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Martins MC, Gabriel CG, Machado ML, Machado PMDO, Soar C, Longo GZ. Brazilian National Food and Nutritional Security System: what are the similarities in the decentralization process? CAD SAUDE PUBLICA 2023; 39:e00131022. [PMID: 37098973 DOI: 10.1590/0102-311xen131022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 02/02/2023] [Indexed: 04/27/2023] Open
Abstract
This study aimed to analyze the multiple characteristics of the decentralization of the Brazilian National Food and Nutritional Security System (SISAN) in a period before the institutional dismantling. Data from the 26 Brazilian states were collected in two public information systems, referring to the years 2017/2018. An exploratory and descriptive study was performed using a hierarchical cluster analysis, based on an analysis model with multiple characteristics of the system decentralization. The results indicated the formation of three clusters, showing the similarity among states with greater intersectoral and participatory character, better relationship with municipalities, and allocation of resources. On the other hand, states with less intersectoral and participatory character, linked to the low allocation of resources, execution of food security actions, and municipal support were clustered. These clusters composed mainly of North and Northeastern states, with a lower Gross Domestic Product, average Human Development Index, and a higher occurrence of food insecurity, expressed characteristics that may be related to greater obstacles in the system decentralization process. This information can help in the decision-making about the SISAN in a more equitable manner, supporting the actors involved in its maintenance and defense, at a time when the country presents an austere political and economic situation, marked by the progressive worsening of food insecurity.
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Affiliation(s)
- Milena Corrêa Martins
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
- Teia de Articulação pelo Fortalecimento da Segurança Alimentar e Nutricional, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Cristine Garcia Gabriel
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Mick Lennon Machado
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | | | - Claudia Soar
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Giana Zarbato Longo
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
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Fagundes A, de Cássia Lisboa Ribeiro R, de Brito ERB, Recine E, Rocha C. Public infrastructure for food and nutrition security in brazil: fufilling the constitutional commitment to the human right to adequate food. Food Secur 2022; 14:897-905. [PMID: 35261690 PMCID: PMC8893935 DOI: 10.1007/s12571-022-01272-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 02/13/2022] [Indexed: 12/04/2022]
Abstract
Food insecurity is a critical global problem with social and public health consequences. In Brazil, access to adequate food is a fundamental human right guaranteed under the country’s Constitution since 2010. As such, the State assumes the distinct and complementary obligations to respect, protect, promote and provide the Right to Adequate Food. The aim of this study is to present actions related to the “provision” dimension that have been developed as part of a network of public infrastructure strategies for food and nutrition security in Brazil. Through an exploratory, analytical literature review, the paper focuses on the operational designs and logistics of three main strategies: Food Banks, Community Kitchens, and Popular Restaurants. The Brazilian experience indicates that public actions are necessary, especially considering the urgency for those groups living with hunger and poverty. While similar programs can be found in other countries in South and North America, they are mostly offered by civil society organizations, and have not advanced toward public institutionalization. In fact, private programs are criticized for negating governments’ obligation and responsibility in this area. Brazil’s experience sheds light on public initiatives in meeting the State’s obligations towards the Right to Adequate Food.
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Affiliation(s)
- Andhressa Fagundes
- Graduate Program in Nutrition Sciences, Federal University of Sergipe, São Cristóvão (Sergipe), Brazil
| | | | | | - Elisabetta Recine
- University of Brasilia, Graduate Program in Human Nutrition, Brasilia (District Federal), Brazil
| | - Cecilia Rocha
- School of Nutrition and Centre for Studies in Food Security, Ryerson University, Toronto (On), Canada
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López LPM, Delgado CEY, Marín GM. Las políticas y programas de alimentación y nutrición en Colombia bajo la lógica del mercado. CIENCIA & SAUDE COLETIVA 2020; 25:4411-4422. [DOI: 10.1590/1413-812320202511.06142019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 03/14/2019] [Indexed: 11/21/2022] Open
Abstract
Resumen El propósito de este artículo es comprender los significados de las políticas alimentarias para madres beneficiarias y, para técnicos que diseñan e implementan dichas políticas. Se utilizó el método de la teoría fundamentada. Las técnicas de recolección fueron la entrevista semi-estructurada y el grupo focal. Los participantes fueron beneficiarias de algún programa de alimentación y nutrición, con una experiencia mínima de dos años y; los técnicos con cinco años o más de desempeño en el diseño y/o implementación de las políticas. Las políticas alimentarias se conciben y se gestionan bajo una lógica de mercado, la cual requiere de una institucionalidad que le sea funcional al modelo mercantil para proveer servicios públicos, lo cual se materializa en el esquema de la subcontratación a terceros, especialmente empresas privadas, quienes implementan estas políticas con el propósito de lograr la rentabilidad financiera. El mercado se impone como el referencial de las acciones del Estado, por tanto, se configura un Estado que limita su función a la fiscalización de las acciones subcontratadas, y las políticas de alimentación se constituyen en dispositivos para la desviación de recursos públicos hacia el sector privado.
