Uma Análise geográfica do Programa Farmácia Popular do Brasil na cidade de Dourados

Abstract

This work aimed to analyze the "Popular Pharmacy of Brazil" Program in the Pharmaceutical Networks and Drugstores in the City of Dourados (MS), aiming to characterize its process of implantation, operation and spatialization in the aforementioned city. As research procedures we rely on the tripod: bibliographical, documentary and interviews with the subjects involved in this programmatic action. The "Popular Pharmacy of Brazil" Program was created in 2004, in the 1st management of then President Luiz Inácio Lula da Silva (PT 2003-2006) with the objective of providing a pharmaceutical assistance to any Brazilian with some kind of chronic disease, regardless of if the same was attended in a public or private institution of the health system. Therefore, the objective of the Program is to broaden / universalize the population's access to essential medicines and to reduce the impact caused by drug spending in the family budget. The way in which pharmaceutical care was incorporated into the Unified Health System (SUS) expresses the relevance attributed to it in the health care context. In this sense, the Program is executed by the Federal Government, through FIOCRUZ in partnership with municipal governments and contemplated until 2017, two types of service: the own network and the private network. Currently, the aforementioned Program has expanded in practically all Brazilian municipalities, through the axis called "Aqui Tem Farmácia Popular", which are the private pharmacies, with the copayment system, in which the patient / user pays a percentage of the price the medication. This process in which the copayment is introduced broadens the capillarity of access to the drug, but contradictorily, there is an appropriation of the pharmaceutical market of a public policy and, as a result, the principles of pharmaceutical assistance are lost as defended and conquered by the Brazilian Sanitary Movement. We find that in Dourados, the "People's Pharmacy" began to operate in 2006, in the management of the then Mayor Laerte Tetila and currently are 42 accredited private pharmacies, spatially located in a punctual way within the urban perimeter In addition, we also note that the unit's own network was closed in 2013. On a national scale, the Own Units were deactivated in August 2017 by the Michel Temer government in a context of neoliberal counter-reforms. Therefore, a redirection of the public fund to ensure the general conditions of production and reproduction of capital. This process reinforces a cost-benefit rationale for discussions on social protection, leaving behind discussions about social rights as a conquest of Brazilian society.