Table 1.
Themes and subthemes stemming from the analysis of the interviews.
Fig 1.
Diagram of in-locus overlapping factors informing prescribing and dispensing practices in primary care.
This diagram presents all major health settings that are available for human and animal patients in primary care, including the community and territorial demands for health units. In São Paulo, human medicine disposal procedures, vaccination and epidemiological surveillance are also activities PCUs oversee in their coverage area. Accessing the health service, both the human and animal sectors patients are sent to AB prescribers without sorting their needs. Public pharmacies for human health provide only essential medications, including classes of AB, as part of a national and local intervention, controlling the availability of ABs for patients in public services. Medications unavailable in the public pharmacy may be purchased in private pharmacies or veterinary clinics and stores. There are several types of services for human health in primary and secondary health care levels in the community; in certain cases, patients may be confused regarding the service most appropriate for them.
Table 2.
Potential interventions in critical areas raised by human and animal health professionals.