the drama of thousands of chronic patients in Río Negro

2023-10-27 03:30:00

LThe lack of stock of medicines is alarming in hospitals and health centers in Río Negro. A long list of basic medications is not available at this time and on the other hand; an even longer list of people with chronic illnesses without care, abandoned to their fate.

There is almost no medication, what they provide us is minimal and cannot be sustained. The treatment of chronic patients is the most dramatic. The demand there is is impressive, but they do not send us health care from the hospital pharmacy because there are none, there are no answers either, they are working with fewer and fewer supplies,” said Delia Duarte, a doctor at the Chacramonte neighborhood Health Center.

There are no stocks of essential medicines such as Enalapril, Metformin, Omeprazole, Ibuprofen, Atorvastatin, Hydrochlorothiazide, Levothyroxine, Aerosols (Salbutamol and Budesonide) and even Paracetamol and Amoxicillin are missing in some health centers. There is no Ferrous Sulfate for pregnant women, that is, they are left without an iron supply.

The medication for diabetics comes in a dropper and is gone in hours. There are people who are not receiving the basics, metformin, insulin, antihypertensives, which are essential. Lack oncological medication, corticosteroids, antipyretics, contraceptives and even to guarantee the demand for Voluntary Interruption of Pregnancy (IVE).

Sign on the door of a Roca health center.

In the CAPS neighborhood of Nuevo we have 300 chronic patients, of whom for approximately a year Your monthly medication is not guaranteed, nor are the corresponding laboratory and imaging tests,” said the doctor. Claudia Hardzieg, from the Nuevo neighborhood health center.

There are patients who require 1 to 2 medications and others need up to 5. These cases, which are not minor; “They cannot cover all the pathologies they suffer,” he emphasized.

In Roca, the Primary Health Care Centers (CAPS) in the neighborhoods keep records of chronic patients and provide medication. He most important in terms of population size is New neighborhood and the situation of lack of medication today affects at least 300 people, not counting pediatric, dental and obstetric demand. In Chacramonte, a rural neighborhoodthere are 80 chronic patients who withdraw medication at the health center.

Son Twelve wards in Roca hostage to the same conflict and hundreds of patients affected. In just two, there are almost 400 sick people experiencing this situation.

Throughout Río Negro, according to data from the Ministry of Health registers, there are 7,500 patients in the Diabetes Program, 850 cancer patients and 675 chronic patients high cost.

A Pharmacy worker at a Health Center explained that this entire package was always part of the kit of essential medicines that were provided to the community.

“Most of it has been missing since the end of last year, the delivery is very little or none”said.

Some medications mentioned belong to provincial programs such as antihypertensive and antihyperglycemic and others to the sexual health program, which is national; Today it does not guarantee the delivery of the contraceptive that is the most used, which is the monthly injectable Mesigyna.

Los Health centers suffer from the problem because they are the first level of care and they make it visible with a sign at the entrance door. The situation “can’t go any further,” say the workers, who face the frustration and anger of users every day. The situation has been going on for a long time, but approximately three months ago it worsened.

Lack of medication: the impact on the population’s health


The cost of discontinuing or interrupting these treatments is very high and perhaps the effect is not immediate but will be seen in the coming months. “The rate of diseases or complications of these chronic pathologies and perhaps mortality will probably increase greatly,” he explained. the doctor Duarte.

Los Patients are condemned to their own illness, since they do not have the resources to buy prescription medications at the pharmacy. But they maintain that the user who comes to the hospital for emergencies is also in danger, because there is a lack of drugs to treat some conditions. “If a child arrives with fever or bronchospasm, we do not have the appropriate medication,” added the ward leader.

There are no medications for chronic patients in Roca health centers. Photo: Juan Thomes

At the same time, it is a vicious circle because the unresolved problems in the remote neighborhood wards end up in the hospital.. The pilgrimage of patients looking for medication is constant. “Do you know what it’s like for people who have to go to the hospital pharmacy over and over again and come back with nothing, with (bus) tickets that they can’t pay?” the doctor lamented to Diario RIO NEGRO.

And the worst thing is that at the end of the day, some end up in the hospital ward due to decompensation, according to the story of the health workers themselves consulted.

Lack of medication: a problem throughout Río Negro


From the Ministry of Health of Río Negro, is that he The problem lies in the increase in prices and delays in drugstore deliveries.

“The current economic situation of the country is public knowledge. However, and despite the instability generated by a variation in values ​​that strongly impacts the entire pharmaceutical industry“The Ministry of Health is working hard to supply medicines and supplies to public hospitals that today support a population that is increasing, patients with and without social works,” it was indicated in response to a consultation from Río Negro.

There it was also stated that they are currently carrying out two procedures to make deliveries to hospitals, with an investment of 840 million.

Lack of medication: juggling to get


The Most patients try to buy their medication to the extent their budget allows. and they make superhuman efforts because the claim is exhausted. “As a health professional, it is also exhausting; because we don’t see good results,” said Hardzieg.

There are no medications for chronic patients in Roca health centers. John Thomes

“We no longer know how to fight it (…) We are in the front but without weapons”

Delia Duarte, doctor at the Chacra Monte neighborhood Health Center, Roca.

They are constant juggling that some health workers do from their jobs to get medication and help their patients. “Personally, I am in charge of making contact with medical representatives, with cardiologists and I obtain medical samples, but that does not solve the problem,” revealed one of the doctors.


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