Strategic program for the fortification of infant foods with micronutrient powders: the voice of managers
DOI:
https://doi.org/10.15253/2175-6783.20242593082Keywords:
Child Health; Child Nutrition; Applied Nutrition Programs; Health Promotion.Abstract
Objective: to describe the perception of health and education coordinators regarding the operationalization, strengths, and weaknesses of a Strategic Program for the Fortification of Infant Foods with Micronutrient Powders. Methods: qualitative search in nine municipalities that joined the program. Data collection was carried out using a semistructured questionnaire based on the operational manual of the program. Statements were analyzed considering content analysis. Results: 11 coordinators participated. Data found suggests differences regarding inadequate storage of sachets and the interval between cycles. There were difficulties regarding communication, team involvement, and professional turnover. Conclusion: actions associated with children diets are in accordance with primary health care attributes, having a positive impact on the identification of vulnerable groups, so we can seek health promotion and disease prevention. Contributions to practice: the results of this study can contribute to improve intersectoral work and raise questions about the difficulties associated with it, leading to an increased access to basic units and encouraging actions to promote adequate and healthy diets, in addition to organizing nutritional care.
References
Bektas G, Boelsma F, Wesdorp CL, Seidell JC, Baur VE, Dijkstra SC. Supporting parents and healthy behaviours through parent-child meetings - a qualitative study in the Netherlands. BMC Public Health. 2021;21(1):1169. doi: http://doi.org/10.1186/s12889-021-11248-z
Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos [Internet]. 2019 [cited Jan 20, 2024]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_crianca_brasileira_versao_resumida.pdf
Castro IRR, Pereira AS, Carneiro LBV, Cardoso LO, Bezerra FF, Citelli M, et al. Prevalence of anemia and vitamin A deficiency and iron and vitamin A intake in children that use the Brazilian Unified National Health System in Rio de Janeiro, Brazil. Cad Saúde Pública. 2021;37(4):e00252420. doi: https://doi.org/10.1590/0102-311X00252420
DallaCosta M, Rodrigues RM, Schütz G, Conterno S. School Health Program: challenges and possibilities for health promotion from the perspective of healthy eating. Saúde Debate. 2022;46(spe3):244-60. doi: https://dx.doi.org/10.1590/0103-11042022E318
Dias PC, Teles CG, Mendonça DF, Sampaio RM, Henriques P, Soares DSB, et al. Conceptions in dispute in the use of micronutrient supplementation and/or fortification in school programs for prevention of anemia. Cad Saúde Pública. 2022;38(2):e00001321. doi: https://dx.doi.org/10.1590/0102-311X00001321
Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Instrutivo da estratégia de fortificação da alimentação infantil com micronutrientes em pó – NutriSUS [Internet]. 2022 [cited Jan 20, 2024]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/nutrisus_estrategia_fortificacao_alimentacao_infantil.pdf
Vieira-da-Silva LM, Furtado JP. A avaliação de programas de saúde: continuidades e mudanças. Cad Saúde Pública. 2020;36(9):e00237219. doi: https://doi.org/10.1590/0102-311X00237219
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2016.
Pedraza DF. Work of nutritionists from the Family Health Support Center in the State of Paraíba, Brazil. ABCS Health Sci. 2023;48:e023215. doi: https://doi.org/10.7322/abcshs.2021078.181410
Gomes G, Mariz-Batista A. Armazenamento de medicamentos na Central de Abastecimento Farmacêutico (CAF) de um município do Rio Grande do Norte, Brasil. Infarma Ciênc Farm. 2019;31(4):277-84. doi: http://dx.doi.org/10.14450/2318-9312.v31.e4.a2019.pp277-284
Garcia-Casal MN, Mowson R, Rogers L, Grajeda R. Consultation working groups. Risk of excessive intake of vitamins and minerals delivered through public health interventions: objectives, results, conclusions of the meeting, and the way forward. Ann New York Acad Sci. 2019;1446(1):5-20. doi: https://doi.org/10.1111/nyas.13975
Amorim ALB, Ribeiro Junior JRS, Bandoni DH. National school feeding program: strategies to overcome food insecurities during and after the COVID-19 pandemic. Rev Adm Pública. 2020;54(4):1134-45. doi: https://doi.org/10.1590/0034-761220200349
Bezerra MS, Jacob MCM, Ferreira MAF, Vale D, Mirabal IRB, Lyra CO. Food and nutritional insecurity in Brazil and its correlation with vulnerability markers. Ciênc Saúde Coletiva. 2020;25(10):3833-46. doi: https://dx.doi.org/10.1590/1413-812320202510.35882018
Gibson EL, Androutsos O, Moreno L, Flores-Barrantes P, Socha P, Iotova V, et al. Influences of parental snacking-related attitudes, behaviours and nutritional knowledge on young children’s healthy and unhealthy snacking: the toybox study. Nutrients. 2020;12(2):432. doi: http://doi.org/10.3390/nu12020432
Santos DMA, Alves CMC, Rocha TAH, Queiroz RCS, Silva NC, Thomaz EBAF. Structure and work process regarding child care in Primary Health Care in Brazil: an ecological study with data from the Program for Primary Health Care Access and Quality Improvement 2012-2018. Epidemiol Serv Saúde. 2021;30(1):e2020425. doi: https://dx.doi.org/10.1590/S1679-49742021000100012
Schönholzer TE, Pinto IC, Zacharias FCM, Gaete RAC, Serrano-Gallardo MDP. Implementation of the e-SUS Primary Care system: Impact on the routine of Primary Health Care professionals. Rev Latino-Am Enfermagem. 2021;29:e3447. doi: https://doi.org/10.1590/1518-8345.4174.3447
Freitas JLG, Pereira PPS, Moreira KFA, Órfão NH, Cavalcante DF, Nascimento RC, et al. Preenchimento da caderneta de saúde da criança na primeira infância. Rev Bras Promoç Saúde. 2019;32:8407. doi: https://doi.org/10.5020/18061230.2019.8407
Viana VGA, Ribeiro MFM. Fragilidades que afastam e desafios para fixação dos médicos da Estratégia de Saúde da Família. Rev Fam Ciclos Vida Saúde Contexto Soc. 2021;9(suppl 1):216-27. doi: https://doi.org/10.18554/refacs.v9i0.4462
Pereira AL, Santos JC, Moccellin AS, Siqueira RL. Interprofessional communication as an important tool of the work process in Primary Health Care. Res Soc Dev. 2021;10(10):e338101018942. doi: http://dx.doi.org/10.33448/rsd-v10i10.18942
Freire ST, Alves DB, Maia YLM. Diagnóstico e tratamento da anemia ferropriva. RRS-Estácio Goiás [Internet]. 2020 [cited Feb 28, 2024];3(1):124-31. Available from: https://estacio.periodicoscientificos.com.br/index.php/rrsfesgo/article/view/209
Freire SGB, Pinheiro MSF, Alencar MPD, Sobral MSC. Aprendizagem e desenvolvimento: um estudo sobre recomendações alimentares para a criança na educação infantil. Rev Psicol. 2019;13(45):11-20. doi: https://dx.doi.org/10.14295/idonline.v13i45.1820
Lopes OCA, Henriques SH, Soares MI, Celestino LC, Leal LA. Competences of nurses in the Family health Strategy. Esc Anna Nery. 2020;24(2):e20190145. doi: https://doi.org/10.1590/2177-9465-ean-2019-0145
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