Promoção de Segurança Alimentar e Nutricional na Estratégia Saúde da Família: uma aproximação a partir da escuta de diferentes atores sociais

Abstract

Ensuring Food and Nutrition Security (SAN) refers to the need for intersectoral action to articulate the components of food and nutrition, beyond the contemporary question of sustainability and perspective of the human right to adequate food. The health sector has specific and important functions that contribute to the set of government policies directed toward the guarantee of the SAN the population. Thus, actions that promote SAN should be developed at all levels of attention of the Unified Health System (SUS) and the Primary Health Care through the Family Health Strategy (ESF), an ideal forum for implementing such actions, since it is configured as the preferred port of entry for users in the health system and as the center for directing the support network. This is an exploratory and descriptive study of qualitative boarding that aimed at knowing what the professionals of teams of health of the Family, managers of the federal and municipal levels related to ESF, as well as representatives of civil society organizations working in the field understand on SAN and on practices SAN promoters in ESF. The construction of the information occurred by means of half-structuralized interviews and focal groups. The professionals referred to a SAN as a guarantee of food that meets nutritional requirements and is safe for consumption, while among the representatives of civil society organizations and managers prevailed a broader understanding of SAN. The different actors had identified the ESF with a promotional space of SAN from the survey of developed actions already or that they can come to be developed, but the actions cited are mainly related to nutritional dimension of the SAN. The actors reported a set of structural problems that trigger difficulties in the daily organization of services and practices of professionals and hence the implementation of actions that promote SAN that strategy. This work raised the necessity to spread out the interdependence between health and SAN between on managers and professionals to the ESF so that these can better identify in the actions of the health services promotional elements of the SAN, and in such a way to understand its paper of promotional agents of health and SAN.