Machado Mick Lennon, Gabriel Cristine Garcia, Soar Claudia, Mamed Gisele Rockenbach, Machado Patrícia Maria de Oliveira, Lacerda Josimari Telino de, Martins Milena Corrêa, Marcon Maria Cristina
Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Cad Saude Publica. 2018 Feb 5;34(1):e00206716. doi: 10.1590/0102-311X00206716.
A descriptive and documental study was performed from August to October 2016 to analyze compliance by state plans for food and nutritional security (PlanSAN) with the guidelines set by the Brazilian National Policy for Food and Nutritional Security (PNSAN). The state plans were accessed via the websites of the Inter-Ministerial Chamber for Food and Nutritional Security (CAISAN) or the state governments, plus complementary data collection at the state level. All the states of Brazil joined the National System for Food and Nutritional Security (SISAN), while fewer than half (13 states, 48%) had drafted their plans. Of these, 5 (38%) of the PlanSAN had schedules that coincided with the same state's pluriannual plan, 5 (38%) of the PlanSAN specified the budget requirements for meeting the proposed targets, 7 (54%) specified mechanisms for monitoring the plan, and only 2 (15%) defined methodologies for monitoring food and nutritional security. The recent existence of (and adherence to) the CAISAN appear to be related to the lack of state plans in half the states. Although most of the states that did have plans met some of the guidelines laid out by the PNSAN, these mechanisms become weak and impractical when they lack earmarked budget funds to meet their targets. Since the PNSAN is structurally inter-sectorial, the development of plans requires collective work by various government departments. Importantly, the items analyzed here are all guidelines, which implies the need for mechanisms to monitor their actual implementation.
2016年8月至10月开展了一项描述性和文献性研究,以分析各州粮食和营养安全计划(PlanSAN)对巴西国家粮食和营养安全政策(PNSAN)所规定准则的遵守情况。通过粮食和营养安全部际委员会(CAISAN)网站或州政府网站获取各州计划,并在州一级进行补充数据收集。巴西所有州都加入了国家粮食和营养安全系统(SISAN),但只有不到一半(13个州,占48%)制定了计划。其中,5个(占38%)PlanSAN的时间表与同一州的多年期计划一致,5个(占38%)PlanSAN规定了实现拟议目标所需的预算,7个(占54%)规定了计划监测机制,只有2个(占15%)确定了粮食和营养安全监测方法。CAISAN的近期设立(以及对其的遵守情况)似乎与一半州缺乏州计划有关。尽管大多数已制定计划的州符合PNSAN规定的一些准则,但当这些机制缺乏专门预算资金来实现其目标时,就会变得薄弱且不切实际。由于PNSAN在结构上是跨部门的,计划的制定需要各政府部门共同努力。重要的是,这里分析的所有项目都是准则,这意味着需要建立机制来监测其实际执行情况。