GESTÃO DA ATENÇÃO NUTRICIONAL NO ÂMBITO DA ATENÇÃO PRIMÁRIA À SAÚDE EM MATO GROSSO DO SUL

Abstract

Nutritional care, as well as its management, must present an organization consistent with the singularities of the territory and with the provisions of the National Food and Nutrition Policy, in order to have its action strategies well grounded, and outlined from the analysis of data from food and nutrition surveillance, to identify the demands that require more attention and strategies to face the problems. In Brazil and, mainly, in Mato Grosso do Sul, the case considered most urgent corresponds to obesity, with worrying prevalence, number of deaths and costs. As a result, the objective of this study was to analyze the organization of nutritional care management in Primary Health Care in the state of Mato Grosso do Sul. To this end, the project was approved by the Human Research Ethics Committee of the Federal University of Mato Grosso do Sul and a descriptive-exploratory research was carried out, with a quantitative approach and based on primary data collected with the help of an online questionnaire on the diagnosis of the organization of the management of food and nutrition actions, which those responsible for the food and nutrition area of all the 79 municipalities in the state filled out, after accepting to participate in the study, through a Term of Free and Informed Consent. Information from the sample universe was analyzed using relative and absolute frequency, mean and dispersion, with the aid of R Studio 1.4.1717® software. For comparison between groups, the chi-square test was conducted with a significance level of 5% (p ≤ 0.05). For influence analysis, a decision tree algorithm was performed using the software's rpart package. In general terms, it was possible to notice that municipalities with a formalized technical area and technical manager had organizational advantages over the other municipalities, so that the decision to establish both in the municipal health secretariats was right. It is noteworthy that these data can support decision-making in the state, but that to extrapolate to a national level, similar studies are needed in other states and consolidation.