0260/2025 - Acessibilidade de medicamentos em áreas remotas no Amazonas e os desafios para implementação da PNAF Medicine Accessibility in Remote Areas of the State of Amazonas and the Challenges in Implementing the National Policy on Pharmaceutical Services.
A Política Nacional de Assistência Farmacêutica (PNAF) observa prioridades regionais. Na Amazônia, indicadores sociais e de acessibilidade geográfica são essenciais no acesso e equidade em saúde. Analisou-se a organização da Assistência Farmacêutica em 18 municípios do interior do Amazonas. Descreveu-se indicadores sociais, demográficos e estrutura. Identificou-se Unidades de Acessibilidade de Medicamentos (UAM), Pontos de Apoio à Acessibilidade de Medicamentos (PAAM) e farmacêuticos. Calculou-se os fatores de cobertura relacionados aos estabelecimentos, território e população e farmacêuticos por UAM e habitante, corroborados por falas selecionadas. Analisou-se o acesso à capital e à comunidade mais distante. Havia ao menos 1 UAM em cada município. 74% dos estabelecimentos havia medicamento. Variou entre municípios concentrados e descentralizados, que integrados a outras estruturas ampliaram a acessibilidade de medicamentos. Os 91 PAAM é uma estratégia de ampliação da acessibilidade, principalmente em áreas remotas, que carece de estruturação. A força de trabalho é diversa, com no mínimo 1 farmacêutico. A sinergia entre a Atenção Primária em Saúde e a Assistência Farmacêutica mostrou-se essencial. Os princípios e eixos estratégicos da PNAF ficaram evidentes nos municípios.
Palavras-chave:
Assistência Farmacêutica, Amazônia, Barreiras ao Acesso aos Cuidados de Saúde
Abstract:
The National Pharmaceutical Policy (PNAF) observes regional priorities. In the Amazon, social and geographical accessibility indicators are essential for access and health equity. The organization of Pharmaceutical Service in 18 municipalities in the interior of Amazonas was analyzed. Social, demographic and structural indicators were described. Accessibility of Medicine Units (UAM), Accessibility of Medicine Support Units (PAAM) and pharmacists were identified. Coverage factors related to Health Centers, territory and population and pharmacists per UAM and inhabitant were calculated, corroborated by selected statements. Access to the capital city and the most distant village was analyzed. There was at least 1 UAM in each municipality. 74% of the establishments had medicine. It varied between concentrated and decentralized municipalities, which, when integrated with other structures, increased medicine accessibility. The 91 PAAMs are a strategy to increase accessibility, especially in remote areas that lack structure. The workforce is diverse, with at least 1 pharmacist. The synergy between Primary Health Care and Pharmaceutical Care proved to be essential. The principles and strategic axes of the PNAF were evident in the municipalities.
Keywords:
Pharmaceutical Services, Amazon, Barriers to Access of Health Services
Medicine Accessibility in Remote Areas of the State of Amazonas and the Challenges in Implementing the National Policy on Pharmaceutical Services.
Resumo (abstract):
The National Pharmaceutical Policy (PNAF) observes regional priorities. In the Amazon, social and geographical accessibility indicators are essential for access and health equity. The organization of Pharmaceutical Service in 18 municipalities in the interior of Amazonas was analyzed. Social, demographic and structural indicators were described. Accessibility of Medicine Units (UAM), Accessibility of Medicine Support Units (PAAM) and pharmacists were identified. Coverage factors related to Health Centers, territory and population and pharmacists per UAM and inhabitant were calculated, corroborated by selected statements. Access to the capital city and the most distant village was analyzed. There was at least 1 UAM in each municipality. 74% of the establishments had medicine. It varied between concentrated and decentralized municipalities, which, when integrated with other structures, increased medicine accessibility. The 91 PAAMs are a strategy to increase accessibility, especially in remote areas that lack structure. The workforce is diverse, with at least 1 pharmacist. The synergy between Primary Health Care and Pharmaceutical Care proved to be essential. The principles and strategic axes of the PNAF were evident in the municipalities.
Palavras-chave (keywords):
Pharmaceutical Services, Amazon, Barriers to Access of Health Services
Vasconcelos, GKA, Lobo, AMG, Feitosa, RACB, Matheus, FC, Soares, L, Rover, MRM, Bonetti, NR, Campese, M, Farias, MR. Acessibilidade de medicamentos em áreas remotas no Amazonas e os desafios para implementação da PNAF. Cien Saude Colet [periódico na internet] (2025/jul). [Citado em 27/01/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acessibilidade-de-medicamentos-em-areas-remotas-no-amazonas-e-os-desafios-para-implementacao-da-pnaf/19736?id=19736&id=19736
