Promotion of Adequate and Healthy Eating within the scope of the School Health Program: implementation and contribution of the Healthy Growth Program

Carmo, Ariene Silva do; Serenini, Milena; Pires, Ana Carolina Lucena; Pedroso, Jéssica; Lima, Ana Maria Cavalcante de; Silva, Sara Araújo da; Bortolini, Gisele Ane

doi:10.1590/0103-11042022E309I

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ORIGINAL ARTICLE • Saúde debate 46 (spe3) • Nov 2022 • https://doi.org/10.1590/0103-11042022E309I copy

Promotion of Adequate and Healthy Eating within the scope of the School Health Program: implementation and contribution of the Healthy Growth Program

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The study aims to show the evolution of the percentage of schools adhering to the School Health Program (PSE) that carried out a collective activity on the Promotion of Adequate and Healthy Eating (PAAS) over the last five years and verify if there is a difference in this indicator according to adhesion to the Healthy Growth Program (PCS). Ecological study, developed with data registered in the Health Information System for Primary Care (SISAB). The performance of collective actions on PAAS from 2017 to 2019 increased. In 2020, there was a reduction in the actions carried out; and in 2021 there was an increase in actions carried out compared to 2020. The municipalities that received additional funds from the PCS had the highest percentages of schools carrying out collective activities on PAAS. The implementation of PAAS actions did not occur homogeneously according to the Brazilian macro-regions. It is concluded that there has been a strengthening of PAAS actions within the scope of the PSE, with a significant reduction of this action in the context of the COVID-19 pandemic. Getting additional resources from the PCS favored the development of actions on PAAS, which reinforces the importance of regular financial transfers.

KEYWORDS
Diet, healthy; Health promotion; School health services

Cycle	Total municipalities adhered to the PSE	Percentage of municipalities adhering to the PSE in relation to the total number of Brazilian municipalities	Number of schools	Total municipalities that received the additional PCS resource	Percentage of municipalities that received the additional resource from the PCS to the total number of municipalities adhering to the PSE	Number of schools
2017/2018	5,040	90.5%	85,700	548	10.9%	21,953
2019/2020	5,289	95.0%	91,659	4,118	77.8%	76,374
2021/2022	5,422	97.3%	97,389	4,604	84.9%	87,174

Year	Region					P-Value^* * Teste Anova One Way. Médias com pelo menos uma letra em comum não apresenta diferenças estatisticamente significantes segundo o teste post-hoc Games-Howell.
Year	Center-West	Northeast	North	Southeast	South
2017	19.5(16.6-22.3)^ab	22.9(21.6-24.2)^a	16.6 (14.2-19.0)^b	27.7 (26.0-29.5)^c	21.1(19.2-23.1)^ab	<0.001
2018	25.8 (22.7-28.9)^ac	33.3 (31.9-34.8)^bd	29.3 (26.3-32.3)^ad	36.1 (34.2-38.0)^b	24.6 (22.2-26.2)^c	<0.001
2019	37.3 (34.0-40.6)^a	41.9 (404-434)^b	35.4 (324-384)^a	46.2 (44.2-48.2)^b	35.1 (32.7-375)^a	<0.001
2020	6.3(4.7-8.0)^ab	5.9(5.2-6.6)^a	6.8(5.2-8.4)^ab	9.6 (8.4-10.8)^bc	10.5 (8.9-12.1)^c	<0.001
2021	21.6(18.6-24.7)^ab	20.6(19.2-22.0)^a	25.4 (22.5-284)^bc	27.3 (25.4-29.3)^bc	29.7 (27.3-32.0)^c	<0.001

Year	Received a bonum from the Health GRown Program		P-Value*
Year	No	Yes	P-Value*
2017	22.4 (21.6-23.3)	24.4 (22.1-26.6)	0.121
2018	29.9 (28.9-30.9)	39.2 (36.5-42.0)	<0.001
2019	24.8 (23.0-26.5)	44.2 (43.2-45.3)	<0.001
2020	4.7 (3.8-5.6)	8.8 (8.1-9.4)	<0.001
2021	16.3 (14.3-18.3)	25.6 (24.6-26.6)	<0.001

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