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GUEDES ADAF, MACHADO ML, MARTINS MC, SILVA BL, MACHADO PMDO, GABRIEL CG. What is the food and nutrition security situation of Santa Catarina municipalities? Results of a multidimensional assessment. REV NUTR 2020. [DOI: 10.1590/1678-9865202033e190267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To describe the food and nutrition security situation of all municipalities of a Brazilian state. Methods The investigation was conducted using an assessment matrix developed through consensus workshops. The matrix is composed of 7 dimensions, 11 subdimensions, 27 indicators, and 59 items. Data were collected at the municipal level from different public databases using the state of Santa Catarina as the case study basis. Municipalities were classified according to their food and nutrition security situation as poor, fair, good, or excellent. Results Of the 295 Santa Catarina municipalities, 65.4% were rated as poor or fair in terms of food and nutrition security. The best-rated dimension was Continuing education, research, and training in food and nutrition security, followed by Agroecological production and sustainable food supply and Universal access to water and sanitation. The dimensions with the worst results were Food and nutrition at all levels of healthcare, Universal access to adequate food, and Assessment and monitoring. The dimension Traditional peoples and communities could not be evaluated because data were not available at the municipal level. Conclusion This study evidenced the need for a careful examination of the reality of Santa Catarina municipalities, as it made it possible to qualitatively characterize public policies within the context of food and nutrition security. The findings may contribute to the debate on evaluation and assist managers in strengthening food and nutrition security policies in Brazilian municipalities.
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VASCONCELOS FDAGD, MACHADO ML, MEDEIROS MATD, NEVES JA, RECINE E, PASQUIM EM. Public policies of food and nutrition in Brazil: From Lula to Temer. REV NUTR 2019. [DOI: 10.1590/1678-9865201932e180161] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To analyze public policies on food and nutrition in Brazil, with emphasis on the last fifteen years (2003-2018). Methods Historical-documentary analysis based on a bibliographical survey on indexed bases and exploratory visits to websites of government agencies. Results The scientific and governmental findings were organized according to the Lula, Dilma and Temer governments. They explore the development of several public policies and welfare programs in food and nutrition, focusing mainly on Brazilian Hunger Eradication Program, Assistance for Needy Families Program, National Policy on Food and Nutrition Security, Food Acquisition Program, National School Nutrition Program, National Food and Nutrition Security Policy, National Food and Nutrition Surveillance System and Brazilian Misery Eradication Program. The centrality of the idea of the fight against hunger and misery in public policies during Lula’s first and second terms and Dilma’s first term stand out. Dilma’s second term is marked by the focus on healthy eating, as well as presenting the first signs of fragilization of public policies on food and nutrition. Currently, the Temer government is characterized by processes of institutional and programmatic rupture, budget cuts and setbacks in acquired rights. There is evidence of the need to activate national and international instruments to enforce the human right to adequate food and consequent strengthening of public policies on food and nutrition. Conclusion This period presents an expansion and qualification of public policies on food and nutrition, mainly in the Lula and Dilma administration, with setbacks in the Temer administration, in which continuous budget cuts weaken social, hunger reduction, poverty reduction and food and nutrition security policies.
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MACHADO ML, GABRIEL CG, LACERDA JTD, MACHADO PMDO. Strategic evaluation of the Food and Nutrition Security Plan of the State of Santa Catarina, Brazil. REV NUTR 2018. [DOI: 10.1590/1678-98652018000600010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ABSTRACT Objective A strategic analysis was carried out in order to verify the relevance of the Food and Nutrition Security Plan of the state of Santa Catarina to the Brazilian concept of Food and Nutrition Security. Methods A matrix containing 7 dimensions, 16 sub-dimensions and 35 indicators was used for the evaluation, which were evaluated as poor, regular, good and excellent for each component. Results The Plan was evaluated as being of good relevance to its objective. However, it was only relevant to 53% of the analyzed dimensions, and the dimension of promoting universal access to adequate food had the worst result. The dimensions of developing permanent processes of education, research and training, and of evaluation and monitoring, obtained the best results, with the Plan being evaluated as of good relevance to these dimensions. Still, for half of the sub-dimensions and for 60% of the analyzed indicators, the Plan was evaluated as poor or regular. Conclusion It is hoped that the results of this research can qualify the Plan researched, as well as stimulate reflections for the construction of Plans in the other Brazilian states.
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MACHADO ML, GABRIEL CG, SOAR C, NEVES JD, OLIVEIRA JTCD. State Plan for Food and Nutrition Security: Potentialities and limitations. REV NUTR 2018. [DOI: 10.1590/1678-98652018000400006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To identify potentialities and limitations for the execution of a State Plan for Food and Nutrition Security. Methods This is a qualitative research, using as a case the State Plan of Food and Nutrition Security of the state of Santa Catarina. The data were collected from an interview with eight key informants nominated by the executive secretaries of the Food and Nutrition Security Council and the Inter-Sectoral Food and the state Nutrition Security Board. The analysis took place through the Collective Subject Discourse method. Results The main potentialities were the quality of the plan and the structuring of the National System of Food and Nutrition Security in the state. The main limitations were related to the financial resources, to political interests and to the structure of the Management Chamber. Conclusion It is hoped that this study may support strategies that strengthen potentialities and minimize the limitations identified in the case studied, as well as in similar state contexts, contributing to the qualification of the Plans and consequent execution of the Food and Nutrition Security Policy.
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