title: [Evaluation of public policies to promote food security and the fight against hunger, 1995-2002. 3--the Brazilian National Program to Control Vitamin A Deficiency].
abstract: Vitamin A supplements have been distributed during National Immunization Days since 1983, and Brazil has been a pioneer in this kind of strategy. The current study evaluated the National Program from 1995 to 2002, from a structure-process-results perspective. The methodology involved document research, interviews with health services managers, and a case study in 44 municipalities in Bahia State, resulting in 1,344 household interviews. In relation to structure, from 1998 on the program operated without a normative instrument due to the extinction of the National Institute of Nutrition. Improvements in the processes of vitamin supply procurement and distribution had a positive impact on coverage, reaching 3.5 million capsules in 2002 (72% coverage). For the 2,546 children studied in Bahia, vitamin A distribution was irregular, with annual coverage varying from 8% to 26%. Program managers reported time constraints and insufficient human resources, consistent with the hypothesis that this type of strategy does not help inform the population about the importance of vitamin A. These findings point to the need for systematic linkage between different levels of government in order to fully implement and monitor the program.
authors: Agencia Nacional de Saúde Suplementar, Ministério da Saúde, Rio de Janeiro, Brasil.
authors: Maisa Cruz
authors: MC
authors: Martins
authors: Leonor Maria Pacheco
authors: LM
authors: Santos
authors: Sandra Maria Chaves dos
authors: SM
authors: Santos
authors: Maria da Purificação Nazaré
authors: Mda P
authors: Araújo
authors: Aline Maria Peixoto
authors: AM
authors: Lima
authors: Luciana Alaíde Alves
authors: LA
authors: Santana
mesh_terms: D001938:Brazil; D002675:Child, Preschool; D019587:Dietary Supplements / Q000600:supply & distribution*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006815:Hunger; D007223:Infant; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000592:standards*; D018673:Nutrition Policy / Q000331:legislation & jurisprudence; D011204:Poverty Areas; D015397:Program Evaluation; D012424:Rural Population; D014505:Urban Population; D014801:Vitamin A / Q000008:administration & dosage*; D014802:Vitamin A Deficiency / Q000517:prevention & control*
chemical_list: D014801:Vitamin A