Assistência farmacêutica na atenção primária à saúde de municípios rurais remotos do Oeste do Pará

Abstract

The article sought to analyze the process of technical management of Pharmaceutical Assistance (PA) in primary health care in five Remote Rural Municipalities (MRR) in Western Pará. It is a qualitative study that included 10 interviews with urban managers. The content analysis was carried out in stages of PA: programming, distribution and dispensing of acquisition. Some issues such as the existence of uncovered areas; great geographic distances; financing; health property; lack of available infrastructure, in the availability of medicines. For municipalities that receive help from parliamentarians and hydroelectric amendments, there are difficulties in the supply of suppliers and an increase in costs due to the geographic characteristics of the MRR. Faced with the challenges, we consider it essential to think about adequate means of transport; drug maintenance and stability strategies, especially for communities without electricity; and training for all health professionals on the use of medicines. It is necessary that the prescribed drugs be made available in the health units, dissolving financial barriers in the access of users. For this, it is necessary that the institutionalization of PA in the MRR, as well as the incorporation of the territories in this process, actually characteristics.