Nutritional status coverage trend registered in the SISVAN web in seven municipalities of the Zona Da Mata Mineira, Brazil, from 2008 to 2017, and its association with socio-economic, demographic and organisation of health system variables

Abstract

We analysed the coverage trend of the evaluation of the nutritional status of users of public health services registered in the Food and Nutrition Surveillance System (SISVAN) between 2008 and 2017 in seven municipalities and verified the association of the coverage trend with the socio-economic, demographic and organisational aspects of health system variables. It is an ecological time-series study performed with secondary data extracted from health information systems. Descriptive statistics, linear regression model and repeated measures analysis were performed. The coverage of evaluation of nutritional status was low over the period. Five municipalities showed a tendency to increase coverage, although small, while two remained stable. The highest annual variation in coverage increase was concentrated in the group of pregnant women and the lowest in adolescents and older adults. There was a downward trend in follow-ups from the Bolsa Family Programme and a trend towards increased follow-ups from SUS Primary Care (e-SUS AB). SISVAN coverage was positively associated with the proportion of rural population (P ≤ 0·001) and coverage of community health agents (P < 0·001); and negatively associated with total population (P < 0·001), demographic density (P = 0·006) and gross domestic product per capita (P = 0·008). Despite the tendency to increase coverage in some municipalities, SISVAN still presents low coverage of nutritional status assessment, which compromises population monitoring. Knowing the factors that influence the coverage can subsidise the elaboration of strategies for its expansion.

Increasing trends in obesity prevalence from 2013 to 2019 and associated factors in Brazil

“…Monitoring the prevalence of obesity is essential for public health. Obtaining anthropometric measurements through health surveys allows monitoring overweight/obesity trends in different geographic areas and identifying the main associated factors, allowing to subsidize public health policies to prevent obesity, promote healthier lifestyles, as well as encouraging healthy eating habits, and encouraging regular physical activity since childhood 4,21 .…”

Perception of the Food and Nutrition Surveillance System in the Zona da Mata Mineira region of Brazil: A qualitative approach

“…All these compromise the generation of quality information and implementation of actions, reflecting the weaknesses in the use of SISVAN as a system to manage information on food and nutritional surveillance in primary care, as has already been demonstrated by other Brazilian researchers. 5,[14][15][16] The structural and organizational issues highlighted in this study, such as inadequate facilities and lack of preventive maintenance of anthropometric equipment management, have also been reported in other developing countries, including those related to anthropometric data collection. 21 It remains critical to minimize the random errors in measurements by using standardized techniques and rigorous quality control procedures.…”

“…5,7,8 In addition to poor integration and communication between government sectors, there are issues with facility infrastructure, personal training, interactivity, and system intelligence; 9 poor system coverage and representativeness; 10,11 lack of integration between information systems; 12 and poor geographical and population coverage. 5,10,[13][14][15] Finally, research has shown the need for better system integration with assistance program funding 7 and the underutilization of SISVAN information by city management of SUS primary care. 5 Incorporating VAN practices into daily healthcare services does not rely only on financial resources.…”

Instituição De Um Protocolo De Vigilância Alimentar E Nutricional No Município De Jaguari-Rs

“…O mau desempenho dos profissionais de saúde nas questões relativas a marcação dos dados antropométricos nos gráficos das CSC e na interpretação dos mesmos, pressupõe-se que seja porque essa atividade não faça parte da sua rotina nas US. Os profissionais de saúde não valorizam muito o uso da CSC como instrumento de acompanhamento da saúde, nutrição e desenvolvimento infantil (ABREU;VIANA;CUNHA, 2012, GONÇALVES et al, 2020. Palombo et al (2014) encontraram um percentual muito baixo (8,9%) de preenchimento dos gráficos de peso e estatura, corroborando resultados de estudos semelhantes (PE-DRAZA, 2019; MOREIRA; GAÍVA, 2013).…”