Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.
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Food and nutrition surveillance: from the workers characteristics to the working conditions in primary health care



Abstract

The aim was to identify professional characteristics and working conditions associated with food and nutritional surveillance in primary health care centers in the state of Pernambuco, Brazil. It was an online cross-sectional study, in 2021, with a random sample of 250 centers. A professional from each center completed an electronic questionnaire. These health workers were characterized by their socio-demographic characteristics, as well as the territorial aspects of the centers, work processes and their food and nutritional surveillance actions. To analyze the associations between the surveillance and these characteristics, it was performed a Poisson regression with robust covariance. The presence of food and nutrition surveillance was reported in 57.6% of the centers and showed an association with younger age groups among workers, as well as with actions on problem prioritization and actions on promotion of adequate and healthy eating at individual-level. These findings reveal weaknesses in the operationalization and recognition of food and nutrition surveillance within primary health care, where professional characteristics and working conditions must be related to the effectiveness of the surveillance. The data highlights the need for governance spaces where such aspects are considered in the strategies for evaluating and enhancing food and nutrition surveillance at local-regional levels.

Keywords

Food and Nutritional Surveillance,
Primary Health Care,
Nutrition Programs and Policies,
Health Workforce,
Professional Practice

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2026 Amanda Tayná Tavares de Figueiredo Gadelha, Nathália Paula de Souza, Catarine Santos da Silva, Fernanda Cristina de Lima Pinto Tavares, Pedro Israel Cabral de Lira , Emília Chagas Costa

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