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The Brazilian School Feeding Programme: an Example of an Integrated Programme in Support of Food and Nutrition Security

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Objective: The present paper analyses the advances and challenges of the school feeding programme in Brazil (PNAE), as part of the Brazilian experience building up an integrated food and nutrition security national system. It explores the role of policy and regulatory frameworks in constructing quality service delivery and intersectoral integration. Design: Review of PNAE and federal government technical documents and studies, legislation, minutes of meetings and official documents of the National Council of Food and Nutrition Security from 2003 to 2011. Setting: Food insecurity has decreased significantly in Brazil in the last decade, indicating that appropriate choices were made in terms of public policies and institutional arrangements, which other countries can learn from. Subjects: Brazil food and nutrition security system; school feeding; school food. Results: Brazil's integrated food and nutrition security policy approach promoted intersectorality in the food system, articulating actions to guarantee access to healthy food and to strengthen family farming. The quality of school meals has progressively improved; in particular, the availability of fruits and vegetables increased. However, national standards regarding menu composition have not yet been met. Regulations were an important factor, along with the policy approach linking food production, nutrition, health and education. Challenges are related to conflict of interests and to farmers' insufficient capacity to meet supply requirements and comply with technical procedures. Conclusions: Local food production, school meals and nutrition education can be linked through integrated programmes and policies, improving access to healthier foods. Government leadership, strong legislation, civil society participation and intersectoral decision making are determinant.
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Public Health Nutrition: 16(6), 989–994 doi:10.1017/S1368980012005101
The Brazilian school feeding programme: an example of an
integrated programme in support of food and nutrition security
Emilie Sidaner
1,
*, Daniel Balaban
2
and Luciene Burlandy
3
1
Policy and Strategy Division, World Food Programme, Via Cesare Giulo Viola 68/70, Parco de Medici,
00148 Rome, Italy:
2
WFP Centre of Excellence against Hunger, Brası
´lia, Brazil:
3
Department of Social Nutrition,
Faculty of Nutrition, Fluminense Federal University, Nitero
´i, Brazil
Submitted 19 March 2012: Final revision received 2 October 2012: Accepted 11 October 2012: First published online 6 December 2012
Abstract
Objective: The present paper analyses the advances and challenges of the school
feeding programme in Brazil (PNAE), as part of the Brazilian experience building
up an integrated food and nutrition security national system. It explores the role
of policy and regulatory frameworks in constructing quality service delivery and
intersectoral integration.
Design: Review of PNAE and federal government technical documents and
studies, legislation, minutes of meetings and official documents of the National
Council of Food and Nutrition Security from 2003 to 2011.
Setting: Food insecurity has decreased significantly in Brazil in the last decade,
indicating that appropriate choices were made in terms of public policies and
institutional arrangements, which other countries can learn from.
Subjects: Brazil food and nutrition security system; school feeding; school food.
Results: Brazil’s integrated food and nutrition security policy approach promoted
intersectorality in the food system, articulating actions to guarantee access to
healthy food and to strengthen family farming. The quality of school meals has
progressively improved; in particular, the availability of fruits and vegetables
increased. However, national standards regarding menu composition have not
yet been met. Regulations were an important factor, along with the policy
approach linking food production, nutrition, health and education. Challenges
are related to conflict of interests and to farmers’ insufficient capacity to meet
supply requirements and comply with technical procedures.
Conclusions: Local food production, school meals and nutrition education can be
linked through integrated programmes and policies, improving access to healthier
foods. Government leadership, strong legislation, civil society participation and
intersectoral decision making are determinant.
Keywords
School feeding
School nutrition
Brazil
Food and nutrition security
PNAE
The Brazilian School Feeding Program (PNAE) started in
1954. It was seen for a long time as a targeted food aid
programme designed to fight undernutrition and low
levels of education. While over the years the programme
maintained a focus on enhancing schoolchildren’s diets,
its specific objectives, institutional set-up and norms and
regulations have evolved significantly over time.
The current paper argues that the PNAE is exemplary, a
model from which other countries might draw important
lessons. Brazil’s multisectoral food and nutrition security
strategy, developed from 2003, prioritized the expansion
of school feeding and brought significant changes in the
programme’s design and implementation. Its objectives
today are to contribute to the bio-psychosocial develop-
ment and educational achievement of students by meet-
ing their nutritional needs while in the classroom, and by
supporting the formation of healthy habits through food
and nutrition education
(1)
. The programme also promotes
local family farming.
The Brazilian programme is also exemplary for its
scope, reaching more than forty-five million students,
with an allocated budget of some $US 1?9 billion for 2012.
School feeding in Brazil is a universal right of students
enrolled in public basic education and a duty of the State,
granted by the Constitution. The PNAE covers all public
and community schools in the basic education system,
from day care, kindergarten, elementary school, high
school to education for young adults.
The paper first presents the PNAE and analyses how its
objectives and standards were progressively developed as
part of a multisectoral strategy for food and nutrition
security. It then discusses monitoring, oversight and
evaluation mechanisms. The last section presents evidence
on the programme’s results and discusses the role of Brazil’s
*Corresponding author: Email emilie.sidaner@wfp.org; emiliesidaner@yahoo.fr rThe Authors 2012
integrated policy approach and school feeding legal and
regulatory frameworks in achieving these results.
Methodology
The paper is based on a review of technical documents
and evaluation studies of PNAE, relevant federal legisla-
tion, technical and evaluative reports of the federal gov-
ernment, minutes of meetings and official documents of
the National Council of Food and Nutrition Security and
national conferences from 2003 to 2011, and interviews.
Results
School food policy, standards and implementation
in Brazil
The PNAE is one of the most important strategies of
Brazil’s food and nutrition security policy. Its large cov-
erage and innovative design act to strengthen family
farming while promoting access to adequate and healthy
diets in all public schools.
