Enes Carla Cristina, Loiola Helena, de Oliveira Maria Rita Marques
Cien Saude Colet. 2014 May;19(5):1543-51. doi: 10.1590/1413-81232014195.05872013.
This article sets out to estimate the population coverage of the Food and Nutrition Surveillance System (SISVAN) at different phases of life and to evaluate its operation in the state of Sao Paulo. The study included 65 cities divided in 14 state regions. The coverage of SISVAN was estimated using data from nutritional status monitoring available in public reports and on government websites, as well as the number of users attended by the public health services. Total users of public health services were obtained by the difference between the total number of inhabitants of 65 cities and the number of beneficiaries of private health plans. Most regions presented reduced population coverage (< 10%). Approximately 57% revealed population coverage of between 5 and 10%. There was a preponderance of records of the nutritional status of children for all regions of the state. A startling statistic was the low coverage for the elderly population, which was zero or near zero in most regions. Despite the efforts by the government to expand and enhance SISVAN, nutritional monitoring in Sao Paulo is still insufficient. This condition hinders the use of SISVAN to produce effective changes in food and nutrition policies.
本文旨在估算食品和营养监测系统（SISVAN）在不同生命阶段的人口覆盖率，并评估其在圣保罗州的运行情况。该研究涵盖了65个城市，这些城市分布在14个州区域。SISVAN的覆盖率是根据公开报告和政府网站上提供的营养状况监测数据以及公共卫生服务机构接待的用户数量来估算的。公共卫生服务的总用户数是通过65个城市的居民总数与私人健康保险受益人数之间的差值获得的。大多数地区的人口覆盖率较低（<10%）。约57%的地区人口覆盖率在5%至10%之间。该州所有地区儿童营养状况记录占主导地位。一个惊人的统计数据是老年人口覆盖率低，大多数地区为零或接近零。尽管政府努力扩大和加强SISVAN，但圣保罗州的营养监测仍然不足。这种情况阻碍了利用SISVAN在食品和营养政策方面产生有效变化。
