Discuto neste artigo as características da transição nutricional. Utilizo dados dos estudos nutricionais de população, conceitos e categorias analíticas. Correlaciono essas características com as especificidades do nosso processo de desenvolvimento. Questiono o sentido dessa transição que migrou: 1) De um perfil inicialmente marcado pela alta prevalência da má nutrição por déficits, nas formas graves de desnutrição energético-protéica e carências específicas. 2) Se o ponto de corte utilizado para contagem dos desnutridos graves, situados abaixo do percentil três do padrão de classificação do NCHS (National Center of Health Statistiscs), ao eleger a gravidade como hierarquização para a atenção nutricional, não mascara a prevalência do déficit de peso e de estatura da população estudada. 3) Conseqüentemente, a real extensão das formas leves, moderadas e a cronicidade da desnutrição. 4) A reprodução da iniqüidade entre os desnutridos. 5) Se essa transição traz em sua trajetória as características de otimização ou de complexificação da situação nutricional da população brasileira.
This essay is a transcription of the final report of a survey promoted by the National Health Foundation -FUNASA 2001, on the subject of public health management, and about the effectiveness of federal sanitary policies in the state of Rio Grande do Norte, over the period [2002][2003]. This author was in charge of this research who, on analithycal study of inclusive basis and participative, evaluated the policy creation and financing schemes, management, results of the actions, and offered some proposition to the area. Through an ecological study, I had as dependant value and pre-assumption of the sample basis the working hypothesis that larger amounts financing structural sanitation actions would have important impact on curbing down specific morbid-mortality indexes. The range of the sample included seven counties from seven regions with equals intervenient soil, economics and administration values and, as a reference level, seven others regions of the same intervenient pattern, but with zero or small amount of those resources. From the results of effectiveness of the financed actions, was built a ranking of the correlation of Human Development Index (HDI-m) with those of Basic Sanitation and Epidemiological Indexes over the same period.
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