Food Insecurity and National School Feeding Program in Brazil – 2004 to 2013

Abstract

Abstract Background One of United Nations Millennium Development Goals (MDG) is to eradicate extreme poverty and hunger. In this sense, the National School Feeding Program (PNAE) in Brazil is one of the largest school feeding program in the world and the only one with universal service. It's exist before of Brazil's Family Grant Program (PBF) - a conditional cash transfers program - and the only condition to access is to be a student in public school (kindergarten to high school). So, the aim of this work is to verify the association between food insecurity and the PNAE in Brazil (2004 to 2013). Methods The database used in the present study was the National Household Sample Survey (PNAD) thats incorporated Food Security Supplement (FS Supplement). The food security was conceptualized in four levels: food security (FS) and the three types of food insecurity (FI), Mild FI (MiFI), Moderate FI (MoFI) and Severe FI (SFI). Only household with people with less than 18 years-old at public school was analyzed. The database are from 2004, 2009 and 2013 PNAD. The association between food insecurity and PNAE (user or non-user) was conducted by multiple correspondence analysis and logistic regression (the results are preliminary). Results The FI in 2004 was present in 35.2% of households (95%CI: 32.9-37.5), 30.5% (95%CI: 28.7-32.3) in 2009 and 22.9% (95%CI: 20.9-24.8) in 2013. In all years of the study the most users of PNAE living in a household with FI than non-users, that's show in multiple correspondence analysis (two dimensions with a total of 31,7% of variance) and logistic regression (OR: 1.26, 95%IC: 1.24-1.28). Conclusions Author's agree that downward trend in food insecurity in Brazil was a result from Family Grant Program (PBF). Additionally, the PNAE continues as protective factor of FI, because people with less than 18 years-old at public school who lived in a household with FI can have at least one meal a day. Key messages School Feeding Programs contribute to Millennium Development Goals, as to eradicate extreme poverty and hunger. National School Feeding Program in Brazil is a protective factor for Food Insecurity.