Analysis of the national school feeding program in the municipality of Vicosa, state of Minas Gerais

作者：Rocha Naruna Pereira^*; Filgueiras Mariana De Santis; de Albuquerque Fernanda Martins; Milagres Luana Cupertino; Pereira Castro Ana Paula; Silva Mariane Alves; da Costa Glauce Dias; Priore Silvia Eloiza; de Novaes Juliana Farias

来源：Revista de Saude Publica, 2018, 52: 16.

DOI：10.11606/S1518-8787.2018052007090

• Child
• School Feeding
• Food and Nutrition Education
• Food and Nutrition Security
• Nutrition Policy

OBJECTIVE: To analyze the implementation of the Brazilian National School Feeding Program as a food and nutritional security policy in public schools.
METHODS: This a cross-sectional study, with a quantitative and qualitative approach, carried out with 268 schoolchildren aged eight to nine years from the public school system of Vicosa, state of Minas Gerais, Brazil, in 2015. Interviews were carried out using semi-structured questionnaires with the children, parents, cooks, nutritionists, trainer of the Technical Assistance and Rural Extension Company, and president of the School Feeding Council. In order to analyze the implementation of the National School Feeding Program in Vicosa, we evaluated the direct weighing of the food served in the schools using mechanical balances with a capacity of up to 10 kg and the perception of the social players involved in the implementation of the National School Feeding Program. The children were questioned about the acceptance of and adherence to the food offered, in addition to the habit of bringing food from home. Parents reported knowledge about the School Feeding Program and Council. The qualitative analysis consisted of content analysis and quantitative analysis using the chi-square test, Fisher's exact test, and Mann-Whitney test. We adopted the statistical significance of 5% for quantitative analysis.
RESULTS: Children reported low adherence to the school feeding program and most of them used to bring food from home. Irregularities were identified in the implementation of the National School Feeding Program, such as: inadequate number of nutritionists, suspension of Council meetings, inadequate infrastructure in the areas of preparation and distribution of meals, lack of training of cooks, lack of nutritional adequacy of the food offered, and lack of actions on food and nutritional education. The Program complied with the recommendations for purchasing food from family farms.
CONCLUSIONS: The National School Feeding Program presented many irregularities in Vicosa. It is important to monitor the problems identified for better reformulation and planning of the Program, in order to guarantee the food and nutritional security of the children served.

• 出版日期2018