Banca de DEFESA: JULIANA DO ESPÍRITO SANTO SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JULIANA DO ESPÍRITO SANTO SILVA
DATE: 18/12/2023
TIME: 09:00
LOCAL: https://conferenciaweb.rnp.br/sala/sandra-maria-chaves-dos-santos
TITLE:

Food and nutrition in primary health care: study based on the external evaluation of the Program for Improving Access and Quality of Primary Care - PMAQ-AB (2014-2017).

KEY WORDS:

Primary Health Care. Health Care Quality, Access, and Evaluation. Nutrition Programs and Policies

PAGES: 111
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUBÁREA: Análise Nutricional de População
SUMMARY:

Primary Health Care (PHC) is one of the main gateways to the health network's services and is the organizing center of services by level of care.  In PHC, the most trivial problems of the community are addressed, and health prevention, promotion and recovery services are offered. Food and Nutrition (F&N) actions have faced great challenges in recent decades when it comes to the contradictions that exist in postmodern society such as social inequalities, differences at the global and local levels. In view of this, it is necessary to look at the actions of F&N in the scope of PHC. F&N are basic conditions for the promotion and protection of health, enabling the full affirmation of the potential for human growth and development, with quality of life and citizenship, also emphasizing the active contribution to coping with the current epidemiological conditions. That said, this study aims to evaluate the supply of F&N actions in PHC based on data and information obtained in external evaluation cycles of the Program for the Improvement of Access and Quality of Primary Care (PMAQ-AB) in Brazil and regions and social and anthropometric variables. This is an ecological study with a quantitative approach. To this end, the secondary database referring to the results of the external evaluation of the PMAQ-AB of the 2nd and 3rd cycle (2012-2017) was adopted, available in the public domain. To evaluate F&N actions in PHC in the period 2014 to 2017, the instrument developed by Silva et al. (2019) was adopted, consisting of five isolated and composite indicators that include variables of interest to the field of F&N in PHC. The results are presented in two manuscripts, the first entitled Evaluation of food and nutrition actions in the SUS: An analysis of the Program for improving access and quality of primary care - PMAQ-AB, in which results are presented on the reduction of 11.4% in the number of nutrition professionals who were part of the team, in relation to the F&N actions carried out in primary care, the results reveal great inequalities in the process between the Brazilian regions, with a positive highlight for the South, Southeast and Midwest regions allowing us to conclude that studies on the supply of F&N actions are necessary to evaluate and monitor the historical context of the insertion of actions in PHC. The second manuscript, entitled Expanded Nucleus of Family Health and Primary Care and Food and Nutrition Actions: An evaluation based on the PMAQ-AB focuses on the actions linked to the NASF team and concludes that through this evaluation it was possible to identify a small cut of the offer of A&N actions carried out by the ESF and the NASF team. In the final considerations, it is argued that even though it is not specific to the A&N component, the results of the PMAQ, which was extinguished in 2018, generated some data that reveal permanent weaknesses for the organization of nutritional care in an equitable way in the country and meeting the principles of the SUS and the demands of the epidemiological challenge in the country.

COMMITTEE MEMBERS:
Interna - 287689 - SANDRA MARIA CHAVES DOS SANTOS
Externa ao Programa - 3314318 - NEDJA SILVA DOS SANTOS FONSECA - UFBAExterna ao Programa - 2318500 - LILIANE DE JESUS BITTENCOURT - UFBAExterna à Instituição - 3314318 - NEDJA SILVA DOS SANTOS FONSECA - UFRB