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Medicine accessibility in remote areas of the state of Amazonas and the challenges in implementing the PNAF
Genize Kaoany Alves Vasconcelos1, Amanda Mamed de Gusmão Lobo1, Rana Andressa Castelo Branco Feitosa2
1Programa de Pós-Graduação em Assistência Farmacêutica, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil. kaoany.vasconcelos@yahoo.com.
Abstract:
The National Pharmaceutical Policy (Política Nacional de Assistência Farmacêutica - PNAF) takes regional priorities into account. In the Amazon region, social and geographic accessibility indicators are crucial for improving access and ensuring health equity. This study analyzed the organization of pharmaceutical management in 18 municipalities in the countryside of the state of Amazonas. Social, demographic, and structural indicators were described. Medicines accessibility settings (Unidades de Acessibilidade a Medicamentos - UAM), medicine accessibility support settings (Pontos de Apoio à Acessibilidade de Medicamentos - PAAM), and pharmacists were identified. Coverage factors related to Health Centers, territory and population, as well as pharmacists per UAM and per inhabitant, were calculated and suported by selected statements. Access to both the capital city and the most distant village was analyzed. There was at least one UAM in each municipality, and 74% of the establishments stocked medicines. This figure varied between more centralized and decentralized municipalities, with integration with other structures increasing medicine accessibility. The 91 PAAMs serve as a strategy to further increase accessibility, particularly in remote areas with limited infrastructure. The workforce is diversified, with at least one pharmacist in each setting. The synergy between primary health care and pharmaceutical services proved crucial.
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