In Brazil, the number of people in food insecurity and
poverty has decreased as a result of committed public
policies. The percentage of households living in food
insecurity fell from 34?8 % in 2004 to 30?5 % in 2009
(2,3)
and extreme poverty fell from 17?4 % in 2001 to less
than 9 % in 2008
(3,4)
. However, fulfilling the Human Right
to Adequate Food – as guaranteed in Constitutional
Amendment no. 64/2010
(5)
– remains a challenge. A grow-
ing prevalence of diet-related diseases including over-
weight, obesity, hypovitaminosis A and anaemia coexists
with food insecurity and malnutrition in populations that
still have problems with access to adequate food, such as
communities of descendants of slaves (quilombolas), indi-
genous people and the poorest groups. Latest estimates
(2009) indicate that 49?9 % of adults are overweight and
14?8 % are clinically obese. Children and adolescents are
also affected: in 2009, the prevalence of overweight was
34?8 % in children aged 5–9 years and 20?5% inadolescents
aged 10–19 years; the prevalence of obesity was 16?6% in
5- to 9-year-old children and 4?9% in adolescents
(3)
.The
rapidsurgeinobesityiscorrelatedwithanincreasedcon-
sumption of meat and industrialized foods with high levels
of saturated and hydrogenated fats, sugar and soft drinks,
and a reduction in the consumption of fruits, vegetables
and basic traditional foods such as beans, tubers and
rice
(3,4,6–8)
. The National Adolescent School-based Health
Survey of 2009 confirmed the prevalence of these unhealthy
eating habits among adolescents
(9,10)
.
An innovative policy approach linking food and
nutrition security articulated in the Zero Hunger Strategy
has emerged in Brazil in the last decade, aiming to
overcome these problems stemming from multiple bio-
logical, socio-economic and cultural factors. The political
leadership and support provided by the presidency, the
insertion of food and nutrition security in the governmental
agenda, and finally the combination of legal and institu-
tional mechanisms for the participation of civil society and
the partnership of different government sectors set the
conditions for the promotion of intersectorality
(11)
.
The Organic Law for Food and Nutrition Security
adopted in 2006 is a landmark policy which established a
food and nutrition security system. The system comprises
a nineteen-ministry Interministerial Chamber of Food
and Nutrition Security (CAISAN), a national council
(CONSEA), and intersectoral chambers and councils at
all levels of the government
(12)
. These arenas assemble
civil society organizations and different government sectors
to coordinate and integrate programmes and actions for
food and nutrition security. More recently, in 2011, the
CAISAN, in consultation with these bodies, formulated the
National Food and Nutrition Security Plan, which stipulates
actions promoting production, the strengthening of family
agriculture, food supply and healthy eating
(8)
.
In this context, schools have emerged as an arena for
developing initiatives linking access to adequate and
healthy food, including vegetables and fruits; promotion
of small family farms and their products; regulation of
school food; and health and nutrition education – for
instance through school gardens. The PNAE has been
significantly redesigned as part of the comprehensive
food and nutrition security approach and has become an
example of the integration of education, agriculture,
health and social protection to promote access to healthy
diets at school while strengthening family farming.
The adoption of Law 11.947 in 2009
(13)
, known as the
School Feeding Law, was a milestone that institutionalized
school feeding at federal level. The 1988 constitution
ensured the universal right to free school meals for students
enrolled in public primary schools. The 2009 law expanded
it to all students enrolled in basic education from the age of
6 months. In order to reach all students, including the most
marginalized ones, it includes high schools, philanthropic
and community schools, special education, and students
whoattendyouthandadulteducation.
Implementation of the PNAE is strongly regulated.
School feeding is the responsibility of the National Fund
for Development of Education (FNDE), a structure linked
to the Ministry of Education. FNDE Resolution no. 38/2009
sets the administrative rules and technical standards for
implementation of the School Feeding Law
(1)
. The nutri-
tional quality of meals is not a new concern: the 2001
National Plan of Education defined for the first time
the minimum energy and protein levels by age to be
provided by school meals and a 2006 interministerial
ordinance set out further guidelines on the nutritional
profile of school meals
(14)
. However, the nutritional
specifications of school meals detailed in Resolution
no. 38/2009 represent a further step. The Resolution
increased the proportion of daily nutritional needs to be
covered by school meals: on average, meals should
990 E Sidaner et al.
provide at least 20 % of the daily nutritional needs of
students enrolled in part-time basic education when one
meal is offered; and at least 30 % of the daily nutritional
needs when two or more meals are offered and in schools
located in indigenous communities and quilombos. The
amount goes up to 70 % for children enrolled in full-time
basic education where, in addition to the 4 h of compulsory
education, students remain at school for complementary
activities, with a total of 8 h spent in school.
More significantly, in line with the objective of promo-
ting healthy eating habits, the Resolution sets standards
on menu composition: respect of traditional practices and
local eating preferences; recommended maximum values
for added sugar, fat, saturated fat and salt; mandatory
inclusion of fruits and vegetables (at a minimum, three
portions or 200 g per student per week); and restriction
of processed foods with high levels of sodium and
saturated fats. The procurement of soft drinks with FNDE
funds is forbidden. However, there are no standards on
maximum energy content. In addition, the Resolution
states that schools should promote and ensure the inclu-
sion of food and nutrition education in the teaching and
learning process.
The existence of a strong legal framework with
operational regulations supports consistent, high-quality
service delivery. Each executing unit must have a nutri-
tionist who is in charge of the elaboration of menus in
line with nutritional norms. However, in 2010, 15 % of
municipalities did not have a nutritionist on their staff due
to lack of resources and professionals in the region. In
such cases, municipalities still need to contract the service
of a professional nutritionist to sign off on the menus.
The connection between school feeding and agri-
culture is another key achievement of the Law. Since its
adoption in 2009, 30 % of the financial resources trans-
ferred by FNDE must be used to procure food from family
farmers and rural family enterprises, with a priority given
to organic or ecological products. This is a strategy that
not only supports family farming by connecting farmers
with a secured market with pre-negotiated prices, but one
that also increases the amount of local, fresh products
available in school menus.
Civil society participation in the formulation of the
school feeding legislation was strong and in fact crucial
for its approval in the National Congress. Through
CONSEA, representatives from different sectors of the
government and civil society organizations (including
non-governmental organizations, universities and social
organizations) gathered to express their views on school
feeding
(11)
.
