Reorientation of pharmaceutical services
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Guarantee resources for the 3 spheres of government for direct or decentralized distribution Full decentralization of the purchase and distribution of medicines Specific funding for primary care medicines Special attention given to high-cost medicines |
1997: Basic Pharmacy Program aimed at ensuring access to medicines in small municipalities in the period between the abolishment of the CEME. |
1999: Ministerial Order MS/GM 176/99: Decentralization of pharmaceutical services. |
2008: Ministerial Order154/2008: created Family Health Support Centers (NASF, acronym in Portuguese), establishing expected actions in the realm of pharmaceutical services. |
2000: Decree3555/00 –Regulates thePregão, a new tendering format designedto streamline the tendering process, having a significant impact on medicine purchases. |
2011: determined that three therapeutic groups shall be provided free of charge to the Popular Pharmacy Program through the program Saúde Não Tem Preço (Health is Priceless). |
2004: Ministerial Order MS/GM 1651/04: Creation of the Popular Pharmacy Program, with expansion to the private network in 2006. |
2016: Constitutional Amendment 95 of 15/12/2016, which freezes government spending over the next 20 years. |
2006: National Planejar é Preciso (planning is necessary) project aimed at promoting the effective planning of pharmaceutical services at municipal level. |
2017: Ministerial Order MS/GM 3992/17: deep changes to the funding of the SUS, including pharmaceutical services and abolishment of blocks. |
2007: Ministerial Order MS/GM 204/07: defines SUS funding blocks; three blocks created for medicines, in addition to funding for infrastructure. |
Human resources development and capacity building
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HR training (management of health and information systems; standard therapeutic guides; pharmaco vigilance WHO)
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1999-2000: Series of training workshops provided by the Ministry of Health across the country for local government pharmaceutical services managers aimed at promoting the effective decentralizationof pharmaceutical services. |
2008: Ministerial Order MS/GM 362/08: Inclusion of pharmacy course in the Pro Health Program to build the capacities of student and qualified pharmacists and meet the needs of the Brazilian population and operate the SUS. Including the approval of financial incentives for projects to promote the physical restructuring of public services and capacity building. |
2001 to 2002: Courses provided under the Sentinel Project, beginning in2002, focusing on the management of pharmaceutical services, pharmacovigilance and URM. Important initiative for the consolidation of a network of sentinel hospitals with adequate capacity for health risk management. |
2008: Various courses provided by the Department of Pharmaceutical Services (professional Master’s program at UFRGS, specialization in management, Sistema Hórus distance learning course, course with realistic simulation in Hospital Pharmacy) |
2005: Creation of a professional Master’s program in Pharmaceutical Services Management as part of a cooperation agreement between the Department of Pharmaceutical servicesand the Rio Grande do Sul Pharmacy Faculty; 31 Master’s graduates in 2005 to 2007. |
2012:Ministerial Order MS/GM 1214/12: Program created designed to enhance the quality of pharmaceutical services, with education as one of it four core areas |
2007: Ministerial Order MS/GM 204/09: Establishes that 15% of funding from the pharmaceutical services basic component allocated to local and state governments can be used forstructuring and activities linked to continuing education. |
2013: Training course in primary care provide across Latin America. |
2017: Ministry of Education Resolution 06/17 defining syllabus guidelines for pharmacy courses. |