Availability and Accessibility to Medicines in Primary Health Care in a Brazilian Region

    Published on:April/2016
    Journal of Young Pharmacists, 2016; 8(3):255-258
    Original Article | doi:10.5530/jyp.2016.3.15
    Authors:

    Kátia Reis Dutra1, Ursula Carolina Morais Martins2, Marina Guimarães Lima2*

    1Post Graduation Programme in Medicines and Pharmaceutical Services, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Faculdade de Farmácia, Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627-Campus Pampulha, Belo Horizonte-MG, BRASIL CEP: 31270-901.

    2Department of Social Pharmacy, Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Faculdade de Farmácia, Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627-Campus Pampulha, Belo Horizonte-MG, BRASIL CEP: 31270-901.

    Abstract:

    Objective: The aim with the present study was to evaluate availability and accessibility to medicines in Primary Health Care in Northeast Health District, Belo Horizonte, Brazil. Method: It was an epidemiological, descriptive and cross-sectional study, conducted in the central warehouse and in twenty Primary Health Care units. The data was collected through direct observation, in information systems and in a survey with patients. Indicators proposed by World Health Organization were used to analyze the availability and accessibility. Results: The average availability of essential medicines from a key list in stock observed in visits in Primary Health Care units was 98,3 ± 3,7% and in the past 12 months was 42,5 ± 13,6%. One thousand and three hundred eighty-three medicines were prescribed to patients and 1066 (77,1%) of them were actually dispensed. An association of the presence of medicine in Essential Medicine List with dispensing of medicine was observed (p=0,00). It was observed that 93,2% of patients spent until 30 min in the way from their residence to Primary Health Care unit. Conclusion: The conditions of availability of medicines in stock in visits and the accessibility to services in PHC were satisfactory; however, limitations were observed in yearly availability of medicines and in the attendance of patient`s needs for prescribed medicines. Actions are recommended to improve availability of medicines such as the adoption of the Essential Medicine List.

    Key words: Health Services Accessibility, Pharmaceutical Services, Primary Health Care.

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