National School Feeding Program: a healthy public policy

Abstract In this article, we analyzed the National School Feeding Program (PNAE) as a Healthy Public Policy (HPP). The Brazilian Law No 11,947/2009 established that at least 30% of the resources from the National Fund for Educational Development (FNDE) for school feeding must be employed in purchasing food from family farming. In addition, a HPP is a public policy whose formulation takes into account different domains that determine the population’s health. The demand for purchasing food from family farming includes not only the appreciation of organic and local agricultural production of family farmers, but also the prioritization of a healthy diet for students, thus contributing to shape healthy eating habits. In view of this, the PNAE contributes to health promotion and hence can be understood as a HPP. The PNAE, by the articulation of actions from different sectors, makes public policy more effective and more efficient, generating positive results beyond health and maximizing the returns for society. In order to improve and strengthen the PNAE, in this article we propose mechanisms that aim to complement and reinforce actions carried out in SUS (Brazilian Unified Health System, called Sistema Único de Saúde).

摘要 本文以健康公共政策（Healthy Public Policy, HPP）为分析框架，对全国学校供餐计划（National School Feeding Program, PNAE）展开研究。巴西第11947/2009号法律明确规定，全国教育发展基金（National Fund for Educational Development, FNDE）用于学校供餐的资金中，至少30%需用于采购家庭农业生产的食品。此外，健康公共政策指在制定阶段即兼顾影响人群健康的多维度因素的公共政策。家庭农业食品采购的相关要求，不仅旨在认可家庭农户的有机与本土农业生产成果，同时优先为学生提供健康膳食，进而助力学生养成健康的饮食习惯。据此，全国学校供餐计划可助力健康促进工作，因此可被界定为健康公共政策。全国学校供餐计划通过联动多部门开展行动，提升了公共政策的实施效能与效率，不仅产生了健康领域以外的积极效益，更实现了社会收益的最大化。为完善并强化全国学校供餐计划，本文提出相关机制，旨在补充并强化巴西统一健康系统（Sistema Único de Saúde, SUS）已实施的相关行动。