Influence of pharmaceutical services organization on the availability of essential medicines in a public health system

Wenderson Henrique Rocha, Juliana Alvares-Teodoro, Francisco de Assis Acurcio, Augusto Afonso Guerra Júnior, Isabel Cristina Gomes, Brian Godman, Amanj Kurdi, Renata Cristina Rezende Macedo do Nascimento, Alessandra Maciel Almeida

Research output: Contribution to journalArticlepeer-review


Objective: To evaluate the influence of organizational structure and technical-management activities on the availability of essential medicines in the primary healthcare. Materials methods: Cross-sectional, exploratory and evaluative study. The availability was evaluated according to parameters established by the WHO. Results: The average availability of standardized essential medicines was 83.3 and 73.3% for medicines purchased centrally by the Brazilian government. Among the therapeutic groups evaluated, the lowest average availability were for the tuberculostatics (24.1%) and psychotropic/special control medicines (30.3%). Conclusion: The availability of essential medicines was positively influenced by the presence of the pharmacist and by the computerized system deployed, and negatively associated with essential medicines purchased centrally by the federal government, especially in the smaller municipalities.

Original languageEnglish
Pages (from-to)519-532
Number of pages14
JournalJournal of Comparative Effectiveness Research
Issue number6
Early online date19 Mar 2021
Publication statusE-pub ahead of print - 19 Mar 2021


  • availability
  • drugs
  • essential pharmaceutical services
  • primary health care
  • unified health system

Cite this