In response to the new standards, per capita amounts
provided by the FNDE for food procurement have
increased significantly since 2003 (Fig. 1). Currently,
the amounts vary from $US 0?19 to $US 0?56 per student
per day, depending on the type of school (higher
amounts are allocated to kindergartens, indigenous and
quilombolas schools and full day schools). For the year
2011, the PNAE budget was approximately R$ 3?2 billion
($US 1?94 billion) for 44?8 million students daily
(equivalent, on average, to R$ 71 or $US 44 per student
per annum, considering that some students receive up to
three meals per day)
(15)
. In 2010, PNAE represented
11?6 % of the national budget for food and nutrition
security programmes and actions
(16)
.
The execution of the programme was progressively
decentralized in the 1990s. Executing agencies (munici-
palities and State Secretariats of Education) are responsible
for receiving and supplementing the resources of the federal
government for the implementation of the programme.
While the amount of additional resources varies greatly, the
FNDE estimates that municipalities and states provide on
average R$ 0?10 (US$ 0?06) per capita daily.
Monitoring, oversight and evaluation
PNAE has established different mechanisms to monitor
the quality of implementation and to control that resources
are spent in compliance with the rules established by law.
Monitoring activities are coordinated by a small team at
central level which collects information through ques-
tionnaires, interviews and observations, and guides the
implementation of the programme. FNDE works in part-
nership with eight Collaboration Centres on School Food
and Nutrition (CECANE) within Federal Universities to
implement the national food and nutrition security policy
and to inform its public policy making through research
and monitoring.
Since 2008, a main component of the monitoring system
has been a computerized monitoring tool (SIM-PNAE)
which was first introduced in two states and is progres-
sively being rolled out to all states. SIM-PNAE is geared
towards the management and implementation of the pro-
gramme. It provides a tool for nutritionists to design menus
that are compliant with FNDE regulations. The information
provided by nutritionists can be used to analyse the school
50
45
40
35
30
No. of students (millions)
25
20
15
10
5
0
R$ (billions)
3·5
3·0
2·5
2·0
1·5
1·0
0·5
0·0
2003
2004
2005
2006
2007
2008
2009
2011
2010
Year
Fig. 1 Evolution of funding ( ) and number of beneficiaries
() of the Brazilian School Feeding Program (PNAE),
2003–2011
(15)
Brazil school feeding: a policy analysis 991
menus in each school and monitor indicators such as the
percentage of menus that meet nutritional guidelines and
the percentage of executing ent ities that spen d 30 % of
resources on family agriculture procurement.
Mandatory and elected School Nutrition Councils (CAE)
are a strategic mechanism for civil society participation
and control at local level. They monitor and control the
implementation, meal quality and compliance with pro-
gramme regulations. They are also responsible for the first
approval of the municipalities’ and states’ financial reports.
The accounts are then transmitted to FNDE for final
approval, ensuring the transparent use of public resources.
It appears that, at the moment, PNAE monitoring and
evaluation mechanisms focus on management and imple-
mentation. While CONSEA monitors indicators of food
and nutrition security – and the Human Right to Adequate
Food, there are no data on school feeding’s specific role
in relation to the improvement of these indicators.
One challenge identified by FNDE is inadequate research
to support the school feeding policy
(17)
.
From 2010, a research programme funded by FNDE has
been developed in partnership with CECANE. It includes
the evaluation of local purchases from family farming, the
nutritional composition of school meals, the impacts of
food and nutrition education activities, and the influence
of CAE. It also includes the anthropometric and food
consumption profile of students. Baseline data were col-
lected in 2010 from a random sample of municipalities.
Final results are expected in 2012/2013.
Research design faces challenges inherent to the pro-
gramme such as the multiple objectives and dimensions
of school feeding to be evaluated and attribution issues.
As school feeding is part of a comprehensive strategy for
food and nutrition security, it is difficult to establish to
what extent observed results are due to the school feed-
ing programme specifically. As the 2009 Resolution does
not include guidance and indicators for results measure-
ment, indicators for all existing processes and indicators
of effectiveness needed to be developed.
Impact of policy
At school level, the PNAE, in combination with other pro-
grammes such as the Food Acquisition Program (PAA), has
progressively improved the availability and consumption of
fruits and vegetables. According to a survey conducted by
PNAE in 2950 municipalities, in 2004, 28 % of school menus
offered fruits and 57 % offered vegetables. By 2006 these
values had risen to 62 % and 80 % respectively, as shown
in Fig. 2
(18)
.
The PAA was established in 2003 to promote purchases of
food products directly from family farmers. An evaluation of
the PAA conducted in 2006 in the South and Northeast
regions indicated that schools receiving food from PAA
declared the programme had increased food quality and
availability. The PAA has other benefits, such as lower cost
of school meals, the elimination of intermediaries and the
stimulation of the local economy
(19)
. It also contributes to an
increase in the purchase of regional foods, especially fruits
and vegetables, in schools and social institutions
(20)
.
As per the preliminary findings of the baseline survey
conducted in 2010 by the FNDE (ongoing research), the
quality of menus has continued to improve in recent
years, even if it still falls short of the recommendations.
For instance, on average, in 2010 school meals provided
135 g of fruits and vegetables per week and 90 % of
school menus offered vegetables (compared with 80 % in
2006). Menus included 1?5 g of added salt per week (the
recommendation is a maximum of 1 g).* Considering that it
was the first year of implementation of the new legislation,
the government’s expectation is that the quality of school
meals will continue to move towards the recommendations
established in FNDE Resolution no. 38/2009.
Municipal governments, particularly in metropolitan
areas, face challenges when purchasing from family
farmers. These are related to the farmers’ supply capacity
and the difficulties encountered by small producers in
dealing with technical procedures and delivery arrange-
ments, budget and purchasing processes. Issues with
meal preparation (time spent, ability to prepare fresh
food), political resistance of former suppliers and eco-
nomic interests linked to agri-business and the food
industry are additional challenges to the inclusion of fresh
products from family farmers in the school menus
(11)
.
