Este texto não substitui o publicado no Diário Oficial da União
Gabinete do Ministro
ORDINANCE Nº 2324, OCTOBER 6th 2009
It establishes the annual transfer fund to fund for the structuring and implementation of the actions for Food and Nutrition in the Departments of State and Municipal Health based on National Policy for Food and Nutrition.
THE MINISTER OF STATE FOR HEALTH, in exercise of its powers, and
Considering Ordinance No. 648/GM of March 28, 2006, which establishes the policy of Primary Health Care;
Considering Ordinance No. 710/GM of June 10, 1999 that approves the National Policy for Food and Nutrition;
Considering Ordinance No. 154/GM of January 24, 2008, establishing the Centers of Support for Family Health - NASF;
Considering Ordinance No. 325/GM of February 21, 2008, establishing priorities, goals and objectives of the Covenant for Life for the year 2008, the indicators for monitoring and evaluation of the Pact for Health and the orientation, deadlines and guidelines for that pacts;
Considering Ordinance No. 2.246/GM of October 18, 2004, which establishes and disseminates basic guidelines for the implementation of Actions for Food and Nutrition Surveillance within the basic health of the Unified Health System - SUS, in all national territorry;
Considering the Interministerial Ordinance No. 2509 of November 18, 2004, which provides for the duties and standards for the provision and monitoring of health conditionalities relating to families receiving the Family Grant Program;
Considering Ordinance No. 2.362/GM of December 1, 2005, restructuring the National Program for Prevention and Control of Iodine Deficiency Disorders - IDD, called Pro-iodine;
Considering Ordinance No. 729/GM of May 13, 2005, establishing the National Vitamin A supplementation;
Considering Ordinance No. 730/GM of May 13, 2005, establishing the National Iron Supplementation to prevent iron deficiency and anemia;
Considering the Interministerial DM / ECM No. 1010 of May 8, 2006, establishing guidelines for the Promotion of Healthy Eating in Schools of kindergarten, elementary and middle level of public and private school networks in all national territorry;
Considering the Ordinance No. 687/GM of March 30 and 2006 approving the National Policy for Health Promotion, and
Considering the necessity to implement the actions of food and nutrition in the context of primary health care aimed at promoting healthy eating, support and monitoring of food and nutrition situation of the population and support for prevention and control of malnutrition and implementation of National Programs Supplementation of Iron and Vitamin A, resolves:
Article 1. To set financial resources for the actions of Food and Nutrition for Health to encourage the structuring and implementation activities for Food and Nutrition by the State Departments and the Municipal Health
§ 1 The Municipalities of the caput of this Article are those that have more than 150,000 inhabitants.
§ 2 The funds will be deposited into the State or the Municipal Health Funds in a single annual portion according to the values laid out in Appendix I and II.
§ 3 The municipalities, states and Federal District must conform to the provisions of art. 4 of Law No. 8142 of December 28, 1990 in order to receive the funds transfer from fund to fund,.
Article 2. To determine what financial resources are transferred to the effective implementation of the National Policy for Food and Nutrition, based on their guidelines:
I - promotion of healthy dietary practices and lifestyles;
II - monitoring the food and nutrition situation;
III - Prevention and control of nutritional disorders and diseases related to diet and nutrition, and
IV - development and training of human resources in health and nutrition.
Sole Paragraph. The financial resources related to this Ordinance must not be used for the purpose of treating disease or rehabilitation of patients, including in food acquisition, dietary supplements, formulas, food, vitamins or minerals for these purposes.
Article 3. To determine that, for maintaining the transfer of resources related to this Ordinance, the actions and targets for Food and Nutrition must be listed in the State, the Municipalities and the Federal District Health Plans, including their Annual Programme, .
Sole Paragraph. The results of the actions and activities developed with the financial resources related to this Ordinance shall be submitted to the Annual Management Report of the State, Municipalities and Federal District, which is the subject of Ordinance No. 3.085/GM of December 1, 2006.
