Programa Bolsa Família e estado nutricional infantil: desafios estratégicos

METHODS:A cross-sectional study was conducted with 1,107 schoolchildren aged between eight and 12 years from 20 public and private schools in Pelotas, RS, Southern Brazil. A list of all children receiving the Bolsa Família program was provided by the participant schools. Demographic, socioeconomic and oral hygiene information were assessed using a questionnaire completed by the schoolchildren and their parents. Dental exams were performed to assess the presence of dental plaque and prevalence of dental caries. Data were analyzed by Chi-square test, Chi-square test for linear trend and multivariate Poisson Regression (prevalence ratio; 95% confidence interval). RESULTS:Schoolchildren from non-nuclear families, with a DMFT ≥ 1 and who had never visited a dentist were associated with receiving the Bolsa Família. Final model showed that caries prevalence was twice as high (PR 2.00; 95%CI 1.47;2.69) in schoolchildren benefiting from the Bolsa Família. It was also showed that schoolchildren benefiting from the program presented greater severity of dental caries compared to school children from private schools (RR 1.53; 95%CI 1.18;2.00). After final adjustments, the prevalence of schoolchildren who have never visited a dentist was six times higher in children who received the government benefit (PR 6.18; 95%CI 3.07;12.45) compared to those from private schools. CONCLUSIONS:Schoolchildren benefiting from the Bolsa Família program experienced more caries lesions and have less frequently accessed dental care services, which suggest the need to include oral health in the program.

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“…6,13,18 However, some studies have failed to confirm this positive impact or were inconclusive on their influence on children's health.…”

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confidence: 99%

Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

Oliveira¹,

Corrêa²,

Nascimento³

et al. 2013

Rev. Saude Publica

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“…8,27,30 However, methodological problems were identified in other studies which compromised the interpretation of results and weakened the evidence obtained, such as selecting the sample by convenience, small sample size 18,19,25 and not adjusting for confounding variables. 9,16 Evidences obtained in plausibility studies are useful and reliable in evaluating the impact of programs and public policies. Although they do not have the maximum internal validity, due to the lack of sampling randomization, they can provide consistent results on the effect of a specific program, when combined with strategies that strengthen the evidence.…”

Section: Discussionmentioning

confidence: 99%

Transferencia de renda no Brasil e desfechos nutricionais: revisao sistematica

Martins¹,

Canella²,

Baraldi³

et al. 2013

Rev. Saude Publica

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OBJECTIVE:To analyze the influence of conditional cash transfer programs on diet and nutrition outcomes among beneficiary families in Brazil. METHODS:A systematic review of literature was carried out with original evaluation studies conducted in Brazil, including all types of clinical trials and observational studies. The search was conducted in PubMed, Scopus, Web of Science and LILACS databases for papers published since 1990. The studies were analyzed according to the program evaluated, participants, study design, location, principal conclusions, confounding factors and methodological limitations. They were classified according to outcomes (nutritional status, dietary intake and food security) and level of evidence for the association with conditional cash transfer programs (adequacy or plausibility). RESULTS:We found 1,412 non-duplicated papers. Fifteen met the eligibility criteria and twelve evaluated the Bolsa Família program. Five plausibility studies and two adequacy analyses indicated a positive influence of conditional cash transfer programs on nutritional status of the beneficiary children. The conditional cash transfer programs influence on dietary intake was analyzed in one population-based adequacy study and three cross-sectionals plausibility researches in different municipalities. All of them indicated that beneficiaries had higher food intake than non-beneficiaries. The three cross-sectional plausibility analyses suggest a positive influence of conditional cash transfer programs on the food security of the beneficiaries. The main methodological limitations found were using cross-sectional analysis and difficulties in data collection, small sample sizes and limitations of the instruments used. CONCLUSIONS:The few studies found indicated a positive association between Brazilian conditional cash transfer programs and improvements in the recipients' diet and nutrition. Greater efforts to widen and qualify evaluations are needed in order to assess more comprehensively the impact of conditional cash transfer programs in Brazil.

