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The participation of the nutritionist in Primary Health Care in a large urban center

Ana Maria Cervato-Mancuso 1
Larissa Vicente Tonacio 1
Erika Rodrigues da Silva 1
Viviane Laudelino Vieira 1

1

Departamento de Nutrição,
Faculdade de Saúde Pública,
Universidade de São Paulo.
Av. Dr. Arnaldo 715,
Cerqueira Cesar.
01246-904 São Paulo SP. [e-mail] Abstract Nutritionists are important professionals for ensuring the implementation of health promotion, treatment and rehabilitation. However, their participation in primary healthcare from a quantitative standpoint is limited. The city of São
Paulo has experienced an uneven urbanization process triggering new problems of insecurity in terms of food and nutrition. This article analyzes the performance of the primary healthcare nutritionist in a large urban center. It is a quantitative study that used data from the Municipal Health
Department, population data of São Paulo and a semi-structured questionnaire applied in individual interviews. All regions of the city are found to have fewer nutritionists than the recommendation of the Federal Council of Nutritionists. There are 123 nutritionists in the basic healthcare network and 51 in the Family Health Support Nuclei
(FHSN) (57.3%). Each nutritionist from the
FHSN accompanies 7.1 family health strategy teams on average. The age groups corresponding to children are less frequently seen by nutritionists. Comparing the activities, the transition from a model of primary health care focused on individual care to a model that prioritizes group care was observed.
Key words Primary healthcare, Human Resources, Nutrition, Urban center

Resumo O nutricionista é um profissional importante na implementação de ações de promoção, tratamento e reabilitação da saúde. Porém, sua participação na Atenção Básica (AB) é reduzida. A cidade de São Paulo vem passando por um processo desigual de urbanização, produzindo novas situações de