Programa Bolsa Família: Perfil, Ações Intersetoriais E Percepção Dos Gestores De Serviços, Em Um Estudo De Caso Nos Morros De Santos

Abstract

The Bolsa Família Program -PBF is an example of action that requires intersectoral efforts and contributes to implementation of the Food Safety System and Nutrition -SISAN. Beneficiary families are in the most vulnerable situation, as they have to face the complexity of this condition. In this sense, the intersectoral approach is the political strategy that has been used by the main public policies in Brazil. This is a Case Study in Morros de Santos, which aimed to characterize the profile of PBF beneficiaries, map and reflect on the intersectoral actions implemented or under construction and to gather information on the perception of service managers about the program. Therefore, questionnaire and semi-structured interviews were used to collect data. The profile has been defined by descriptive analysis and interviews were analyzed by content analysis. Five key informants of social, health and education services of Morros de Santos were interviewed. The profile of the beneficiaries was in line with the program objectives, but there is no access of services to unified data. The actions have been restricted to sectored monitoring of PBF's conditionalities. The perception of managers about the program is that it fulfills its objectives, although it is not yet seen as a right. In this scenario, it is suggested that municipal investment should occur in different sectors, while rethinking policy actions and considering intersectorality as an strategic axis. Having a unified information system would facilitate the work and the effectiveness of these actions, including promoting SAN, thus contributing directly to the implementation and consolidation of SISAN in the city.

Public policies of food and nutrition in Brazil: From Lula to Temer

“…Fifteen years after its implementation began, there is evidence of the impact of the PBF on reducing both income inequality and poverty indexes [23], minimizing poverty and hunger in Brazil [24]; the increased use of health services by beneficiary children [25] and decreased post-neonatal infant mortality [26]. On the other hand, when it comes to studies of the impact of PBF on nutritional status, food consumption and FNS, the results are still inconclusive [11,14,27,28].…”

Direito humano à alimentação adequada: percepções de participantes do Programa Bolsa Família

“…Assim, um possível maior contato com serviços e profissionais de saúde pode favorecer o exercício do DHAA e o percurso dessas famílias em direção à saúde, autonomia, inclusão social e cidadania. 2,11 As ações do PBF incidemfavoravelmente nas escolhas alimentares de famílias titulares, 8,22,23 com efeitos positivos sobre o estado nutricional das crianças. 6 No presente estudo, as participantes atestaram conhecimentos sobre uma alimentação adequada e saudável, sobretudo acerca da importância dos alimentos in natura e minimamente processados, como base da alimentação.…”

“…5,10 Compreender o ponto de vista das famílias do PBF é essencial para aprofundar a análise do papel do Programa na promoção da SAN e na perspectiva de direitos, embora haja poucos registros na literatura científica voltados a isso. 1,2,11 Rego &Pinzani 12 verificaram que os usuários enxergavam o PBF como ajuda. 12 Por outro lado, ao contextualizar o emprego do termo "ajuda", Ahlert 13 inferiu uma conexão com a noção de direito conquistado diante do relato de "luta" para a admissão no Programa e para o atendimento dos requisitos necessários e das responsabilidades exigidas para manutenção das condicionalidades.…”