School feeding, along with other interventions, has
contributed to important improvements in education,
nutrition and food security in Brazil in the last 10 years.
They build on past achievements and consequent pro-
gramme adjustments to accomplish these goals.
As indicated before, the percentage of households
living in food insecurity fell sizeably to reach 30?5% in
2009. Although still a problem in some specific regions
and for some specific groups such as indigenous people
and quilombolas, the prevalence of child stunting in the
poorest region of the country was also significantly reduced.
% of school menus
80
70
60
40
50
30
20
10
0
28 %
62 % 57 %
80 %
Fruits Vegetables
Fig. 2 Provision of fruits and vegetables by the Brazilian
School Feeding Program (PNAE) in 2004 ( ) and 2006 ( )
(18)
* Preliminary results, communication from A Peixinho, National Coordi-
nator of PNAE, December 2011.
992 E Sidaner et al.
In the Northeast, child stunting prevalence fell by one-
third between 1986 and 1996 (from 33?9 % to 22?2 %) and
by almost three-quarters between 1996 and 2006 (from
22?2 % to 5?9 %).
Conclusions
The example of the Brazilian school feeding programme
shows that it is possible to link food production, school
meals and nutrition education through comprehensive pro-
grammes and policies. It also shows that improving access to
healthier foods, like fruits and vegetables, and respecting
regional cultures, food habits and the specific nutritional
requirements of the population can be treated successfully as
integrated objectives. At the same time, of course, important
challenges remain and must yet be addressed.
The paper explains the role of the comprehensive food
and nutrition security approach to promote inter-
sectorality in the food security system in Brazil. The
approach has supported the articulation of actions to
guarantee access to healthy food, especially in schools,
and those to strengthen family farming. Strong govern-
ment leadership, the intersectoral decision-making pro-
cess and political pressure of civil society organizations
were key factors in this process. Governments play
an important leadership and support role in realizing
these objectives, in particular through the elaboration of
legislation and norms. The example of Brazil also shows
that governments can play an important role in shaping
procurement practices and supporting local agriculture
due to the volume of the institutional purchases.
The results and innovative approaches of the Brazilian
school feeding programme, as well as its policy and
operational challenges, make it an interesting example
from which other countries can draw lessons to develop
and strengthen their own school food programmes. The
institutional approach can also be an inspiration for
developed countries which could benefit from strength-
ening the link between food provision at school, the
development of healthy diets and local food production.
At the moment, however, there is little evidence available
on the specific impacts of school feeding on school-
children’s diets, nutrition and educational achievement, and
on family farmers’ food security and income. Specific chal-
lenges in measuring results are related to one of the major
strengths of the programme: its integrated and multisectoral
approach.
Acknowledgements
Sources of funding: This research received no specific
grant from any funding agency in the public, commercial
or not-for-profit sector. Ethics: Ethical approval was not
required. Conflicts of interest: D.B. is the former President
of the FNDE and, since 2011, the Director of the WFP
Centre of Excellence against Hunger. Authors’ contribu-
tion: E.S. wrote the paragraphs on nutritional standards
and regulations and on overall costs in the ‘School food
policy, standards and implementation in Brazil’ section
and the ‘Monitoring, oversight and evaluation’ section.
She edited the paper and wrote the abstract, introduction
and conclusions with inputs from other authors. L.B.
conducted the policy analysis and wrote the ‘School food
policy, standards and implementation in Brazil’ section. In
the ‘Impact of policy’ section, she contributed with the
results of PAA, challenges and impacts on food security
and nutritional status of children. D.B. provided overall
guidance and contributed with the sections on imple-
mentation – nutritionists, decentralized implementation
and costs at decentralized levels, role of CAE. In the
section ‘Impact of policy’, he provided the information on
the changes in menu composition over time and provided
the related graph (Fig. 2). Each author has seen and
approved the contents of the submitted manuscript.
Acknowledgements: The authors would like to thank
PNAE, and in particular Albaneide Peixinho, for the
information and materials that contributed to a large
extent to this paper. The authors also express their gra-
titude to Christiani Buani for her support in collecting
data and information and for her input.
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´lia:
Correio Brasiliense 17/10/2007.
19. Curralero CB & Santana JA (2007) The food acquisition program
in the South and Northeast regions. In Evaluation of MDS
Policies and Programs. Food and Nutrition Security, pp. 49–98
[J Vaitisman and R Paes-Sousa, organizers]. Brası
´lia: MDS.
20. Sparowek G (2007) Comparative study on the effectiveness
of the different modes of the food acquisition program
(PAA) in the Northeast. In Evaluation of MDS Policies
and Programs. Food and Nutrition Security, pp. 17–48
[J Vaitisman and R Paes-Sousa, organizers]. Brası
´lia: MDS.
994 E Sidaner et al.
... Embora vários estudos defendam a oferta de alimentos saudáveis e/ou de qualidade, sobretudo nutricional, no ambiente escolar, a origem desses alimentos não foi explicitada (exemplos: CARTER; SWINBURN, 2004;COHEN et al., 2013COHEN et al., , 2020FEINSTEIN et al., 2008;JOYCE;ROSENKRANZ;ROSENKRANZ, 2020;KOVACS et al., 2020;LAURENTIIS et al., 2019;LOEWENSTEIN;PRICE;VOLPP, 2016;PATEL et al., 2020;SIDANER;BALABAN;BURLANDY, 2013;SMITH, 2017). ...
... Embora vários estudos defendam a oferta de alimentos saudáveis e/ou de qualidade, sobretudo nutricional, no ambiente escolar, a origem desses alimentos não foi explicitada (exemplos: CARTER; SWINBURN, 2004;COHEN et al., 2013COHEN et al., , 2020FEINSTEIN et al., 2008;JOYCE;ROSENKRANZ;ROSENKRANZ, 2020;KOVACS et al., 2020;LAURENTIIS et al., 2019;LOEWENSTEIN;PRICE;VOLPP, 2016;PATEL et al., 2020;SIDANER;BALABAN;BURLANDY, 2013;SMITH, 2017). ...
