Banca de DEFESA: FRANCIELLE MORGANNE VERISSIMO ALVES SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : FRANCIELLE MORGANNE VERISSIMO ALVES SILVA
DATA : 28/06/2019
HORA: 14:00
LOCAL: ENUFBA
TÍTULO:

Food and Nutrition at primary health care in Brazil: documentary research based on external avaliation from the National Programe for improvemente acess and quality at primary healh care

PALAVRAS-CHAVES:

Key Words: Nutrition and Food Programs and Policies, Health Assessment, Primary Health Care, Management for Continuous Quality Improvement.

PÁGINAS: 80
GRANDE ÁREA: Ciências da Saúde
ÁREA: Nutrição
SUBÁREA: Análise Nutricional de População
RESUMO:

The Primary Health Care is characterized as the entry point from the Unified Health System, it is a place for the practice of actions that promote health and encourage the population’s self-care. One of those actions is related to food and nutrition care, which is presented as relevant tools for health promotion and disease prevention, since eating practices and habits are influenced by culture and socioeconomic conditions. Furthermore, eating habits play important role as a risk factor or protection for the main pathologies of epidemiological significance in Brazil. Thus, it is necessary to evaluate the food and nutrition care actions at this level from the health system, in order to generate subsidies for the access and performance improvements from these actions, as recommended by the National Food and Nutrition Policy. Therefore, this study aims to contribute to the performance evaluation of the supply of food and nutrition care actions at the Primary Health Care. This paper is a documentary research, with an exploratory objective, based on secondary public data, generated by the second cycle of the external evaluation from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica - PMAQ (conducted in 2014 and 2015). Primary Health Care normative documents, National Food and Nutrition Policy, evaluative studies and a research from the Federal University of São Paulo were used as references for the construction of the indicators. Therefore, a set of isolated and compound indicators for Food and Nutrition care actions were proposed for children under two years of age, for adults with non-communicable chronic diseases, for promotion of healthy eating practices and for the School Health Program. The data set reveals that in Brazil only 17% of the participating units from PMAQ have nutritionist. The North (9%), Northeast (10%) and Central West (10%) regions present the lowest results for this indicator. For other indicators, about 70% of the participating units from PMAQ carry out food and nutrition actions for children under 2 years, for the promotion of healthy eating practices and for the School Health Program. In contrast, actions for chronic non-communicable diseases are at 50% range, the lowest indicator nationally and regionally found. In conclusion, it is possible to verify a satisfactory performance for most food and nutrition care actions offered by the Primary Health Care in Brazil. However, some areas still face challenges to be overcome, such as the offer of actions for people with non-communicable chronic diseases and for percentage of nutritionist in the participating units from the PMAQ. In addition, the indicators development challenges reinforce the need for adjustment of PMAQ for the food and nutrition component.

MEMBROS DA BANCA:
Interno - 287689 - SANDRA MARIA CHAVES DOS SANTOS
Interno - 2615563 - PRISCILA RIBAS DE FARIAS COSTA
Externo à Instituição - MARIA ANGÉLICA TAVARES DE MEDEIROS - UNIFESP