farmaceutico
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ARTIGO ARTICLE 171Assistência farmacêutica na atenção básica de saúde: a experiência de três estados brasileiros
Marly Aparecida Elias Cosendey 1
Jorge Antônio Zepeda Bermudez 2
André Luis de Almeida dos Reis 2
Hayne Felipe da Silva 2
Maria Auxiliadora Oliveira 2
Vera Lúcia Luiza 3
1 Serviço de Farmácia,
Hospital Universitário
Clementino Fraga Filho,
Universidade Federal do Rio de Janeiro.
Av. Brigadeiro Trompowsky s/n, Ilha do Fundão,
Rio de Janeiro, RJ
21941-590, Brasil. marlycosendey@openlink. com.br
2 Núcleo de Assistência
Farmacêutica, Escola
Nacional de Saúde Pública,
Fundação Oswaldo Cruz.
Rua Leopoldo Bulhões 1480,
Rio de Janeiro, RJ
21045-900, Brasil. bermudez@ensp.fiocruz.br 3 Hospital Evandro Chagas,
Fundação Oswaldo Cruz.
Av. Brasil 4365, Manguinhos,
Rio de Janeiro, RJ
21045-900, Brasil.
Provision of essential medicines within basic health care: the experience of three Brazilian States
Abstract In the context of recent changes in the Brazilian drug supply system at the national level, mainly the deactivation of CEME (a government agency under the Ministry of Health that dealt with drug supply policy) and the increasing decentralization of activities under the Unified National Health System (SUS), three Brazilian States – Paraná, São Paulo, and Minas Gerais
– have established programs for the distribution of essential drugs for primary health care. A nationwide program for the procurement and supply of 32 drugs for primary health care (the socalled “Basic Pharmacy Program”) is currently being implemented by the Ministry of Health, to be decentralized subsequently. This article discusses the establishment of State-level drug policies for primary health care through the analysis of the three pioneering programs encompassing drug selection, procurement, storage, distribution, and use.
Key words Essential Drugs; Drug Policy; Drug Assistance
Resumo No contexto das mudanças ocorridas no sistema de