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Luanda, Angola

Objectives. To describe and discuss developments in the financing of pharmaceutical services in the Brazilian public health system - SUS. Methods. The amounts allocated for drug procurement, for the Farmácia Popular Program and for structuring of public pharmaceutical services were identified. The values regarding the financing of the Federal government were obtained from the Siga Brasil database. Data regarding states, Federal District and municipalities were obtained from Information System on Public Health Budget - SIOPS. Results. Federal funds for drugs purchasing increased by 65.3% between 2005 and 2009. In the same period, the volume of transfers made to the subnational levels increased. It was found that the states and the Federal District have increased by 112.4% the volume of own resources allocated to the financing of drugs and for municipalities this growth was 22.7%. In 2008, the share of drug expenses in relation to expenditure on health was 7.8%. The total drug spending in 2009 was 8.9 billion reais. There was an increase of 20.6 times of the amount allocated in the Farmácia Popular Program, and a growth of 41.6% in the resources destined to structuring services, which reached 10.1 million reais in 2009. Conclusion. there was expansion of the funding of medicines in SUS between 2005 and 2009. Source

The objective of this research was to provide elements for the debate about the relationship between public health, media and the formulation and dissemination of health information for citizens. The research focus is the dissemination of information about the epidemic of dengue in Ribeirão Preto, Brazil. Social Representations Theory was used as the main reference for the study, in order to to capture the population's imaginary about the disease. Questionnaires were used and data treated sing the Collective Subject Discourse (CSD), a method for organization and tabulation of qualitative verbal data. Data were contextualized and analyzed with references to some theories of reflexivity, epidemiological risk and Information Society. It is noted, finally, the importance of mediators to carry this process and provide mediations about health, particularly on dengue fever. Source

de Oliveira S.B.,Ministerio da Saude | Merchan-Hamann E.,University of Brasilia | Amorim L.D.A.F.,Federal University of Bahia
Cadernos de Saude Publica

The aim of this study is to estimate the prevalence of HIV/HBV and HIV/HCV coinfections among AIDS cases reported in Brazil, and to describe the epidemiological profile of these cases. Coinfection was identified through probabilistic record linkage of the data of all patients carrying the HIV virus recorded as AIDS patients and of those patients reported as carriers of hepatitis B or C virus in various databases from the Brazilian Ministry of Health from 1999 to 2010. In this period 370,672 AIDS cases were reported, of which 3,724 were HIV/HBV coinfections. Women are less likely to become coinfected than men and the chance of coinfection increases with age. This study allowed an important evaluation of HBV/HIV and HCV/HIV coinfections in Brazil using information obtained via merging secondary databases from the Ministry of Health, without conducting seroprevalence research. The findings of this study might be important for planning activities of the Brazilian epidemiologic surveillance agencies. Source

Vieira F.S.,Ministerio da Saude
Revista Panamericana de Salud Publica/Pan American Journal of Public Health

This article deals with the organization of pharmaceutical assistance within the Brazilian Public Unified Health System (Sistema Único de Saúde, SUS) by analyzing the progress made so far and the challenges that still must be faced to ensure the right to universal therapeutic and pharmaceutical coverage in Brazil. Among the improvements, the article discusses the National List of Essential Drugs and its role to guide the supply, prescription, and dispensing of drugs within SUS. The structure of federal funding and the existing pharmaceutical programs are described, as well as the responsibilities of the Federal Government, states, and municipalities concerning allocation of financial resources. Despite the progress made, the model of access to SUS drugs has not been successful in securing universal therapeutic assistance. It is essential to consider a type of funding and organization of pharmaceutical assistance that is driven by a notion of regionalization, with financing based on health care flows rather than on the population circumscribed to a given territory. It is also essential to qualify pharmaceutical management by hiring pharmacists and support personnel, professionalizing workers, and setting up facilities with appropriate information systems and equipment. Source

de Mello Freitas F.T.,Ministerio da Saude
Brazilian Journal of Infectious Diseases

There are scanty data on the epidemiology of influenza and other respiratory viruses in South America and Brazil. The aim of this study was to summarize the data from the Brazilian surveillance system of influenza and other respiratory viruses and discuss the patterns of viral circulation. The system is based on detecting cases of influenza-like illness in sentinel sites and weekly collection of five nasopharyngeal secretions samples, which are processed in state public health laboratories for respiratory viruses by indirect immunofluorescence assay. Data from 2000 to 2010 were described over time, by region, gender, and age group, and an analysis of Spearman correlation was performed between monthly influenza detection and rainfall and temperature data in two state capitals with the highest number of positive samples, one from the northeast region (Maceió) and other from the southern region (Curitiba). There were 3,291,946 visits for influenza-like illness; of these, 37,120 had samples collected and 6421 tested positive: 1690 (26%) influenza A, 567 (9%) influenza B, 277 (4%) parainfluenza 1, 571 (9%) parainfluenza 2, 589 (9%) parainfluenza 3, 742 (12%) adenovirus, and 1985 (31%) respiratory syncytial virus. Overall, increased activity of respiratory syncytial virus was observed from March to June, preceding the peak of influenza activity, from May to August, but with regional differences. In Maceió, there was a weak correlation between temperature and influenza detection (. ρ=. 0.05), but a moderate positive correlation between rainfall and influenza detection (. ρ=. 0.36). In Curitiba, a high correlation was observed between the decrease in temperature and rainfall and the increase in influenza detection (. ρ=. -0.83 and -0.78 respectively). These data are important to guide public health control measures as the best time for influenza vaccination and use of antivirals. © 2013 Elsevier Editora Ltda. Source

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