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“…Essas baixas prevalências apontam na mesma direção de outros estudos realizados no Brasil, como na cidade de São Paulo (déficit de peso/estatura=0,9% e déficit de peso/idade=3,1%) 29 , em Paula Cândido, no Estado de Minas Gerais (déficit de peso/estatura=1% e déficit de peso/idade=2%) 30 , e em Feira de Santana, na Bahia (déficit de peso/estatura=0,5%) 31 . Esses resultados refletem claramente um gradativo desaparecimento da desnutrição pelo índice peso/estatura e uma redução considerável desse distúrbio nutricional expressa pelo índice peso/idade, inclusive em populações mais vulneráveis como a do presente estudo.…”

Section: ▄ Discussãounclassified

“…A proporção de crianças usuárias de creches do presente estudo com excesso de peso/estatura (8,36%) foi superior à reportada na PNDS 10 para as crianças brasileiras menores de 5 anos (7,3%), bem como em relação à região Nordeste (7,1%). Nota-se ainda que a taxa de sobrepeso encontrada nesta pesquisa foi superior às encontradas em outros estudos realizados com crianças assistidas por creches públicas no Nordeste do Brasil 33,34 , bem como de estudos cujo cenário não foi especificamente o contexto escolar 30,35 . Porém prevalências concordantes ou maiores que as do presente estudo foram reportadas entre crianças nordestinas, tanto as assistidas em creches 32,36 quanto as de base populacional 31,37 .…”

Section: ▄ Discussãounclassified

Saúde e nutrição das crianças assistidas em creches públicas do município de Campina Grande, Paraíba

Pedraza

2016

Cad. saúde colet.

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Fonte de financiamento: Universidade Estadual da Paraíba (022/2011); Saúde e nutrição das crianças assistidas em creches públicas do município de Campina Grande, Paraíba. Conflito de interesses: nada a declarar. ResumoIntrodução: A situação de saúde e de nutrição das crianças brasileiras ainda é preocupante. Objetivou-se caracterizar o perfil nutricional e de morbidade das crianças assistidas em creches públicas do município de Campina Grande, na Paraíba. Métodos: Estudo descritivo de prevalência em amostra probabilística de 299 crianças. Foram contempladas informações sobre as crianças a respeito das condições sociodemográficas (idade, sexo, zona de residência, benefício de programa social); nutricionais (peso ao nascer, estatura/idade, peso/estatura, peso/idade, estado nutricional de micronutrientes); de segurança alimentar e nutricional familiar; de saúde (problemas de saúde nos últimos 15 dias, sinais de processos infecciosos subclínicos, eosinofilia, parasitismo). Resultados: As maiores prevalências de desvios antropométricos foram de baixa estatura (7%) e de sobrepeso (8,3%). A insegurança alimentar foi constatada em 68,9% das famílias. Quarenta e seis crianças (17%) foram diagnosticadas com anemia, e 36 (13,3%), com deficiência de zinco. As crianças apresentaram altas frequências de problemas de saúde nos últimos 15 dias reportados pela mãe (68,6%), eosinofilia (65,5%), parasitismo (82,7%) e poliparasitismo (46,4%). Conclusão: Mostra-se a manutenção de doenças infecciosas e de carências nutricionais entre crianças assistidas em creches em um período de predomínio da transição epidemiológica. A insegurança alimentar destaca-se na situação alimentar e nutricional, com importantes prevalências de baixa estatura e sobrepeso. Palavras-chave: creches; estatura; sobrepeso; anemia; deficiência de zinco. Abstract Introduction:The health and nutrition status of Brazilian children is still worrying. This study aimed to characterize the morbidity and nutritional profile of children assisted in public daycare centers in the city of Campina Grande, Paraíba. Methods: This is a descriptive study of prevalence in a probabilistic sample of 299 children. Data on the socio-demographic condition (age, sex, area of residence, benefit from social programs), nutritional status (birth weight, height/age, weight/height, weight/age, micronutrients nutritional status), family food security of situation and health (health problems in the last 15 days, signs of subclinical infectious processes, eosinophilia, parasitism) of children were collected. Results: The most frequent anthropometric deviations were stunting (7.0%) and overweight (8.3%). Food insecurity was found in 68.9% of families. Anemia was found in 16.97% of children and zinc deficiency in 13.28%. Children presented high frequency of health problems in the last 15 days reported by the mother (68.6%), eosinophilia (65.5%), parasitism (82.7%) and poly-parasitism (46.4%). Conclusion: Children assisted in daycare centers presented infectious diseases and nutritional deficiencie...

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Programa Bolsa Família e estado nutricional infantil: desafios estratégicos

Cited by 33 publications

References 3 publications

Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

Transferencia de renda no Brasil e desfechos nutricionais: revisao sistematica

Saúde e nutrição das crianças assistidas em creches públicas do município de Campina Grande, Paraíba

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