial-guides/rwanda-customs-regulations
https://rwandatrade.rw/procedure/877/step/4562?l=en
Senegal
https://www.trade.gov/country-commercial-guides/senegal-customs-regulations
South Africa
https://www.trade.gov/country-commercial-guides/south-africa-customs-regulations
Sudan
https://www.trade.gov/country-commercial-guides/sudan-customs-regulations’
Tanzania
https://www.trade.gov/country-commercial-guides/tanzania-customs-regulations
https://arazygroup.com/ivd-medical-device-registration-tanzania/
Togo
https://app.croneri.co.uk/countries/togo?topic=4491
Uganda
https://www.trade.gov/country-commercial-guides/uganda-import-requirements-and-documentations
https://www.nda.or.ug/medical-devices/#1603100423514-243dfaab-82dd
Zambia
https://www.trade.gov/country-commercial-guides/zambia-customs-regulations
https://www.zra.org.zm/importation-of-goods/
Zimbabwe
https://www.trade.gov/country-commercial-guides/zimbabwe-customs-regulations