Entre a transição institucional e a transição nutricional: descortinando a trajetória da Nutrição em Saúde Pública à Atenção Nutricional no Sistema Único de Saúde.

• Autor(a) principal: Alves, Kelly Poliany de Souza
• Data de Publicação: 2019
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4516
• topic: Nutrition in public health; Nutritional attention; Food and nutrition policies; Institutional transition; Unified Health System; Integral health care; Nutrição em saúde pública; Atenção nutricional; Políticas de alimentação e nutrição; Transição institucional; Sistema Único de Saúde; Atenção integral à saúde; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The purpose of this study was to analyze the institutional trajectory of the food and nutrition area in the Ministry of Health, seeking to identify possible advances, resistance and impasses for the organization of Nutrition Assistance in the Unified Health System (SUS) from the federal administration. For the development of the research, we started with the constructionist perspective of knowledge production and the contributions of the Actor-Network Theory to build a study trail that included: a route of exploration of institutional documents of the Ministry of Health and of legislative acts issued at the federal level , besides bibliography already produced by other authors on the subject in question; with semi-structured interviews with key informants who lived or followed the institutional trajectory of the food and nutrition area of the Ministry of Health after the end of the National Institute of Food and Nutrition (INAN) in 1997 and until the publication of the second version of the National Food and Nutrition Policy (PNAN) in 2011. In the analysis, we sought to uncover the conditions of possibilities in the political times of federal management in which food and nutrition programs and policies were proposed and / or developed. to be implemented in the public health services (before 1988) and in SUS's service network. We present the characteristics of these programs and policies, pointing out continuities, ruptures, similarities and differences, as weel as its repercussions on the institutional trajectory of the area in the Ministry of Health. Finaly, perspectives of the implementation of the PNAN guideline on the organization of nutricional care in the SUS are discussed.