Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities

Detalhes bibliográficos
Autor(a) principal: Suárez-Mutis, Martha C.
Data de Publicação: 2011
Outros Autores: Souza, Paula P. de, Freitas, Letícia F., Miranda, Elaine S., Campos, Mônica R., Castro, Claudia G. S. Osorio de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/30213
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
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spelling Suárez-Mutis, Martha C.Souza, Paula P. deFreitas, Letícia F.Miranda, Elaine S.Campos, Mônica R.Castro, Claudia G. S. Osorio de2018-11-26T20:11:04Z2018-11-26T20:11:04Z2011SUÁREZ-MUTIS, Martha C. et al. Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities. Malaria Journal, v.10, n.335, 9p, 2011.1475-2875https://www.arca.fiocruz.br/handle/icict/30213engBioMed CentralMaláriaAmazônia BrasileiraSituações endêmicasPlasmodium falciparumPlasmodium vivaxBrazilian AmazonPharmaceutical servicesendemic situationsPlasmodium vivaxPlasmodium falciparumMalariaPharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalitiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Núcleo de Assistência Farmacêutica. Rio de Janeiro. RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Núcleo de Assistência Farmacêutica. Rio de Janeiro. RJ, Brasil.Universidade Federal Fluminense. Faculdade de Farmácia. Departamento de Farmácia e Administração Farmacêitica. Niteroi, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Ciências Sociais. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Núcleo de Assistência Farmacêutica. Rio de Janeiro. RJ, Brasil.Background: In spite of the fact that pharmaceutical services are an essential component of all malaria programmes, quality of these services has been little explored in the literature. This study presents the first results of the application of an evaluation model of pharmaceutical services in high-risk municipalities of the Amazon region, focusing on indicators regarding organization of services and prescribing according to national guidelines. Methods: A theoretical framework of pharmaceutical services for non-complicated malaria was built based on the Rapid Evaluation Method (WHO). The framework included organization of services and prescribing, among other activities. The study was carried out in 15 primary health facilities in six high-risk municipalities of the Brazilian Amazon. Malaria individuals ≥ 15 years old were approached and data was collected using specific instruments. Data was checked by independent reviewers and fed to a data bank through double-entry. Descriptive variables were analyzed. Results: A copy of the official treatment guideline was found in 80% of the facilities; 67% presented an environment for receiving and prescribing patients. Re-supply of stocks followed a different timeline; no facilities adhered to forecasting methods for stock management. No shortages or expired anti-malarials were observed, but overstock was a common finding. On 86.7% of facilities, the average of good storage practices was 48%. Time between diagnosis and treatment was zero days. Of 601 patients interviewed, 453 were diagnosed for Plasmodium vivax; of these, 99.3% received indications for the first-line scheme. Different therapeutic schemes were given to Plasmodium falciparum patients. Twenty-eight (4.6%) out of 601 were prescribed regimens not listed in the national guideline. Only 5.7% individuals received a prescription or a written instruction of any kind. Conclusions: The results show that while diagnostic procedure is well established and functioning in the Brazilian malaria programme, prescribing is still an activity that is actually not performed. The absence of physicians and poor integration between malaria services and primary health services make for the lack of a prescription or written instruction for malaria patients throughout the Brazilian Amazon. This fact may lead to a great number of problems in rational use and in adherence to medication.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/30213/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALmarta2_mutis_etal_IOC_2011.pdfmarta2_mutis_etal_IOC_2011.pdfapplication/pdf357584https://www.arca.fiocruz.br/bitstream/icict/30213/2/marta2_mutis_etal_IOC_2011.pdf05bc22b686ba2faa8d49d62e0e7e4b33MD52TEXTmarta2_mutis_etal_IOC_2011.pdf.txtmarta2_mutis_etal_IOC_2011.pdf.txtExtracted texttext/plain46986https://www.arca.fiocruz.br/bitstream/icict/30213/3/marta2_mutis_etal_IOC_2011.pdf.txt5c9fd3b9434812ec99ce9883242d5f0bMD53icict/302132018-11-27 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dc.title.pt_BR.fl_str_mv Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
title Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
spellingShingle Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
Suárez-Mutis, Martha C.
Malária
Amazônia Brasileira
Situações endêmicas
Plasmodium falciparum
Plasmodium vivax
Brazilian Amazon
Pharmaceutical services
endemic situations
Plasmodium vivax
Plasmodium falciparum
Malaria
title_short Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
title_full Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
title_fullStr Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
title_full_unstemmed Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
title_sort Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities
author Suárez-Mutis, Martha C.
author_facet Suárez-Mutis, Martha C.
Souza, Paula P. de
Freitas, Letícia F.
Miranda, Elaine S.
Campos, Mônica R.
Castro, Claudia G. S. Osorio de
author_role author
author2 Souza, Paula P. de
Freitas, Letícia F.
Miranda, Elaine S.
Campos, Mônica R.
Castro, Claudia G. S. Osorio de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Suárez-Mutis, Martha C.
Souza, Paula P. de
Freitas, Letícia F.
Miranda, Elaine S.
Campos, Mônica R.
Castro, Claudia G. S. Osorio de
dc.subject.other.pt_BR.fl_str_mv Malária
Amazônia Brasileira
Situações endêmicas
Plasmodium falciparum
Plasmodium vivax
topic Malária
Amazônia Brasileira
Situações endêmicas
Plasmodium falciparum
Plasmodium vivax
Brazilian Amazon
Pharmaceutical services
endemic situations
Plasmodium vivax
Plasmodium falciparum
Malaria
dc.subject.en.pt_BR.fl_str_mv Brazilian Amazon
Pharmaceutical services
endemic situations
Plasmodium vivax
Plasmodium falciparum
Malaria
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2018-11-26T20:11:04Z
dc.date.available.fl_str_mv 2018-11-26T20:11:04Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SUÁREZ-MUTIS, Martha C. et al. Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities. Malaria Journal, v.10, n.335, 9p, 2011.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/30213
dc.identifier.issn.pt_BR.fl_str_mv 1475-2875
identifier_str_mv SUÁREZ-MUTIS, Martha C. et al. Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities. Malaria Journal, v.10, n.335, 9p, 2011.
1475-2875
url https://www.arca.fiocruz.br/handle/icict/30213
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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