Banca de DEFESA: JULIANA MARA FLORES BICALHO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : JULIANA MARA FLORES BICALHO
DATE: 20/12/2022
TIME: 09:00
LOCAL: Videoconferência
TITLE:

EVALUATION OF THE ADEQUATE AND HEALTHY FOOD PROMOTION PROGRAM IN PRIMARY HEALTH CARE IN MUNICIPALITIES OF MINAS GERAIS

KEY WORDS:

Nutrition Programs and Policies; Health Education; Diet, Healthy; Primary Health Care; Health Evaluation.

PAGES: 139
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Non-communicable chronic diseases constitute a health problem of great magnitude, one of its
main determinants being inadequate nutrition. This scenario requires effective public policies
that promote assistance, as well as the qualification of professionals for the development of
health education actions, especially in Primary Health Care (PHC). The promotion of adequate
and healthy eating (PAHE) must be composed of strategies that allow individuals and
communities to carry out eating practices appropriate to their biological and sociocultural
aspects, as well as the sustainable use of the environment. In this sense, the Program for the
Promotion of Adequate and Healthy eating (PPAHE) was developed, in a practical and effective
perspective, as a form of intervention to support the planning and development of collective
actions of PAHE in PHC, with proposals for active methodologies and theoretical and practical
support for the development of actions that can be carried out by all health professionals.
However, having a Program is not enough, it is necessary to evaluate its implementation in
order to subsidize the performance of the proposed intervention and the optimization of work
processes in the planning and execution of educational actions and their results. In view of this,
this research aims to evaluate the implementation of the PPAHE conducted by PHC
professionals in the municipalities of Carmo do Cajuru and Nova Lima - MG. Before the
evaluation itself, an Evaluability Study was carried out, considering document analyses,
theoretical review, description of the intervention, elaboration of the Program's logical model,
in addition to the identification and validation of the evaluative questions that resulted in the
multidimensional measurement instrument to evaluate its implementation, identifying strengths
and weaknesses. In the second moment, the evaluation of the implementation of the PPAHE
was carried out through the research of mixed methods. The classification of the degree of
implementation (DI) was calculated using the validated multidimensional measurement
instrument (quantitative study), later there was the incorporation of qualitative data to explain
the context of its implementation. In the quantitative approach, evaluative research was used
from the perspective of implementation analysis. In the qualitative approach, an exploratorydescriptive study was carried out using content analysis. Qualitative and quantitative data were
incorporated for analysis based on their imbrication. The DI of the program was 92.5%
representing adequate implementation. In the imbrication of the data, the methodology of the
actions proposed in the PPAHE and the carrying out of the Permanent Education activity
emerged as converging strengths. Insufficient Human Resources for planning and executing the
program, and the lack of a kitchen to carry out a cooking workshop were identified as
challenges. It is concluded that the implementation of the program was adequate and could be
extended to other Brazilian municipalities, in order to support professionals in structuring
PAHE interventions in the PHC work routine. The PPAHE analyzed here intends to guide
changes in practice with regard to the approach to health promotion by supporting PHC
professionals to carry out practical and effective PAHE actions, in addition to being feasible in
terms of time and available infrastructure. It is hoped that this research will contribute to the
development and dissemination of more effective collective food and nutrition activities and to
the qualification of professionals for this purpose. In addition to proposing indicators that
contribute to better structuring the evaluation of actions, issues that are currently considered to
be emerging.

BANKING MEMBERS:
Externa à Instituição - RAQUEL DE DEUS MENDONÇA - UFOP
Presidente - 823.696.317-91 - CLAUDIA DI LORENZO OLIVEIRA - UFSJ
Externa ao Programa - 1695174 - DENISE ALVES GUIMARAES
Externo ao Programa - 1716637 - TARCISIO LAERTE GONTIJO
Externa à Instituição - WANESSA DEBÔRTOLI DE MIRANDA - UFMG