Author
Sandra Maria dos Santos
Other affiliations: Federal University of Bahia, Federal University of Pernambuco
Bio: Sandra Maria dos Santos is an academic researcher from Federal University of Ceará. The author has contributed to research in topics: Food security & Population. The author has an hindex of 17, co-authored 136 publications receiving 859 citations. Previous affiliations of Sandra Maria dos Santos include Federal University of Bahia & Federal University of Pernambuco.
Topics: Food security, Population, Medicine, Organizational commitment, Football
Papers published on a yearly basis
Papers
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TL;DR: In this article, the authors argue that the risks to hunger and food security in Brazil have been present since 2016 and are now being exacerbated due to the emergence of the COVID-19 epidemic.
Abstract: The emergence of COVID-19 in Brazil further explained the massive discrepancy between different social realities coexisting in the country, rekindling the discussions about food and nutrition security, similarly to what has been happening in other countries facing the same pandemic situation. In this paper, we argue that the risks to hunger and food security in Brazil have been present since 2016 and are now being exacerbated due to the emergence of the COVID-19 epidemic. This situation requires knowing the extent and magnitude of the issue and articulation of measures in the three governmental spheres(federal, municipal and state) to ensure access to adequate and healthy food and reduce the disease's adverse effectson the diet, health, and nutrition among the most vulnerable people. Thus, this work aims to contribute to the debate on the measures to be adopted by governments and society to promote and ensure food and nutrition security and prevent insecurity and the expansion of hunger during and after the social and health crisis created by the pandemic.
75 citations
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TL;DR: Overall program coverage was high, but 77% of schoolchildren in the interior and 39% in the capital city did not receive meals every day, so far, irregular school meal distribution has frustrated the program's aspirations to become a universal social policy and ensure a basic right for children.
Abstract: This study evaluated the Brazilian National School Nutrition Program from a structure-process-results perspective. The methodology involved document research and a case study in 45 counties and 73 schools in the State of Bahia, including program manager interviews and household questionnaires involving 3,367 children (7-14 years of age). Relating to program structure, the study analyzed the evolution of normative instruments and some infrastructure aspects. Managers reported problems with the installations for preparing and distributing meals in 28% of the counties. Decentralization to the county (municipal) level was present in 93% of cases and to the school level in about 20%; however, nearly 70% of the schools received the food supplies directly. Although Social Control Councils were created, members were not always chosen democratically. Acceptability of the meals was good, as expected considering the widespread poverty in the target population. Overall program coverage was high (95%), but 77% of schoolchildren in the interior and 39% in the capital city did not receive meals every day. So far, irregular school meal distribution has frustrated the program's aspirations to become a universal social policy and ensure a basic right for children.
63 citations
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TL;DR: It is argued that the nutritionist can contribute yo the necessary transformation of health basic care without the support of professionals who have been studding and practicing the food and nutrition surveillance and the dietary assistance to the populations.
Abstract: O Brasil experimenta hoje a implementacao de um modelo diferenciado para prover atencao basica a saude, orientado por uma acao multidisciplinar na direcao de uma intervencao voltada para a promocao da saude da populacao e consubstanciada no Programa Saude da Familia. O objetivo de promover a saude, especialmente no Brasil, nao sera alcancado sem que acoes efetivas na area da vigilância e da assistencia alimentar e nutricional sejam implementadas de forma articulada a um sistema de vigilância a saude. Assim, este trabalho traz a luz algumas reflexoes sobre a transicao epidemiologica vivenciada no pais e situa a problematica alimentar e nutricional nesse processo. Coloca ainda em relevo algumas das proposicoes basicas do Programa Saude da Familia e da Politica Nacional de Alimentacao e Nutricao e argumenta como o nutricionista pode contribuir para a necessaria transformacao, operando nas praticas e nos resultados desse novo modelo de intervencao. Por fim, destaca a impossibilidade de efetivamente transformar a atencao basica a saude sem o apoio de profissionais que estudam, pesquisam e praticam cotidianamente a vigilância alimentar e nutricional e a assistencia dietetica e dietoterapica de individuos e populacoes.
61 citations
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TL;DR: In this paper, the authors describe the adaptation and application of a multidimensional methodology based on structure-process-outcome for evaluating food security and hunger control programs in Brazil.
Abstract: The authors describe the adaptation and application of a multidimensional methodology based on structure-process-outcome for evaluating food security and hunger control programs. According to the proposal, study of the structure dimension analyzes the programs' material and discursive instruments; the process dimension focuses on the activities and interventions; and the outcome dimension includes coverage, targeting, and social control, and also potentially the effects of the interventions on the beneficiaries' food security and nutrition. The methodology was used to evaluate programs implemented in Brazil from 1995 to 2002. A case study was also done including 45 municipalities in the State of Bahia, involving documental research, interviews with key informants, and a household survey including 1,750 low-income families in the rural area and 760 in the capital city. The results are expected to contribute to the discussion on facilitating factors and obstacles at the local level for the implementation of such programs, and to methodological development in the field of food security, nutrition, and hunger control policies.
52 citations
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TL;DR: It is concluded that given the increase in sales of street food and the potential sanitary risks inherent to this sector, studies point to strategies to organize this segment, which can subsidize the development of social policies for this area in Brazil.
Abstract: The objective of this study is to analyze the intervention strategies presented for the street food segment, based on national and international studies and reports. According to the literature, it is observed a broad character of these intervention strategies, including actions directed to sellers, consumers, public human resources and to the development of appropriate technologies. In relation to the vendors, the strategies highlight the necessity of the activity regulation, the establishment of sanitary regulations, guidelines or codes to the activity as well as training of food handlers and vendors. To consumers, the actions comprise mainly the implementation of educational programs. At public administration sphere the strategies turn to human resources capacitating. Considering the appropriate technologies two possibilities are identified: the construction of specialized street food centers and the improvement of existing stalls. One can conclude that given the increase in sales of street food and the potential sanitary risks inherent to this sector, studies point to strategies to organize this segment, which can subsidize the development of social policies for this area in Brazil.
40 citations
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01 Jan 2008
TL;DR: In this article, the authors argue that rational actors make their organizations increasingly similar as they try to change them, and describe three isomorphic processes-coercive, mimetic, and normative.
Abstract: What makes organizations so similar? We contend that the engine of rationalization and bureaucratization has moved from the competitive marketplace to the state and the professions. Once a set of organizations emerges as a field, a paradox arises: rational actors make their organizations increasingly similar as they try to change them. We describe three isomorphic processes-coercive, mimetic, and normative—leading to this outcome. We then specify hypotheses about the impact of resource centralization and dependency, goal ambiguity and technical uncertainty, and professionalization and structuration on isomorphic change. Finally, we suggest implications for theories of organizations and social change.
2,134 citations
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05 Dec 2016
992 citations
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28 Feb 2018
TL;DR: The following bibliography is conceived as a selection of international literature on food as heritage and as a marker of identity within the huge amount of works recently produced on the topic of food as discussed by the authors.
Abstract: The following bibliography is conceived as a selection of international literature on food as heritage and as a marker of identity within the huge amount of works recently produced on the topic of food. The bibliography has been produced within the “Food as heritage” project, performed at University of Bologna and coordinated by Ilaria Porciani, with a team composed by Massimo Montanari, Paolo Capuzzo, Raffaele Laudani and Marica Tolomelli. “Food as heritage” is part of a wider projec...
472 citations