Article 4. To establish that it is the responsibility of the Ministry of Health:
I - to establish guidelines for the actions of Food and Nutrition to be developed based on National Policy for Food and Nutrition;
II - to encourage and support State and Municipal Health Department for the deployment, implementation and evaluation of performance and impact of the shares of food and nutrition, with the scientific-technical support of the Collaborating Centres in Food and Nutrition;
III – to create mechanisms to link the transfer of resources to state and municipal bodies to the single development of actions for Food and Nutrition;
IV - participate in the negotiation of targets to be agreed with the states in the realization of the Pact for Health;
V - to promote mechanisms for the consolidation of the System of Food and Nutritional Surveillance (SISVAN) for mapping and monitoring of malnutrition, excess weight and other nutritional problems;
VI – to track and monitor the situation of the States, the Federal District and Municipalities in the level of deployment and operational infrastructure for Food and Nutrition;
VII - to monitor, through the National Audit Department of SUS - DENASUS the conformity of the implementation of the resources transferred to States, the Federal District and Municipalities, based on annual management reports sent by the Secretariats of Health from the States, Federal District and Municipalities;
VIII - to establish partnerships with other governmental and nongovernmental bodies, agencies and institutions for the development of complementary activities, aiming to promote healthy nutrition and
IX – to assess performance and impacts of actions taken at national level with the support of technical-scientific Collaborating Centres in Nutrition.
Article 5. To establish that it is the responsibility of State Health Departments:
I– to set within the Inter-managers Bipartite Commission the technical cooperative actions with the municipalities, considering the regional priorities established in the Collegiate Regional Management;
II – to qualify the structure of human resources responsible for coordinating the technical statewide area by the actions of Food and Nutrition;
III – to indicate a head technician, health professional, to assume the coordination of state shares of food and nutrition, and recommending the appointment of a professional nutritionist;
IV - to set the goals of the indicators related to food and nutrition in the Pact for Health, along with municipal managers in the Inter-managers Bipartite Commission.
V - stimulate and support the municipalities for the deployment, implementation and impact assessment of the actions of Food and Nutrition;
VI - to formulate and implement the State Policy for Food and Nutrition;
VII - to train and supervise the municipalities regarding the implementation and operationalization of the shares of Food and Nutrition;
VIII - to monitor, track the status of municipalities and encourage them to implement and meet the goals of the Pact for Health relating to the National Food and Nutrition and others as may be agreed upon in the Inter-managers Bipartite Commission;
IX - to encourage, assist and monitor implementation of the Food and Nutrition Surveillance in municipalities, in accordance with the standards established in pertinent legislation and the specific technical materials;
X - to promote and assist in implementing the strategy to promote healthy food supplement for children under 2 years of age;
XI - to produce publications on the situation of food and nutrition at the State level;
XII – to develop technical materials for health professionals and / or the population (manuals, videos, newsletters, brochures, posters etc.).
XIII – to develop actions aimed at promoting healthy eating to the population, with emphasis on regional food, especially fruits and vegetables;
XIV - carry out training events or exchanges of experiences in food and nutrition (seminars, workshops, forums, etc.).
XV – to supporting studies, research and evaluation activities of the shares of food and nutrition at the state level;
XVI - to evaluate the performance and impact of food and nutrition actions at the state level;
XVII – monitoring compliance of the application of resources transferred to municipalities, based on the Annual Reports of Management;
XVIII – to determine that the actions and targets set in national programs of iron supplementation and supplementation of vitamin A are implemented and monitored under the law and / or specific standards;
XIX – to support the participation of technical events in Food and Nutrition, and
XX – to facilitate the purchase of anthropometric equipment (scales, anthropometers, tapes) or (computers, printers, etc.).
