Hygienic and sanitary conditions of “Units of food and nutrition” at schools participating in the Brazilian School Feeding Program: What is the reality in Goiás?

• Autor(a) principal: Angela Leonel Oliveira, Giovanna
• Data de Publicação: 2022
• Outros Autores: de Paula Marques, Thais, Amélia Santana Marchewicz , Tainá, Jayme Borges , Liana, Anusca Martins, Karine, Anders Carvalho Souza , Thaísa, Prado Alexandre-Weiss , Veruska
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1991
• topic: Risco Sanitário; Segurança Alimentar; Alimentação Escolar; Serviços de Alimentação; Manipulação de alimentos; Vigilância Sanitária e Sociedade; Health Risk; Food Security; School Feeding; Food Services; Food Handling

Introduction: In order to offer safe meals to students, recommended by the Brazilian School Feeding Program (PNAE, in Portuguese), an adequate hygienic-sanitary condition of “Units of Food and Nutrition” is necessary. Objective: To evaluate the hygienic-sanitary conditions of the “Units of Food and Nutrition” at schools participating in the BrazilianSchool Feeding Program in municipalities in Goiás, as well as to verify possible associations with municipal indexes, school characteristics and supervision by a nutritionist. Method: Cross-sectional study, carried out between 2017 and 2019, with a sample of 395 schools, from 103 municipalities in Goiás. The hygienic-sanitary conditions were collected by nutritionists, through a checklist based on Anvisa’s RDC nº 216/2004 and municipal indexes of human development and basic education in public databases. The school’s characteristics and the existence of supervision by a nutritionist were asked to school directors. Descriptive analysis of the checklist items and hypothesis and correlation tests were performed. Results: Most units (69.4%) were classified as having regular health risk, according to the checklist. Significant differences were obtained between municipal and state schools (p = 0.02); difference of northern mesoregion from the others (p = 0.00) and low Human Development Index of the other categories (p = 0.02) were observed. Furthermore, the high Basic Education DevelopmentIndex (5th grade) was associated with a very low health risk (p = 0.04). Conclusions: It is inferred that there is a need for corrective measures. Manuals of good practices should be implemented, along with training of handlers, ongoing supervision by the nutritionist and the School Feeding Council, and investment in management with a view to the Food and Nutritional Security of schoolchildren.