0101/2023 - Programa Nacional de Suplementação de Vitamina A na Atenção Primária: qual a realidade em Minas Gerais? National Vitamin A Supplementation Program in Primary Care: what is the reality in Minas Gerais?
Objetivou-se avaliar o Programa Nacional de Suplementação de Vitamina A em Minas Gerais. Utilizou-se método misto sequencial explanatória. Na abordagem quantitativa utilizou-se instrumento multidimensional segundo componentes de suplementação da vitamina A e educação alimentar e nutricional. Utilizou-se uma matriz de análise com parâmetros para definir a implantação como adequada, parcialmente adequada, não adequada e crítica. Na abordagem qualitativa foram utilizadas entrevista semiestruturada. A dimensão processo foi melhor avaliada que a estrutura, apresentando grau de implantação de 84,6% e 78,5%, respectivamente. As fortalezas do Programa incluem: planejamento da suplementação, alcance de metas, registro de informações, apoio ao aleitamento materno e atuação dos Agentes Comunitários de Saúde. Dentre as fragilidades estão: fragmentação do trabalho, limites na análise das informações, acesso às ações do Programa, implantação de ações educativas, ausência ou insuficiência de nutricionistas e capacitações. A realidade do Programa não contemplou, em sua totalidade, ações de promoção da saúde, sendo o foco a suplementação da vitamina A. É imperativo implementar ações de educação alimentar e nutricional para o enfrentamento da deficiência de vitamina A.
Palavras-chave:
Deficiência de vitamina A, Educação Alimentar e Nutricional, avaliação de Programas e Projetos de Saúde.
Abstract:
The objective was to evaluate the National Vitamin A Supplementation Program in Minas Gerais. The mixed sequential explanatory method was used. In the exploratory approach, the multidimensional instrument was used according to components of vitamin A supplementation and food and nutrition education. An analysis matrix was used with parameters to define the implementation as adequate, partially adequate, not adequate and critical. In the qualitative approach, semi-structured interviews were used. The dimension of the process was better evaluated than the structure, with an implementation degree of 84.6% and 78.5%, respectively. The strengths of the Program include: supplementation planning, reaching goals, recording information, supporting breastfeeding and the work of Community Health Agents. Among those involved are: work fragmentation, limits in the analysis of information, access to the Program\'s actions, implementation of educational actions, absence or presence of nutritionists and training. The reality of the Program does not, in its entirety, include health promotion actions, with the focus on vitamin A supplementation. It is imperative to implement food and nutritional education actions to face vitamin A deficiency.
Keywords:
Vitamin A Deficiency, Food and Nutrition Education, Program Evaluation, health policy.
National Vitamin A Supplementation Program in Primary Care: what is the reality in Minas Gerais?
Resumo (abstract):
The objective was to evaluate the National Vitamin A Supplementation Program in Minas Gerais. The mixed sequential explanatory method was used. In the exploratory approach, the multidimensional instrument was used according to components of vitamin A supplementation and food and nutrition education. An analysis matrix was used with parameters to define the implementation as adequate, partially adequate, not adequate and critical. In the qualitative approach, semi-structured interviews were used. The dimension of the process was better evaluated than the structure, with an implementation degree of 84.6% and 78.5%, respectively. The strengths of the Program include: supplementation planning, reaching goals, recording information, supporting breastfeeding and the work of Community Health Agents. Among those involved are: work fragmentation, limits in the analysis of information, access to the Program\'s actions, implementation of educational actions, absence or presence of nutritionists and training. The reality of the Program does not, in its entirety, include health promotion actions, with the focus on vitamin A supplementation. It is imperative to implement food and nutritional education actions to face vitamin A deficiency.
Palavras-chave (keywords):
Vitamin A Deficiency, Food and Nutrition Education, Program Evaluation, health policy.
Miranda, W.D, Guimarães, E.A.A, Campos, D.S, Luz ZMP. Programa Nacional de Suplementação de Vitamina A na Atenção Primária: qual a realidade em Minas Gerais?. Cien Saude Colet [periódico na internet] (2023/Abr). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/programa-nacional-de-suplementacao-de-vitamina-a-na-atencao-primaria-qual-a-realidade-em-minas-gerais/18727
