Programa Nacional de Suplementação de Ferro na Estratégia Saúde da Família: um estudo a partir do relato dos profissionais

Abstract

Introduction: Anemia by iron deficiency has a high prevalence worldwide and remains one of the major current nutritional problems. In Brazil, it afflicts special vulnerable groups: infants up to two years-old and pregnant women. The National Program for Iron Supplementation (PNSF) establishes guidelines for controlling this deficiency, but its bond has not been great in Brazil. Methodology: Four focus groups were conducted in FHS units which were randomly selected. The meetings were recorded and fully transcribed, and the analysis was based on the content of discussions. Results: The results showed the existence of partially appropriate concepts regarding the use of ferrous sulfate in preventing anemia, including aspects of diet guidance. Most professional confuses actions related to treatment and prevention of anemia, emphasizing care practices. Lack of staff knowledge on PNSF reveals flaws in its disclosure under the ESF and gaps of training and information, especially with regard to Community Health Agent. Iron deficiency anemia remains a neglected health issues, and the literature points to appreciation of treatment as opposed to prevention and promotion activities, even within the ESF. Conclusion: The main recommendations include need for continuous updating through continuing education, further intensifying the importance of prevention with use of ferrous sulfate and recruitment strategies of vulnerable groups.