Abstract
Background
Although the importance of food and nutrition actions is recognized, especially in the Family Health Strategy, there are few studies on the organization of nutritional care in the Unified Health System.
Objective
To describe and compare the organization of Nutritional Care-AN in Primary Health Care in two macroregions of the State of São Paulo, Brazil.
Method
This is a cross-sectional study conducted in 115 Family Health Strategy services. A structured instrument was used. Descriptive data analysis and Fisher's exact test were performed to verify associations between the variable 'region' and those of interest.
Results
115 interviews were conducted with managers from 31 municipalities. There was a higher frequency of actions at RMBS, with statistically significant differences for the following variables: role of community health agent; individual assessment of food intake, vaccination campaigns, and group activities; measurement of body mass index in the gestational curve; breastfeeding support; guidelines on complementary feeding and multidisciplinary team care for overweight.
Conclusion
AN predominated in RMBS. However, in both regions, there are limits to be overcome, requiring the analysis of the quality of these actions to achieve completeness.
Keywords:
Unified Health System; primary health care; family health strategy; nutrition policy; nutrition public health; integrality in health