NATIONAL FOOD AND NUTRITION POLICY: EVALUATING THE IMPLEMENTATION OF PROGRAMS IN MUNICIPALITIES OF THE STATE OF BAHIA, BRAZIL
DOI:
https://doi.org/10.12957/demetra.2017.26371Keywords:
Nutrition Policy. Decentralization. Public Health. Health Promotion.Abstract
Introduction: The National Food and Nutrition Policy (PNAN) proposes an interdisciplinary and intersectoral approach of operation in order to integrate several actions that address nutritional problems. PNAN is organized by a set of programs and actions in different areas to be implemented in a decentralized manner by the Brazilian National Health System (SUS). Objective: To evaluate the implementation of PNAN programs in municipalities of the state of Bahia (Brazil) and associate them with socio-demographic indicators. Method: This study was conducted by three strategies: retrospective documentary research, semi-structured interviews with key informants and online structured questionnaire with local managers via the Survey Monkey platform. PNAN programs in the municipalities were statistically assessed for level of implementation and associated with sociodemographic indicators. Results and discussion: It was observed that although PNAN actions are broad and dynamic, they are still complex and difficult to implement. Long-term programs had a higher percentage of satisfactory implementation when compared to short-term programs. The indicators for human development, coverage of the Family Health Strategy and Food Insecurity had a statistically significant association with the existence of political programs. Conclusions: In the municipalities in this study, implementation of PNAN continued to prioritize actions for control of nutritional problems, e.g., iron and vitamin A deficiency, to the detriment of actions for promotion of healthy eating and prevention of nutritional problems.
DOI: 10.12957/demetra.2017.26371
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