Abstract
This article aims to identify studies that developed quality indicator for the management of the National School Feeding Program (PNAE, in Brazilian context) and to critically appraise the properties of their instruments. Systematic review using Scopus, Lilacs, Pubmed and Web of Science for data collection. The search was limited to studies between 2009 and 2019. The search strategy included search terms related to school feeding, program evaluation, and indicator. The indicators were evaluated using the Appraisal of Indicators through Research and Evaluation instrument. The search identified 1,355 studies, of which 14 were potentially relevant records and 10 met the inclusion criteria. Most studies used a literature review with consensus techniques in the development of the instrument and a frame work format to evaluate the PNAE. None of them presented evidence of validity of the instrument. The highest level was achieved on the domain 'Purpose, relevance and organizational context', followed by 'Stakeholder involvement', 'Additional evidence, formulation and usage', and 'Scientific evidence'. This review found gaps in the methodology of studies that had developed quality indicators for the management of PNAE. Future development of these instruments should include validity evidence.
Highlights
The Brazilian Constitution of 1988 recognized the right of students to a diet provided by the public network and ensured this universal service for students with a national feeding program1
The Programa Nacional de Alimentação Escolar (PNAE) monitoring and evaluation mechanisms in the studies presented in this review focused on implementation
Few studies were identified proposingquality indicator instruments to evaluate the management of the PNAE
Summary
The Brazilian Constitution of 1988 recognized the right of students to a diet provided by the public network and ensured this universal service for students with a national feeding program. The Brazilian public intervention to provide meals to students through the school system started in1954 when the National School Feeding Program (Programa Nacional de Alimentação Escolar - PNAE - in Brazilian Portuguese) were first implemented. This is a public policy of greater longevity in Brazil in the area of food and nutritional security and is considered one of the few programs in the world to be universal and free. Since 2009, it has been required that 30.0% of the food budget of the PNAE be used to purchase foods directly from family farms3 This measure was implemented with the aim of ‘meeting the nutritional needs of students while at school, contributing to the growth, development, learning and academic achievement of students, and promoting the formation of healthy eating habits’
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