title: [Strategies by civil society organizations for access to breast cancer drugs in the Brazilian Unified National Health System].
abstract: This study aims to identify and analyze strategies by civil society organizations working with breast cancer (CSOs) on access to drugs in Brazilian Unified National Health System (SUS) and the main social actors. A qualitative approach used the snowball technique, semi-structured interviews, and participant observation. Thematic analysis was based on the following categories: access to drugs for breast cancer treatment, relationship between CSOs and government, relationship between CSOs and the pharmaceutical industry, and other strategies used by CSOs. The results showed that civil society organizations have influenced access to drugs for breast cancer in the SUS and that their main strategies have focused on pressuring government at all levels. Meanwhile, the pharmaceutical industry sponsors some CSOs in order to strengthen them and expand its own market. The main difficulties in access to such drugs involve insufficient services, unequal treatment, and inclusion of technology in the SUS.
authors.affiliation: Universidade Federal Fluminense, Niterói, Brasil.
authors.forename: Aline Scaramussa
authors.initials: AS
authors.lastname: Deprá
authors.affiliation: Universidade Federal Fluminense, Niterói, Brasil.
authors.forename: Carlos Dimas Martins
authors.initials: CD
authors.lastname: Ribeiro
authors.affiliation: Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Ivia
authors.initials: I
authors.lastname: Maksud
mesh_terms: D000970:Antineoplastic Agents / Q000600:supply & distribution*; D001943:Breast Neoplasms / Q000188:drug therapy*; D004345:Drug Industry; D005260:Female; D006291:Health Policy; D006297:Health Services Accessibility; D061889:Healthcare Financing; D006801:Humans; D007407:Interviews as Topic; D009936:Organizational Innovation; D009939:Organizations, Nonprofit / Q000331:legislation & jurisprudence / Q000458:organization & administration*
chemical_list: D000970:Antineoplastic Agents