0201/2018 - Assistência Farmacêutica em Moçambique: A ajuda externa na provisão pública de medicamentos . Pharmaceutical Services in Mozambique: Foreign aid in public provision of medicines.
Este artigo analisa a ação de atores nacionais e internacionais na Assistência Farmacêutica (AF) em Moçambique, no período de 2007 a 2012, com foco na provisão pública de medicamentos para HIV/Aids, malária e tuberculose. Descreve-se o funcionamento da AF no país; os atores que atuam nesse âmbito e as relações entre eles; discutem-se questões relevantes sobre o modus operandi dos parceiros de cooperação. A metodologia combinou: revisão bibliográfica, levantamento e análise documental e entrevistas. O marco teórico e analítico utilizou a análise de políticas públicas com foco no papel do Estado e suas inter-relações como os demais atores na ajuda externa na área farmacêutica e a abordagem de redes. Conclui-se que a interação entre os atores envolvidos é complexa, caraterizada pela fragmentação operacional e sobreposição de atividades entre diversos entes; centralização da aquisição de medicamentos na mão de poucos agentes; by pass das estruturas nacionais e desconsideração do necessário fortalecimento do sistema nacional de saúde para a construção de sua autonomia. A despeito de alguns avanços na provisão e disponibilidade de medicamentos para essas doenças, existe forte dependência externa nesse âmbito, o que obstaculiza a sustentabilidade da AF em Moçambique.
This article analyses the action of national and international actors in Pharmaceutical Services (PS) in Mozambique,2007 to 2012, focusing on the public provision of HIV/Aids, malaria and tuberculosis medicines. It describes how PS functions in the country; which are the actors involved in this area and the relations between them, deepening the discuss about the modus operandi by the cooperation partners. The methodology combines: bibliographic review, survey and documentary analysis and interviews. The analytical theoretical framework was the approach of public policy analysis focusing on the role of the State and its interrelations with the others actor in foreign aid in PS, and also the approach of networks. It is possible to conclude that the interaction between the actors involved is complex, characterized by operational fragmentation and overlapping of activities between different entities; centralization of the purchase of medicines in the hands of few agents; bypass of national structures and disregard of the necessary strengthening for the national health system in order to strengthening its autonomy. Despite some advances in the provision and availability of medicines for these diseases, there is a strong external dependence, which hampers the sustainability of PS in Mozambique.
Pharmaceutical Services in Mozambique: Foreign aid in public provision of medicines.
Resumo (abstract):
This article analyses the action of national and international actors in Pharmaceutical Services (PS) in Mozambique,2007 to 2012, focusing on the public provision of HIV/Aids, malaria and tuberculosis medicines. It describes how PS functions in the country; which are the actors involved in this area and the relations between them, deepening the discuss about the modus operandi by the cooperation partners. The methodology combines: bibliographic review, survey and documentary analysis and interviews. The analytical theoretical framework was the approach of public policy analysis focusing on the role of the State and its interrelations with the others actor in foreign aid in PS, and also the approach of networks. It is possible to conclude that the interaction between the actors involved is complex, characterized by operational fragmentation and overlapping of activities between different entities; centralization of the purchase of medicines in the hands of few agents; bypass of national structures and disregard of the necessary strengthening for the national health system in order to strengthening its autonomy. Despite some advances in the provision and availability of medicines for these diseases, there is a strong external dependence, which hampers the sustainability of PS in Mozambique.
Sachy, M, Almeida, C, Edais, VL. Assistência Farmacêutica em Moçambique: A ajuda externa na provisão pública de medicamentos .. Cien Saude Colet [periódico na internet] (2018/Abr). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/assistencia-farmaceutica-em-mocambique-a-ajuda-externa-na-provisao-publica-de-medicamentos/16734?id=16734&id=16734