... Embora vários estudos defendam a oferta de alimentos saudáveis e/ou de qualidade, sobretudo nutricional, no ambiente escolar, a origem desses alimentos não foi explicitada (exemplos: CARTER; SWINBURN, 2004;COHEN et al., 2013COHEN et al., , 2020FEINSTEIN et al., 2008;JOYCE;ROSENKRANZ;ROSENKRANZ, 2020;KOVACS et al., 2020;LAURENTIIS et al., 2019;LOEWENSTEIN;PRICE;VOLPP, 2016;PATEL et al., 2020;SIDANER;BALABAN;BURLANDY, 2013;SMITH, 2017). ...
... Estes resultados são relevantes principalmente tendo em vista que evidências mostram efeitos locais dao PNAE na demanda e oferta de alimentos em algumas cidades e estados (COSTA, 2015;ELIAS et al., 2019;MELÃO, 2012;RIBEIRO;CERATTI;BROCH, 2013), bem como que as mudanças implementadas nos últimos 10 anos podem estar associadas a aumentos na disponibilidade de alimentos in natura e minimamente processados na merenda escolar (BICALHO; VILLAR, 2019; BOAVENTURA et al., 2013;JANUARIO, 2013;PEDRAZA et al., 2018;SIDANER;BALABAN;BURLANDY, 2013) e proteção contra o consumo de bebidas açucaradas (AZEREDO et al., 2016). ...
... Estes resultados são relevantes principalmente tendo em vista que evidências mostram efeitos locais dao PNAE na demanda e oferta de alimentos em algumas cidades e estados (COSTA, 2015;ELIAS et al., 2019;MELÃO, 2012;RIBEIRO;CERATTI;BROCH, 2013), bem como que as mudanças implementadas nos últimos 10 anos podem estar associadas a aumentos na disponibilidade de alimentos in natura e minimamente processados na merenda escolar (BICALHO; VILLAR, 2019; BOAVENTURA et al., 2013;JANUARIO, 2013;PEDRAZA et al., 2018;SIDANER;BALABAN;BURLANDY, 2013) e proteção contra o consumo de bebidas açucaradas (AZEREDO et al., 2016). ...
... Estes resultados são relevantes principalmente tendo em vista que evidências mostram efeitos locais dao PNAE na demanda e oferta de alimentos em algumas cidades e estados (COSTA, 2015;ELIAS et al., 2019;MELÃO, 2012;RIBEIRO;CERATTI;BROCH, 2013), bem como que as mudanças implementadas nos últimos 10 anos podem estar associadas a aumentos na disponibilidade de alimentos in natura e minimamente processados na merenda escolar (BICALHO; VILLAR, 2019; BOAVENTURA et al., 2013;JANUARIO, 2013;PEDRAZA et al., 2018;SIDANER;BALABAN;BURLANDY, 2013) e proteção contra o consumo de bebidas açucaradas (AZEREDO et al., 2016). ...
... Participating farmers are paid 30% over market value for organic or agroecological products. PNAE's ability to provide public school students with healthy food and local family farmers with a stable market simultaneously through an integrated approach (Sidaner et al., 2013) has highlighted it as a reference model for other school food programmes (Coca & Barbosa, 2018;Kleine & Brightwell, 2015;Sonnino et al., 2014). Given its significance, assessing how PNAE has adapted operations during the COVID-19 pandemic is highly relevant. ...
... School food can also foster sustainable local food systems (Kleine & Brightwell, 2015;Sidaner et al., 2013;Soares et al., 2017). School food programmes can promote the wellbeing of local communities beyond schools through the democratization of decisionmaking processes, engagement activities, diversification of the economy, and redistribution of resources and power (Gilbert et al., 2018). ...
... Brazil's oldest food policy, PNAE originated as a response to the hunger and poverty depicted in the work of Josué de Castro (1946), the renowned doctor, geographer, and former head of the Food and Agriculture Organization of the United Nations, who drew attention to the social dimension of hunger (Leão & Maluf, 2012). PNAE's current incarnation, as presented in the introduction, began in 2009 via Law N° 11.947 and best realizes the principles of food and nutritional security (Segurança Alimentar e Nutricional, SAN; Sidaner et al., 2013;Sonnino et al., 2014). This law is the result of the Workers' Party's close relationship with rural social movements, such as the Landless Workers' Movements. ...
Article
Full-text available
School closures during the COVID-19 pandemic have hindered students’ food access, particularly low-income students who rely on schools for their primary daily meals. School food programmes have adapted to pandemic conditions by providing school food at home (SF@H). We conceptually explore the changing geographies of school food during the pandemic by examining adaptations by Brazil’s national school food programme (PNAE) and then comparing it to regular school food provision. Our research is informed by 43 interviews with public officials and civil society representatives from all regions of Brazil, ranging from high-level technocrats to frontline responders engaged with school food. Rapid response through national school food policy allowed schools to provide food at home as a pandemic relief effort by creating novel alternative food geographies that keep schools at the heart of agri-food systems. SF@H provide local family farmers with an alternative commercialisation channel to those compromised because of social distancing measures. SF@H also provided students – and, for the first time, their families – with access to food during home-based learning. While this has been important, we find that even when the state provides SF@H as a pandemic relief measure, low-income families are subject to additional burdens that accentuate the inequalities previously ameliorated at schools.
... School feeding has been studied using the most diverse analytical approaches, such as its impact on performance at school (Feinstein et al., 2008), its influence on food and nutritional security (Burris et al., 2020;Rocha, 2009;Sidaner et al., 2013;Wittman & Blesh, 2017), the nutritional and economic costs of its waste (Cohen et al., 2013), the quality of organic school meals (Sonnino, 2009), among others aspects. At the same time, family farming is a source of nutritious foods (Rodrigues et al., 2020;Schabarum & Triches, 2019;Souza-Esquerdo & Bergamasco, 2014), which are usually sold fresh or minimally processed (Amorim et al., 2020;Baccarin et al., 2017;Dias et al., 2020), such as fruits, vegetables, cereals, tubers, and beans (Schabarum & Triches, 2019), promoting food security and improving the nutritional quality of students' food, in addition to encouraging the opening of markets for family farming (Triches & Grisa, 2015). ...
