Avaliação domiciliar de segurança alimentar e nutricional: uma proposta metodológica para ação do nutricionista nos núcleos de apoio a saúde da família.

Abstract

The Centers for Comprehensive Care in Family Health (NASF) were created by the Ministry of Health through Ordinance No. 154, January 24, 2008. The NASF must consist of a team of professionals from different fields, which must work in partnership with professionals from the Family Health Teams (FHT), sharing health practices in the territories and to act in an integrated services network health, from the demands identified in working together. The aim of this paper is to propose a methodology for the development of matrix support by Nutritionist to perform diagnostic actions of the food security situation by Community Health Agents (CHA) in areas covered by ESF through the Brazilian Food Insecurity Scale (EBIA). For the application of this methodology we propose that the NASF Nutritionist conduct a population-based cross-sectional study in partnership with CHA. It should be based on information about the mapping of the area covered by the ESF, the number of ACS in each area and population covered. This information can be obtained from the Information System of Primary Care - SIAB, or directly with the CHA in order to assess convergence. After this process must be performed between FHS and NASF meeting to present the proposal and discuss the importance of performing the action. For the calculation of the sample definition proposes to use Simple Random Sample. It is suggested that this calculation is defined by means of internet sites that facilitate the process. After obtaining the sample must be defined households through raffles or statistical programs, starting the process of direct interaction with the CHA, by sharing information about families to be interviewed and respect to the methodology employed. This process should occur in meetings where should also address: the historical use of EBIA in Brazil, methodological concepts for their application to the diagnosis of SAN relevance and importance of promoting food security for health maintenance and the simulation of the interview process. Data collection must be accompanied by Nutritionist through meetings. At the stage of data analysis, we suggest the use of public domain software Epi info, presenting the results of the FHS, NASF, community and Municipal Secretaries of Health Considering the high population coverage of NASF it is essential to use the support matrix for the construction of health promotion practices. The work of this field Nutritionist is very new, so it is expected to contribute its conformation from the use of the support matrix in the daily practice of a trader, by performing diagnostic SAN and thus collaborate with development practices committed to local realities within the teams, produce mobilization in primary care to establish strong links with the debate on the formulation and implementation of policies and actions to promote health enhancing the know-how of each, promoting reflection on social reality of the territory, contributing to the development of actions and planning of SAN in the healthcare field without losing sight of the emphasis on the integration of teams.