Strategies to improve the availability of medicines in primary health care in Brazil: findings and implications

J Comp Eff Res. 2021 Feb;10(3):243-253. doi: 10.2217/cer-2020-0125. Epub 2021 Feb 5.

Abstract

Aim: Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmácia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Materials & methods: Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. Results: The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were 'financial transference problems', 'insufficient financial resources' and 'budget'. Conclusion: Strategies, such as the RFM can promote improvements in medicine availability.

Keywords: health policy; health services research; observational research; pharmaceuticals.

MeSH terms

  • Brazil
  • Drugs, Essential*
  • Health Services Accessibility
  • Humans
  • National Health Programs
  • Pharmaceutical Services*
  • Primary Health Care

Substances

  • Drugs, Essential