... In Brazil, the integration of food and nutrition security policies with actions that sought to ensure access to healthy food and performance of family farming promoted intersectoriality in the food system, improving the quality of school meals and strengthening family farming (Sidaner et al., 2013). ...
Article
Full-text available
The objective was to review the current literature on the quality of school meals and local purchases from family farming, to identify clusters of researchers and point out research needs on this topic. It is an exploratory and descriptive studies, characterized as bibliometric studies using a quantitative approach. Using the CiteSpace version 5.7.R2. software, the co-citation network of 2,042 articles retrieved from the Web of Science was analyzed. The results were discussed in the light of the literature.The results showed that for more than ten years, the "Competitive Food" cluster has brought together the largest number of researchers. The most recent clusters were focused on the nutritional quality of school meals. The "COMPASS Study" cluster indicated that researchers focus on longitudinal studies as a possibility to integrate research, evaluation, policy, and preventive practice that aim to improve students' health. The "Rio Grande" cluster indicated that Brazil shows greater interest in relating the topics covered in this research. In conclusion, the centrality of the nutritional parameters on food quality is being shifted to other aspects, such as the students' feelings toward the school, the community, and bullying. Thus, the trend is for studies to be more comprehensive and policies more inclusive. However, the contribution of local purchases from family farming to the quality of school meals needs to be further explored. Keywords: food quality, school feeding, nutritional quality, family farming, bibliometrics.
... School feeding programmes can help to alleviate short-term hunger, improve nutritional status and enhance both academic performance and school attendance (23,27) and can therefore play an important role in working towards several Sustainable Development Goals (SDG) (28) , including SDG's 1 (No Poverty), 2 (Zero Hunger), 3 (Good Health and Wellbeing), 4 (Quality Education), 5 (Gender Equality), 8 (Decent Work and Economic Growth), 10 (Reduced Inequalities),12 (Responsible Consumption and Production), 14 (Life Below Water) and 15 (Life On Land). Several strategies including policy implementation (25) and alignment with educational activities that promote behaviour change in the short and long term (18,22,29,30) are likely to enhance the success and sustainability of school feeding programmes. School feeding programs can be a successful vehicle for providing access to food, however these feeding programmes can require a significant investment (31) . ...
... Home-Grown School Feeding (30,38) , no such information is available for the Pacific Islands. ...
Article
Full-text available
Objective The school setting can provide an environment that supports healthy behaviours, including the provision of food. School food activities, i.e. school feeding, are commonplace globally, but not well understood in the Pacific Islands region. The aim of this research is to explore learnings associated within existing school food programs (SFP), and adoption resistors in those Pacific Island Countries and Territories (PICT) without SFP, with the intent of improving current and future SFP interventions. Design This observational cross-sectional study utilised four facilitated workshop sessions to explore SFP within an existing framework. Setting Pacific Islands region Participants Fourteen participants representing the education and health sectors from 11 PICT, and two participants representing regional organisations. Results Most countries reported some form of related policy, but key critical constraints to the use of SFP included: local food environments; strategic alignment to organisational priorities; advocacy and organisational leadership; community and cultural connections and collaboration. There are opportunities for integration of SFP into existing frameworks (i.e. Health Promoting Schools), increased collaboration, greater professional development and awareness activities, improved monitoring and evaluation, improved awareness of SFP and promotion of healthy eating for the wider school community. Conclusions Given the current health, social and economic challenges faced by countries and territories in the Pacific Islands region, SFP should be considered as an opportunity for food provision and associated nutrition education for students and their wider community. Further research is needed to understand the critical constraints of SFP in this region, and how to support stakeholders to advocate for, develop and sustain SFP that are contextually and culturally appropriate.
... This requires an inclusive approach to the process of intensification in the sector, which in turn depends on access to important capital (social, economic, financial, natural, human, and political) and the development of capabilities by these smallholder farmers. Further, the sustainability of the process would depend on community-supported initiatives, such as organic farming, water management institutions, the development of localized market access and value chains, and generating off-farm livelihood opportunities (Bisht, Rana, and Ahlawat 2020) along with the related policies, leadership, legislation, civil society participation, and sector-specific decision-making (Sidaner, Balaban, and Burlandy 2012). Nevertheless, there are potential trade-offs between inclusiveness and sustainability, and balancing these would require land-constrained farmers to possess the necessary capacities and capabilities. ...
Article
While policies and institutional arrangements aimed at intensification and growth of the Indian agriculture sector are inevitable for the livelihoods and food security of the country’s vast population, the inclusion of land-constrained farmers especially women, therein requires certain fundamental changes in the approaches. Efforts toward such changes based on a deeper understanding of the underlying issues and dynamics seem to be more pertinent, particularly at the onset of various crises in the sector and measures undertaken by the government to address the same. This paper analyzes the experiences of interventions in two selected villages in West Bengal and the subsequent changes in farming practices by land-constrained farmers therein to design a framework aimed at strengthening the institutional approach. Using insights from focus group discussions, open interviews, field observations, and repeated engagement with the stakeholders, this paper argues that while collectivization of resources and actions can potentially lead to the inclusion of smallholder farmers and women in the intensification process, benefitting from the opportunities under the changing socioeconomic environment would require the development of the necessary capacities and capabilities of the farmers. Further, such capital formation and capability building through the process of ethical engagement with the community would also be crucial to overcome various constraints, particularly with regard to the scale of farming, market access, bargaining power, and risk-bearing ability. Nevertheless, continuation of the supporting incentives and related institutional reforms would be essential in this regard.
... Existing programmes such as supervised physical training through the 'Carioca Academy Program' in Rio de Janeiro have already shown to reduce CVD risk [78]. Policies such as the National School Meal Programme in Brazil have resulted in greater access to healthier foods, improved nutrition education and the promotion of local family farming [79,80]. There is also a potentially higher burden of undiagnosed CVD and metabolic risk factors in slum populations. ...
