Challenges for the operationalization of the National Food and Nutrition Policy in a state in the Northern region of Brazil
DOI:
https://doi.org/10.12957/demetra.2025.80150Keywords:
National Food and Nutrition Policy. Health Management. Job Insecurity.Abstract
Introduction: This original article results from the implementation of an agenda by the General Food and Nutrition Coordination's Office of the Ministry of Health, in collaboration with the Federal University of Tocantins, to assess the management capacity of the National Food and Nutrition Policy (PNAN) in the municipalities of the state of Tocantins. Objective: To analyze the profile of municipal managers and PNAN's operationalization in Tocantins. Methods: This observational, cross-sectional, descriptive, and analytical study was conducted from 2020 to 2021 with a sample of 109 municipalities in Tocantins. Data were collected through an online semi-structured questionnaire. Results: Managers from 90 municipalities responded to the questionnaire, and most were women, health professionals, and without job security. Implementing PNAN is included in management planning. However, the Food and Nutrition agenda guidelines priorities are not discussed with the Municipal Health Council as a body of social oversight. Only 3.3% of municipalities have a food and nutrition technical sector, and only 12.3% receive federal government funding. Promoting stable employment relationships, establishing a technical reference area, and bringing social oversight closer to local management were identified as elements that could strengthen the PNAN (National Food and Nutrition Policy) in the state of Tocantins. Conclusion: The study revealed the need to retain managerial workers and establish a food and nutrition technical department with technically qualified professionals to foster the continuity of this agenda's actions in Tocantins municipalities. It also highlights the importance of strengthening social oversight bodies to consolidate the PNAN's implementation.
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Copyright (c) 2025 Kênya Lima de Araújo, Bianca Ferreira Dias, Kellen Cristine Silva, Sônia Lopes Pinto
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