National survey on access, use and promotion of rational use of medicines (pnaum): household survey component methods

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2016
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OBJECTIVE: To describe methodological aspects of the household survey National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM) related to sampling design and implementation, the actual obtained sample, instruments and fieldwork. METHODS: A cross-sectional, population-based study with probability sampling in three stages of the population living in households located in Brazilian urban areas. Fieldwork was carried out between September 2013 and February 2014. The data collection instrument included questions related to: information about households, residents and respondents
chronic diseases and medicines used
use of health services
acute diseases and events treated with drugs
use of contraceptives
use of pharmacy services
behaviors that may affect drug use
package inserts and packaging
lifestyle and health insurance. RESULTS: In total, 41,433 interviews were carried out in 20,404 households and 576 urban clusters corresponding to 586 census tracts distributed in the five Brazilian regions, according to eight domains defined by age and gender. CONCLUSIONS: The results of the survey may be used as a baseline for future studies aiming to assess the impact of government action on drug access and use. For local studies using a compatible method, PNAUM may serve as a reference point to evaluate variations in space and population. With a comprehensive evaluation of drug-related aspects, PNAUM is a major source of data for a variety of analyses to be carried out both at academic and government level.
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Revista De Saude Publica. Sao paulo, v. 50, n. 2, p. 4s, 2016.
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