Abstract
Abstract Objective: This article aims to evaluate the access and rational use of essential and strategic medicine in the prison population in Paraiba prison system. Method: Qualitative study, carried out with 13 health professionals and 43 prisoners, between February and August of 2016 in seven penitentiary units of the state of Paraiba. Results: Some interviews pointed out that the prisons have ensured the medications, others, however, have stated the constant lack of these supplies and that depend on the family to guarantee access. It has been found that those who are routinely discharged do not have the professional prescriptions and that dose monitoring is not a practice. Medications are cared for by the subjects and although storage is careful, they are kept in the cells in places with poor ventilation. Final considerations: In this way, it has been verified that, although policies guarantee the access and rational use of medicines in penitentiaries, there are cases of lack of them, besides the lack of adequate prescription, supervision of the doses taken, correct storage and follow-up to guarantee the continuity of the treatment. Implications for practice: It is perceived the need of the management to program professional capacities aimed at care in the prison system, besides identifying the gaps related to access and rational use of medicines, allowing their restructuring.
Highlights
The national health policy when recognizing the pharmaceutical assistance (AF) as a priority instituted the National Medicines Policy (PNM) and the National Pharmaceutical Care Policy (PNAF) with the objective to promote the rational use and the people access to medicines considered essential,[1] emphasizing the articulation among the spheres of government 2,3 in the financing provided for in the Health Pact[4] and the adoption of the National Relation of Essential Medicines (RENAME), for the standardization and uniformity of the prescription and the supplies for pharmacies in the assistance network.[5]According to PNM the access should ensure the supply of medicines to the population through adequate prescription and dispensation and the promotion of rational use 6 that includes administration of the appropriate medicine for the clinical situation.[7]the unhealthy in the penitentiaries scenario, the prevalence of hazards to health, the populations difficulty in accessing medicines and the frequent undue use compromise the due assistance
Implications for practice: It is perceived the need of the management to program professional capacities aimed at care in the prison system, besides identifying the gaps related to access and rational use of medicines, allowing their restructuring
In order to consolidate the commitment of the State with the healthcare of the prisoners, in 2014 the National Policy for Integral Health Care of Persons Deprived of Liberty in the Prison System (PNAISP) with the intention to promote access of this population group to Health Care Network and ensure the financing and implementation of the basic component of AF within the prison scope.[10]
Summary
The national health policy when recognizing the pharmaceutical assistance (AF) as a priority instituted the National Medicines Policy (PNM) and the National Pharmaceutical Care Policy (PNAF) with the objective to promote the rational use and the people access to medicines considered essential,[1] emphasizing the articulation among the spheres of government 2,3 in the financing provided for in the Health Pact[4] and the adoption of the National Relation of Essential Medicines (RENAME), for the standardization and uniformity of the prescription and the supplies for pharmacies in the assistance network.[5]According to PNM the access should ensure the supply of medicines to the population through adequate prescription and dispensation and the promotion of rational use 6 that includes administration of the appropriate medicine for the clinical situation.[7]the unhealthy in the penitentiaries scenario, the prevalence of hazards to health, the populations difficulty in accessing medicines and the frequent undue use compromise the due assistance. Final considerations: In this way, it has been verified that, policies guarantee the access and rational use of medicines in penitentiaries, there are cases of lack of them, besides the lack of adequate prescription, supervision of the doses taken, correct storage and follow-up to guarantee the continuity of the treatment.
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