Ferreira Daniele Mendonça, Barbosa Roseane Moreira Sampaio, Finizola Nathália Corrêa, Soares Daniele da Silva Bastos, Henriques Patrícia, Pereira Silvia, Carvalhosa Clarice Soares, Siqueira Ana Beatriz Franco Sena, Dias Patricia Camacho
Universidade Federal Fluminense. Faculdade de Nutrição Emília de Jesus Ferreiro. Departamento de Nutrição Social. Niterói, RJ, Brasil.
Rev Saude Publica. 2019 Apr 1;53:34. doi: 10.11606/S1518-8787.2019053000597.
Identify the perception operating agents have on the Brazilian National School Feeding Program.
This is an observational, cross-sectional and quali-quantitative study developed in non-probability and convenience sampling selected in an event promoted by the National Fund for Educational Development in 2015 in Rio de Janeiro. Data were collected through questions related to pre-defined categories concerning the National School Feeding Program. The questionnaire was answered by 43 nutritionists, 41 members of the School Feeding Board, and 16 school feeding administrators from 38 cities of Rio de Janeiro. The narrative analysis was based on benchmarks of cognitive analysis of public policies. The association among variables was investigated with chi-square test, being calculated the power for association testing.
The perception of the implementation of the National School Feeding Program has been characterized by some challenges: 1) low number of nutritionists to meet the demand from schools; 2) low adhesion to the public call for the purchase of family farming products due to bureaucratic difficulties and insufficient local food production; 3) reduced coverage of food and nutritional measures due to the restriction of human, material and financial resources; and 4) limitation of the participation of the School Feeding Board due to insufficient training and transport for regular visits. The adequacy of the number of nutritionists showed statistically significant association with the purchase of family farming products (p = 0.002; power = 99%) and with the food and nutritional education activities (p = 0.021; power = 79%).
The results indicate the need for employment of nutritionist in sufficient numbers to meet the demands of the National School Feeding Program, investment in educational activities of healthy eating in schools, training of the School Feeding Board, greater availability of vehicles for school visits and assistance to family farmers in order to facilitate their participation in programs of institutional purchases and encourage the diversification of production.
确定运营主体对巴西国家学校供餐计划的看法。
这是一项观察性、横断面和定性定量研究，采用非概率和便利抽样，样本选自2015年在里约热内卢由国家教育发展基金举办的一次活动。通过与国家学校供餐计划预定义类别相关的问题收集数据。来自里约热内卢38个城市的43名营养师、41名学校供餐委员会成员和16名学校供餐管理人员回答了问卷。叙事分析基于公共政策认知分析的基准。通过卡方检验研究变量之间的关联，并计算关联检验的功效。
国家学校供餐计划实施的看法存在一些挑战：1）营养师数量不足，无法满足学校需求；2）由于官僚主义困难和当地粮食产量不足，对购买家庭农业产品的公开呼吁响应率低；3）由于人力、物力和财力资源的限制，食品和营养措施覆盖范围缩小；4）由于培训不足和定期访问交通不便，学校供餐委员会的参与受到限制。营养师数量的充足性与购买家庭农业产品（p = 0.002；功效 = 99%）和食品与营养教育活动（p = 0.021；功效 = 79%）显示出统计学上显著关联。
结果表明需要雇佣足够数量的营养师以满足国家学校供餐计划的需求，投资于学校的健康饮食教育活动，培训学校供餐委员会，增加用于学校访问的车辆可用性，并协助家庭农民，以促进他们参与机构采购计划并鼓励生产多样化。
