Technical issues and conservation conditions of medicines in the Primary Care in the Unified Health System in the capitals of Brazil

Authors

DOI:

https://doi.org/10.22239/2317-269x.01992

Keywords:

Drugs for Primary Health Care, Pharmaceutical Services, Pharmacovigilance, Unified Health System, Health Surveillance

Abstract

Introduction: Pharmacies, within the scope of the Unified Health System (SUS), must comply with health standards, as well as follow the guidelines established by the Ministry of Health to guarantee access to safe, effective and quality medicines. Objective: To characterize the technical issues and conservation conditions of medicines of primary care in the Unified Health System, in the capitals of Brazil, grouped by regions, about technical-sanitary requirements, storage and environmental conditions, fire safety and electrical breakdown items, control system of inventory, fractionation, waste management, regulation of advertising/promotion of medicines, actions related to pharmacovigilance and transport. Method: Cross-sectional, exploratory study, covering 455 pharmacies in primary care services in the capitals of Brazil, which constitute a subsample of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM). An observation guide and interviews were used with those responsible for pharmaceutical assistance (n = 24) and those responsible for delivering medicines to services (n = 108). Results: Non-compliance with technical and sanitary conditions, which can interfere in maintaining stability, quality, efficacy, and safety, indicating management problems, infrastructure and quality of pharmaceutical services were identified, in addition to possible increased costs for the system due to losses. More deficient sanitary conditions in general were found in the capitals of the North and Northeast and better conditions in the capitals of other regions. Conclusions: Pharmacies of the SUS primary health network face problems in management, infrastructure, organization, and quality of pharmaceutical services that can compromise the quality of the medicines offered, and increase costs for the system. Improvement of management, investments in infrastructure and in the qualification of human resources, and improvement of inspection and health surveillance are urgently needed for essential medicines and pharmaceutical assistance policies to be effective.

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Author Biographies

  • Marcelo Tavares Pereira, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, BA, Brasil

    Graduated in Pharmacy from the Federal University of Bahia (2000), specialization in Pharmaceutical Assistance (2003) from the Federal University of Bahia and master's in Public Health with a concentration in Sanitary Surveillance at the Institute of Public Health of the Federal University of Bahia. He is currently a pharmacist at the Faculty of Pharmacy of the Federal University of Bahia, working as a researcher at the Center for Study and Research in Pharmaceutical Assistance. Develops activities in the Pharmacy of the University, in research projects in the field of Pharmaceutical Care Management; He acts as a technician at the State Health Department, preparing opinions on medications. He is a member of the Research Ethics Committee (CEP) of the Faculty of Pharmacy. He has experience as a specialist pharmacist at Laboratories B. Braun (2000 to 2001), at the Central Farmacêutica da Bahia - CEFARBA - (2003-2006), at the Diabetes and Endocrinology Center of the State of Bahia (CEDEBA) (2004-2006), professor substitute for the discipline Health Policies and Pharmaceutical Assistance Management (2006-2008), coordinator of the Pharmaceutical Assistance sector in the municipalities of Lauro de Freitas (2003-2005) and Camaçari (2007-2009) and executive secretary of the Research Ethics Committee (2016-2017) of the Faculty of Pharmacy

  • Ediná Alves Costa, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brasil

    Possui Doutorado em Saúde Pública pela Universidade de São Paulo (1998), Mestrado em Saúde Comunitária pela Universidade Federal da Bahia (1982) e Graduação em Medicina Veterinária pela Universidade Federal da Bahia (1973). É membro fundador do Grupo Temático de Vigilância Sanitária da Abrasco (GTVisa/Abrasco) e coordenou este GT no período de 2009 a 2011. Foi representante da Comunidade Científica no Conselho Consultivo da Agência Nacional de Vigilância Sanitária e é membro de sua Câmara Técnica de Pesquisa e Educação. É professora associada do Instituto de Saúde Coletiva da Universidade Federal da Bahia (ISC/UFBA), coordena o Programa Integrado de Pesquisa, Ensino e Cooperação Técnica em Vigilância Sanitária e o Centro Colaborador em Vigilância Sanitária no ISC/UFBA. Tem experiência na área de Saúde Coletiva, atuando principalmente nos seguintes temas: vigilância sanitária, política de saúde e direito sanitário.

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Published

2022-05-31

Issue

Vol. 10 No. 2 (2022): May

Section

Articles

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Copyright (c) 2022 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia

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How to Cite

Technical issues and conservation conditions of medicines in the Primary Care in the Unified Health System in the capitals of Brazil. (2022). Health Surveillance under Debate: Society, Science & Technology , 10(2), 2-12. https://doi.org/10.22239/2317-269x.01992