American Society of Hirudotherapy

Direction de la Pharmacie et des Laboratoires — République de Djibouti

Djibouti DPL · Djibouti · africa

Regulatory jurisdiction profileJurisdictional reference
Unregulatednational regulator

Djibouti's pharmacy / laboratory directorate — leech-specific authorisation pathway not independently verified by ASH.

Regulatory Profile

Agency type
national regulator
Region
africa
Country
Djibouti
Leech status
unregulated
Last ASH review
2026-05-28

Relevant Regulation Codes

  • Djibouti Code de la Santé Publique and amendments
  • IGAD regional cooperation arrangements where applicable

Prescriber Requirements

  • Djibouti Conseil National de l'Ordre des Médecins–registered physician — order required for any biomedical device application
  • Allied health professional application under physician supervision per institutional protocol

Supply Chain & GMP

Djibouti DPL registration as applicable; French and Arabic-language labelling. Standard cold-chain conditions, with logistical constraints typical of Horn-of-Africa distribution.

Import/Export Rules

Djibouti DPL and Direction de l'Élevage et des Services Vétérinaires clearance for live invertebrates; CITES Appendix II paperwork for Hirudo medicinalis / verbana.

Reimbursement Context

Djibouti's CNSS (Caisse Nationale de Sécurité Sociale) coverage depends on inpatient bundling; outpatient hirudotherapy is generally not separately reimbursed.

ASH Editorial Notes

Leech-specific authorisation pathway not independently verified by ASH; falls under general medical-device / traditional-medicine framework as appropriate.

Related Jurisdictions

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.