Coverage of food consumption assessment in children participating in the Healthy Growth Program - Brazil, 2015-2018

Borges, Luana Kelly Silva; Nascimento, Fernando Ferraz do; Mascarenhas, Márcio Dênis Medeiros; Rodrigues, Malvina Thaís Pacheco

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FREE THEMES • Ciênc. saúde coletiva 27 (06) • June 2022 • https://doi.org/10.1590/1413-81232022276.13822021 copy

Coverage of food consumption assessment in children participating in the Healthy Growth Program - Brazil, 2015-2018

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aimed to compare the prevalence of food consumption assessment coverage in children under 10 years old before and after the implementation of the Healthy Growth Program (HGP). In this sense, a cross-sectional study was conducted using data from 548 municipalities registered in the HGP and available in the Food and Nutritional Surveillance System of the Brazilian Ministry of Health. The food consumption assessment coverage indicator was analyzed per geographic regions, a Chi-square test was performed and the Prevalence Ratios (PR) and their respective 95% confidence intervals (95% CI) were estimated. Food consumption assessment coverage increased from 0.25% in 2015 to 1.78% in 2018 (PR=7.09; 95%CI 7.00;7.18). The Southern region showed the highest and the Midwestern region the lowest increase in food consumption coverage. Although food consumption assessment coverage has increased less than the five-percent target set by the HGP, there has been an improvement in monitoring the nutritional status of children, which requires developing actions that support mapping the food and nutritional scenario of children in Brazil.

Key words:
Health Services Coverage; Food and Nutritional Surveillance; Food Consumption; Children

Indicators	2015		2018*		PR (95%CI)	p-value
Indicators	N	%	N	%
Food consumption record coverage in children under 10 years old (goal: 5%)**	26,584	0.25	185,754	1.78	7.09 (7.00;7.18)	<0.001
Municipalities that own food consumption records of children under 10 years old***	12	2.18	133	24.27	11.33 (6.27;20.47)	<0.001
Municipalities lacking food consumption records of children under 10 years old***	368	67.15	131	23.90	0.34 (0.27;0.41)	<0.001

Macro-region	Projection of the population of children under 10 years old (2012)	Before the HGP			During the HGP
		2015	2016	2017	2018
		n (%)*	n (%)	n (%)	n (%)
Northeast	4,007,632	8,368 (0.20)	21,152 (0.53)	14,444 (0.36)	78,941 (1.97)
North	497,706	1,005 (0.21)	1,021 (0.21)	1,466 (0.29)	4,823 (0.97)
Southeast	3,809,219	8,928 (0.23)	24,362 (0.64)	37,629 (0.99)	48,306 (1.27)
South	1,159,196	3,430 (0.30)	9,357 (0.81)	7,395 (0.64)	36,529 (3.15)
Midwest	889,075	3,695 (0.42)	10,395 (1.17)	5,536 (0.62)	8,277 (0.93)
HGP Municipalities	10,431,768	26,584 (0.25)	70,100 (0.67)	67,781 (0.65)	185,754 (1.78)

Macro-region	2015			2016			2017			2018			PR 2018/2015
Macro-region	%	PR* (95%CI)	p-value	%	PR* (95%CI)	p-value	%	PR* (95%CI)	p-value	%	PR* (95%CI)	p-value
North	0.20	1.00		0.21	1.00		0.29	1.00		0.97	1.00		4.85
Northeast	0.21	1.05 (0.97;1.10)	0.3154	0.53	2.52 (2.42;2.75)	<0.001	0.36	1.24 (1.16;1.29)	<0.001	1.97	2.03 (1.99;2.12)	<0.001	9.38
Southeast	0.23	1.15 (1.08;1.24)	<0.001	0.64	3.05 (2.94;3.34)	<0.001	0.99	3.41 (3.20;3.56)	<0.001	1.27	1.31 (1.27;1.35)	<0.001	5.52
South	0.30	1.50 (1.36;1.57)	<0.001	0.81	3.86 (3.71;4.22)	<0.001	0.64	2.21 (2.05;2.30)	<0.001	3.15	3.25 (3.22;3.42)	<0.001	10.05
Midwest	0.42	2.10 (1.92;2.21)	<0.001	1.17	5.57 (5.39;6.14)	<0.001	0.62	2.14 (2.03;2.28)	<0.001	0.93	0.96 (0.92;0.99)	0.02	2.21

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[1] Collaborations

LKS Borges was in charge of the study, study design, analysis and writing of the manuscript. FF Nascimento participated in study design, revision and writing of the manuscript. MDM Mascarenhas participated in study design, review and writing of the manuscript. MTP Rodrigues participated in study design, revision and writing of the manuscript.