Article
Full-text available
Background Social and environmental risk factors in informal settlements and slums may contribute to increased risk of cardiovascular disease (CVD). This study assesses the socioeconomic inequalities in CVD risk factors in Brazil comparing slum and non-slum populations. Methods Responses from 94,114 individuals from the 2019 Brazilian National Health Survey were analysed. The United Nations Human Settlements Programme definition of a slum was used to identify slum inhabitants. Six behavioural risk factors, four metabolic risk factors and doctor-diagnosed CVD were analysed using Poisson regression models adjusting for socioeconomic characteristics. Results Compared to urban non-slum inhabitants, slum inhabitants were more likely to: have low (less than five days per week) consumption of fruits (APR: 1.04, 95%CI 1.01–1.07) or vegetables (APR: 1.08, 95%CI 1.05–1.12); drink four or more alcoholic drinks per day (APR: 1.05, 95%CI 1.03–1.06); and be physically active less than 150 minutes per week (APR: 1.03, 95%CI 1.01–1.04). There were no differences in the likelihoods of doctor-diagnosed metabolic risk factors or CVD between the two groups in adjusted models. There was a higher likelihood of behavioural and metabolic risk factors among those with lower education, with lower incomes, and the non-White population. Conclusions Brazilians living in slums are at higher risk of behavioural risk factors for CVD, suggesting local environments might impact access to and uptake of healthy behaviours.
Article
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We sought to present the state-of-the-art of research on the quality of school meals related to local purchases from family farming. The Methodi Ordinatio protocol was followed, and 30 articles indexed in the Web of Science and Scopus were analysed. Two main axes stood out: (a) production and acquisition of food for school meals, and (b) consumption and quality of school meals. The nutritional quality, freshness, variety and proximity between production and consumption contribute to improving the quality of school meals, which, in turn, provide opportunities for local development and income for family farmers. Among the bottlenecks were: financial resources, the school environment, the production scale, the productive organization, and the standardization of products. The article provides an overview of publications in major journals, identifies bottlenecks, suggests alternatives for improving public policies, and provides a research agenda.
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Buscou-se apresentar o estado da arte das pesquisas acerca da qualidade da alimentação escolar relacionada às compras locais da agricultura familiar. Seguiu-se o protocolo Methodi Ordinatio e analisou-se 30 artigos indexados na Web of Science e Scopus. Dois eixos principais se destacaram: (a) produção e aquisição de alimentos para a alimentação escolar e, (b) consumo e qualidade da alimentação escolar. A qualidade nutricional, o frescor, a variedade e a proximidade produção-consumo contribuem para a melhoria da qualidade da alimentação escolar que, por sua vez, oportuniza o desenvolvimento local e renda aos agricultores familiares. Entre os gargalos estavam: recursos financeiros, o ambiente escolar, a escala de produção, a organização produtiva e a padronização dos produtos. O artigo fornece uma visão geral de publicações em periódicos de maior impacto, identifica gargalos, sugere alternativas de aprimoramento das políticas públicas e, fornece uma agenda de pesquisa.
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Objetivo Descrever a distribuição da disponibilidade domiciliar de alimentos no Brasil em 2002- 2003 e avaliar sua evolução nas áreas metropolitanas do País no período 1974-2003. Métodos A principal base de dados do estudo é a Pesquisa de Orçamento Familiar de 2002- 2003 realizada pelo Instituto Brasileiro de Geografia e Estatística em 48.470 domicílios brasileiros. Em cada domicílio, num período de sete dias consecutivos, foram registradas todas as aquisições, monetárias ou não monetárias, de alimentos e bebidas para consumo familiar. As quantidades de alimentos adquiridas foram transformadas em calorias e macronutrientes, usando tabelas de composição alimentar. Resultados Características positivas do padrão alimentar, encontradas em todas as regiões e em todas as classes de rendimento, foram a adequação do teor protéico das dietas e o elevado aporte relativo de proteínas de alto valor biológico. Características negativas, também disseminadas no País, foram excesso de açúcar e presença insuficiente de frutas e hortaliças na dieta. Nas regiões economicamente mais desenvolvidas, no meio urbano e entre famílias com maior rendimento houve também excesso de gorduras em geral e de gorduras saturadas. A evolução nas áreas metropolitanas do País evidenciou declínio no consumo de alimentos básicos, como arroz e feijão, aumentos de até 400% no consumo de produtos industrializados, como biscoitos e refrigerantes, persistência do consumo excessivo de açúcar e insuficiente de frutas e hortaliças e aumento no teor da dieta em gorduras em geral e gorduras saturadas. Conclusões Padrões e tendências da disponibilidade domiciliar de alimentos no Brasil são consistentes com a importância crescente de doenças crônicas não transmissíveis no perfil de morbi-mortalidade e com o aumento contínuo da prevalência da obesidade no País.
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To describe the regional and socioeconomic distribution of household food availability in Brazil. Data from the 2008-2009 Household Budget Survey on food and beverage acquisition for household consumption, conducted by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics), were analyzed. The amounts of foods, recorded during seven consecutive days in the 55,970 sample households, were converted into calories and nutrients. Food quality indicators were constructed and analyzed according to the regional and socioeconomic strata of the Brazilian population. The amount of energy from protein was adequate in all regional and socioeconomic strata. On the other hand, an excess of free sugars and fats was observed in all regions of the country, especially in the Southern and Southeastern regions. The proportion of saturated fats was high in urban areas and consistent with the greater contribution of animal-derived products. Limited availability of fruits and vegetables was found in all regions. An increase in the fat content and reduction in carbohydrate content of the diet were observed with the increase in income. The negative characteristics of the Brazilian diet observed at the end of the first decade of the 21st century indicate the need to prioritize public policies for the promotion of healthy eating.
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The objective of this article is to describe the characteristics of food consumption and eating behavior of adolescents and its association with socio-demographic factors. In 2009, a random sample of students in 9th grade of elementary education at public and private schools from 26 Brazilian state capitals and Federal District was studied. It was applied a self-administered questionnaire with socio-demographic attributes, food consumption and eating behavior, among others. Estimates of the constructed indicators were presented for the total population and by sex. The association of each indicator with socio-demographic variables was examined by logistic regression. The results showed that over half of adolescents presented frequent consumption of beans (62.6%), milk (53.6%) and sweets (50.9%), and held at least lunch or dinner with the mother or responsible (62.6%) and watching television or studying (50.9%). In general, girls were more exposed to undesirable eating habits and higher socioeconomic status was associated with a higher prevalence of the indicators studied. The results revealed regular consumption of unhealthy diet markers and consumption of less than the recommended for a healthy diet, pointing the need for strengthening health promotion activities targeting young people.
