Avaliação da operacionalização e monitoramento do Programa Nacional de Suplementação de Ferro, em municípios do estado de Alagoas.

Abstract

Iron deficiency anemia is considered an important public health problem, due to its high prevalence and close relationship with impaired growth and child development, responsible for 9% of the global burden of disability. In Brazil, it is the main nutritional deficiency in coping, being prevalent in 24.1% of the population under the age of 2 years. In order to carry out actions for the prevention and control of iron deficiency anemia within the scope of the Unified Health System (SUS), the National Iron Supplementation Program (PNSF) was instituted, which consists of universal supplementation with iron supplements in prophylactic doses, for children aged 6 to 24 months, pregnant women and women in the postpartum and postabortion period, associated with actions of Food and Nutrition Education (EAN). This study aimed to evaluate the operationalization and monitoring of the PNSF for the target audience of children aged 6 to 24 months, in municipalities in the state of Alagoas. For this, a cross-sectional study was carried out in 6 municipalities. Data were obtained by conducting interviews with PNSF municipal coordinators, evaluating public reports on the Micronutrient System (e-Gestor AB) and consulting the e-SUS collective activity report by municipality in 2018. Only 4 of the 6 municipal coordinators participated in the interview. The central pharmacy was appointed as responsible for the selection and distribution of supplements. In addition, all municipalities used the e-Gestor AB platform and the Micronutrient System to monitor the program. To carry out the EAN activities, the Extended Family Health and Primary Care Center (NASF-AB) was appointed as the responsible team. In addition, it was possible to identify absence in planning, ignorance of the scope and purpose of the program. Thus, it is expected that this study will contribute to improving the operationalization of the PNSF and, thus, acting to reduce the prevalence of iron deficiency anemia. The work is structured in two parts, the first being a literature review chapter and the second, a scientific article.