Vigilância alimentar e nutricional na atenção primária à saúde: avaliação e capacitação para o monitoramento contínuo

Abstract

The Food and Nutrition Surveillance System (Sisvan), the main tool of Food and Nutrition Surveillance in Brazil, has as main purpose to monitor the nutritional status, through anthropometric data and food consumption of individuals and communities served by the Unified Health System (SUS). ), thus providing organized information on the nutritional and food trends of the population. Identifying the nutritional profile of the population and its determining factors helps in the development of programs and public policies in this area. Thus, it is important to know this system, identifying its main weaknesses, as well as presenting proposals for Sisvan optimization. The objective of this work is to report the process of diagnosis and training for Food and Nutrition Surveillance (VAN) in Primary Health Care (PHC) in the city of Dourados, Mato Grosso do Sul, carried out between 2017 and 2020. about the concepts and historical landmarks of VAN in Brazil, the construction of Sisvan and its improvement process, its published materials and its weaknesses and potential. In addition, it addresses the importance of VAN capabilities. The result of this work comprises the report of the process of: a) initial planning; b) training of the research team; c) operationalization of the Food and Nutrition Surveillance System (Sisvan) in Basic Health Units/Family Health Strategy (UBS/ESF); d) training in food consumption and anthropometry for PHC professionals and; e) reassessment of the operationalization of Sisvan after training. The stages of evaluation of the operationalization of the VAN took place in 34 UBS/ESF. 643 PHC professionals participated in food consumption training and 593 in anthropometry training. Considering the importance of the VAN for mapping the food and nutritional situation of the population, aiming at the planning of health promotion actions and prevention of related diseases, it is evident the need for evaluation strategies and training of health teams to carry out the actions of this scope.