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Unlabelled: Adolescence is typically a developmental phase characterized by change and experimentation and therefore varying exposure to health hazards. We aimed at estimating the prevalence of protective and risk health behaviors of adolescents interviewed in the 2009 National Adolescent School-based Health Survey (PeNSE). PeNSE, a partnership between the Instituto Brasileiro de Geografia e Estatística (IBGE) and the Ministry of Health, using a PDA-based self-administered questionnaire collected information on 60,973 students enrolled at 1,453 public and private schools in the 27 state capitals and the Federal District. Results: Among the food items most often consumed ( > or = 5 days per week), were beans (62.6%) and fruit (31.5%), but also sweets (58.3%) and soft drinks (37%), 43.1% of the students were sufficiently physically active but 79.5% spent >2 hours per day in front of the TV. As for drug use, 6.3% reported being current tobacco smokers, 27% drank alcoholic beverages regularly and 8.7% had used illicit drugs at least once. These results should guide stakeholders and policy makers in the development and implementation of programs and recommendations aimed at curtailing unhealthy exposures of adolescents in Brazil.
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Data from household food budget surveys were examined in order to describe the regional and socio-economic distribution of household food availability in Brazil in 2002-2003 and trends from 1974 to 2003. The study uses data from the "Pesquisa de Orçamento Familiar 2002-2003" budget survey conducted by the Brazilian Institute for Geography and Statistics (Instituto Brasileiro de Geografia e Estatística) from July 2002 to June 2003, including a national sample of 48,470 households. In each household, during seven consecutive days, all monetary and non-monetary expenses with food and beverages for family consumption were registered. Crude weights of purchased foods were transformed into calories and nutrients with the use of food composition tables. Adequate protein content and a high proportion of animal protein were found in all regions and income strata. These were the most important positive aspects identified in the household food availability in Brazil. On the other hand, all regions and socio-economic strata showed excess calories from sugar and little availability of fruits and vegetables. An excessive proportion of calories came from total and saturated fat in the more economically developed regions and in the urban milieu, as well as among higher-income families. Time-trends in metropolitan areas indicated a decline in the consumption of basic, traditional foods, such as rice and beans; notable increases (up to 400%) in the consumption of processed food items, such as cookies and soft drinks; maintenance of the excessive consumption of sugar; and a continuous increase in total fat and saturated fat content in the diet. Patterns and trends regarding household food availability in Brazil are consistent with the increasing participation of chronic non-communicable diseases in morbidity and mortality and with the continuous increase in the prevalence of obesity.
Chapter
This book is composed of 35 papers presented at the 2010 International Symposium on Food and Nutrition Security, organized by the Food and Agriculture Organization of the United Nations (FAO). The symposium aimed to document evidence that demonstrates the impact, effectiveness and sustainability of food-based approaches for improving diets and raising levels of nutrition, in order to achieve food and nutrition security. The papers were contributed by world-renowned international experts as well as FAO's Departments and Divisions on the linkages between nutrition and agriculture and on nutrition-sensitive agriculture and food-based approaches. The papers are arranged around the following topics: (i) initiatives to expand the availability and accessibility of plant and animal food in adequate quality and quantity; (ii) changes of food habits and choices towards more diverse and nutritious diets; (iii) food processing, preservation and storage at household and community level; (iv) improved nutrition education and health service delivery; and (v) capacity building at community, national and regional levels for improving food and nutrition security and addressing specific nutrient deficiencies. This book is divided into 4 parts. Part I features an overview of nutritional problems in Developing Countries and nutrition security through community agriculture, as well as a review of relationships between, and policy interventions for, food systems and human nutrition. Part II features papers on policy and programme experience, while Part III includes the contributions of the FAO departments and divisions. The last part presents the conclusion, and includes selected findings and recommendations from the symposium. These proceedings are a useful resource for decision and policy makers, programme planners and implementers, and health workers, all of which work to combat hunger and malnutrition. Likewise, they will have appeal for professionals in the field of food security, nutrition, public health, horticulture, agronomy, animal science, food marketing, information, education, communication, food technology and development.
Aumenta o consumo de frutas e hortaliças na merenda das escolas pú blicas. Brasília: Correio Brasiliense 17/10
  • U Campbell
Campbell U (2007) Aumenta o consumo de frutas e hortaliças na merenda das escolas pú blicas. Brasília: Correio Brasiliense 17/10/2007.
The food acquisition program in the South and Northeast regions. In Evaluation of MDS Policies and Programs. Food and Nutrition Security
  • Cb Curralero
  • Jaj Santana
  • R Vaitisman
  • Paes-Sousa
Curralero CB & Santana JA (2007) The food acquisition program in the South and Northeast regions. In Evaluation of MDS Policies and Programs. Food and Nutrition Security, pp. 49–98 [J Vaitisman and R Paes-Sousa, organizers]. Brasília: MDS.
Lei 11.346, de 15 de setembro de 2006, que Cria o Sistema Nacional de Segurança Alimentar e Nutricional
  • República Presidência Da
Presidência da República (2006) Lei 11.346, de 15 de setembro de 2006, que Cria o Sistema Nacional de Segurança Alimentar e Nutricional; available at http://www4.planalto. gov.br/consea/legislacao/lei-no-11-346-de-15-de-setembrode-2006
Comparative study on the effectiveness of the different modes of the food acquisition program (PAA) in the Northeast
  • G Sparowek
Sparowek G (2007) Comparative study on the effectiveness of the different modes of the food acquisition program (PAA) in the Northeast. In Evaluation of MDS Policies and Programs. Food and Nutrition Security, pp. 17-48 [J Vaitisman and R Paes-Sousa, organizers]. Brasília: MDS.