| Actions |
n |
% |
| Actions within PHC |
|
|
| Manage excessive weight gain, gestational diabetes, and pregnancy-induced hypertension |
851 |
64.5 |
| Qualify the monitoring of physical activity actions |
709 |
53.7 |
| Organize care for childhood obesity, making other points in the health care network available for referral of severe cases of obesity |
592 |
44.8 |
| Provide at least one integrative and complementary practice option as part of the prevention and care of childhood obesity in PHC |
544 |
41.2 |
| Training actions (continuing education) |
|
|
| Make available a workload so that PHC professionals in the municipality who work in the prevention of childhood obesity can attend at least one training or course per year, offered by the Brazilian Ministry of Health on the subject |
854 |
64.7 |
| Provide at least one training per year to PHC professionals who work, mainly with the maternal and child population, in anthropometric collection and evaluation of food consumption markers |
821 |
62.2 |
| Offer at least one training per year on healthy eating, physical activity and obesity for media professionals (journalists, advertisers, designers, etc.) |
300 |
22.7 |
| Establish partnerships with universities and colleges that have health courses to conduct research/outreach projects on the theme of childhood obesity in the municipality |
181 |
13.7 |
| Actions in schools |
|
|
| Guarantee the free supply of drinking water (water fountains in adequate sanitary conditions) in public schools |
774 |
58.6 |
| Carry out the minimum purchase of family farming products for the PNAE with Federal Government resources, in accordance with current legislation, creating mechanisms to gradually increase the percentage of purchases in partnership with local producers and other municipalities |
440 |
33.3 |
| Establish guidelines for the Municipal Health and Education Departments to provide food and nutrition education activities, based on the principles and guidelines of the Brazilian Ministry of Health’s food guides, the NBCAL, and the regulations of the FNDE |
315 |
23.9 |
| Invest in the construction and maintenance of school infrastructure for physical activity |
258 |
19.5 |
| Create local legislation to prevent the association of unhealthy foods with food and nutrition education activities, textbooks and sponsored events in schools |
170 |
12.9 |
| Install bike racks in schools and lockers to store school supplies |
104 |
7.9 |
| Comprehensive measures for health promotion and prevention of childhood obesity |
|
|
| Hold a public hearing together with the Legislative Branch to discuss childhood obesity prevention |
202 |
15.3 |
| Present bills on structuring measures that promote environments conducive to appropriate and healthy habits and behaviors, and prevention of childhood obesity |
124 |
9.4 |
| Municipalities that promote healthy eating |
|
|
| Publicize the support network for the promotion of adequate and healthy eating and physical activity in the municipality |
471 |
35.7 |
| Stimulate production chains that promote adequate and healthy eating, considering the stages of storage, supply and/or distribution of fruits and vegetables, which follow good agricultural practices and integrated production systems, valuing local food culture |
172 |
13.0 |
| Create contact networks between local producers and traders to stimulate the circulation and sale of fresh and minimally processed foods in the municipality |
150 |
11.4 |
| Train local traders and retailers in strategies to transform the food retail trade into a healthier environment |
144 |
10.9 |
| Implement subsidies for the production of fresh and minimally processed foods |
128 |
9.7 |
| Establish rules on the receipt of food donations in public establishments, either for on-site consumption or for distribution, promoting adequate and healthy food, health and dignity of the recipients of donations, in accordance with the principles of food guides for the Brazilian population |
107 |
8.1 |
| Create local legislation to make it mandatory to provide free filtered water in public spaces, such as parks and squares, and in restaurants, cafeterias, bars and similar establishments |
98 |
7.4 |
| Create and disseminate an application mapping places that sell fresh and minimally processed foods |
81 |
6.1 |
| Create local legislation to establish a minimum height of 120cm for shelves displaying ultra-processed foods to protect children from grabbing these products at points of sale |
81 |
6.1 |
| Actions to support and protect breastfeeding |
|
|
| Promote actions to encourage and support breastfeeding in daycare centers and schools, aiming at breastfeeding continuity |
654 |
49.5 |
| Extend maternity leave to at least six months and paternity leave to at least 20 days for municipal employees |
198 |
15.0 |
| Implement municipal laws that guarantee the right of women to breastfeed in any space, whether public or private |
198 |
15.0 |
| Strengthen and improve the implementation and inspection of the NBCAL and its regulation (Law n. 11,265/2006 and Decree n. 9,579/2018) |
119 |
9.0 |
| Implement breastfeeding support rooms for breastfeeding working women in municipal public offices and encourage their implementation in workplaces in other governmental and private spheres, as well as in places with large circulation of informal breastfeeding working women |
118 |
8.9 |
| Encourage the private sector to join the Corporate Citizen program, pursuant to Law n. 11,770/2008 and regulated by Decree n. 7,052/2009
|
89 |
6.7 |
| Implement and/or expand the network of collection points and Human Milk Banks |
80 |
6.1 |
| Implement and/or strengthen and expand the IHAC in the municipal public health care network, as well as encourage this initiative in hospitals managed by other governmental and private spheres (Ordinance n. 1,153/2014 - PRC n. 06/2017) |
74 |
5.6 |
| Municipalities that promote physical activity |
|
|
| Carry out regular leisure activities that involve physical activity in public places in cities |
652 |
49.4 |
| Invest in adapting and adjusting physical activity equipment for children with obesity |
295 |
22.3 |
| Prioritize areas of greater social vulnerability for investment in adequate structure for exercising |
253 |
19.2 |
| Create “leisure streets” (streets open to pedestrians) for at least one day a week for physical activity and sports |
231 |
17.5 |
| Implement programs and actions that provide adequate conditions for the active commuting of children and adolescents from home to school |
204 |
15.5 |
| Establish partnerships with clubs and other private establishments so that they can be used free of charge by the general public for practice physical activities and sports |
167 |
12.7 |
| Invest in the construction and maintenance of sidewalks and bike lanes, prioritizing areas of greater social vulnerability |
156 |
11.8 |
| Create and encourage the use of an online platform to identify and assess the quality of public, community and social spaces and facilities that can be used for physical activity |
94 |
7.1 |
