Institutionalization of pharmaceutical assistance in the municipality of Augusto Corrêa, State of Pará, Brazil

Abstract

Objective: To investigate the institutionalization of pharmaceutical assistance in the municipality of Augusto Corrêa, Pará. Method: Exploratory, retrospective and descriptive research, conducted in 2021. To obtain socioeconomic, demographic, epidemiological, health services, total health expenditure indicators, we used data from the Cadastro de Estabelecimentos de Saúde do Departamento de Informática do SUS, the Instituto Brasileiro de Geografia e Estatística, the Instituto de Pesquisa Econômica Aplicada and the Sistema de Informação de Atenção Básica. ®For the information on governance practices, planning, management, technical-managerial and technical-assistance components of Pharmaceutical Assistance, structured forms were used, applied through the tool Survey Monkey Monkey, via Internet® , to the Pharmaceutical Assistance coordination of the Municipal Health Secretariat of the municipality of Augusto Corrêa, Pará. Results: Augusto Corrêa has an Estimated Population of 46,937 inhabitants in 2021 and Demographic Density of 37.10 inhabitants/km² in 2010. Territorial Area of 1.099,619 km² in 2020. It is part of the Amazon Biome, the Northeast Paraense Mesoregion, Bragantine Microregion. 0.520 Municipal Human Development Index in 2010. 0.4145 Gini Index of Percapita Household Income in 2010. Does not fully comply with governance practices at the pharmaceutical care technical coordination level; in particular, staffing and competencies, principles and behaviors, organizational leadership, stakeholder relations, organizational strategy, cross-organizational alignment, governance structure, risk management and internal control, internal audit, accountability, and transparency. Also, it did not meet all the components for Technical Management of Pharmaceutical Care and Clinical Management of Medication. Conclusion: It was found that there was not full compliance with the components of technical management of pharmaceutical assistance and clinical management of the drug; as well as, governance practices at the level of technical coordination of pharmaceutical assistance need to be improved; in particular, personnel and competencies, principles and behaviors, organizational leadership, relationship with stakeholders, organizational strategy, trans-organizational alignment, governance structure, risk management and internal control, internal audit, accountability and transparency.