Article 6. To establish the responsibilities of the Municipal Health Departments:
I – to regulate the actions of food and nutrition to be developed based on the guidelines of the National Food and Nutrition;
II – to indicate a head technician, health care, to coordinate the actions of food and nutrition, and recommended the appointment of a professional nutritionist;
III - to formulate and implement the municipal politics of food and nutrition;
IV - to organize the network of care food and nutrition within the health sector in its territory, which is to regulate the activities and work processes in primary care in specialized centers and in hospital;
V - to carry out technical support to teams of primary care, the Program for Community Agents of Health, the Family Health and Support Center for Family Health and to carry out the actions of food and nutrition in the network of basic health care;
VI - to encourage actions to reduce malnutrition and elimination of severe malnutrition in the network of basic health care;
VII - to promote prevention and control of nutritional disorders and diseases related to diet and nutrition such as obesity and eating disorders;
VIII - to implement a strategy to promote healthy food supplement for children under 2 years of age;
IX - promoting healthy eating, based on the guidelines of the Brazilian Population Food Guide, designed to contribute to the prevention and control of nutritional deficiencies and chronic non-communicable diseases;
X - promote educational activities to encourage the consumption of Brazilian regional food, especially fruits and vegetables;
XI - to monitor food and nutrition situation of the population through the System of Food and Nutrition Surveillance - SISVAN;
XII - deploy and meet the goals of the Pact for Health relating to the National Food and Nutrition and others as may be agreed upon in the Bipartite Commission - CIB;
XIII - supporting studies, research and evaluation activities of the shares of food and nutrition at the municipal level;
XIV - prepare reports and reports on the situation of food and nutrition at the municipal level;
XV - develop technical materials for health professionals and / or the population (manuals, videos, newsletters, brochures, posters etc.).
XVI-hold training events or exchanges of experiences in food and nutrition (seminars, workshops, forums, etc.);
XVII - partnering to support the implementation of the shares of food and nutrition at the municipal level;
XVIII - record information by monitoring of iron supplementation and vitamin A by instruments offered by the Ministry of Health, as defined periodicity in specific technical material;
XIX - support the participation of technicians events in Food and Nutrition, and
XX - facilitating the purchase of anthropometric equipment (scales, anthropometers, tapes) or (computers, printers, etc.).
Article 7. To establish that the acquisition of permanent materials should be related to the structuring of the shares of food and nutrition, and these materials can not be used for other purposes.
Article 8. To Determine that actions are monitored and evaluated based on goals set out in the State Departments Annual Schedule, the Federal District and Municipal Health as the Ordinances, No. 3.085/GM of December 1, 2006, No 3332 / GM, December 28, 2006, and No. 3.176/GM of December 24, 2008, which respectively regulate the Planning System of SUS and approves general guidelines about the basic tools.
Article 9. To establish that the resources mentioned in this Ordinance are part of Block Funding for the Management of the SUS, as Ordinance No. 204/GM of January 29, 2007, which regulates the funding and transfer of federal resources for actions and health services in the form of chunks of funding.
Article 10. To establish that budget resources, object of this Ordinance, be borne by the budget of the Ministry of Health, and encumber the Work 10.306.1214.8735.0001 Food and Nutrition for Health in the amount of R$ 8,630,000.00.
Article 11. This Ordinance shall enter into force upon its publication.
JOSÉ GOMES TEMPORÃO
APPENDIX I
Incentive to the States
Poulational Size |
States |
Amount of Funds (R$) |
TOTAL Funds |
< 2,3 milions hab. |
RR, AP, AC, TO, RO, |
60.000,00 |
420.000,00 |
2,3 a < 5 milions |
MT, RN, PI, AL, AM, |
80.000,00 |
560.000,00 |
5 a < 10 milions |
GO, SC, MA, PA, CE, |
100.000,00 |
600.000,00 |
>10 milions hab. |
PR, RS, BA, RJ, MG, |
120.000,00 |
720.000,00 |
TOTAL OF FUNDS (R$) |
2.300.000,00 |
||
APPENDIX III
Incentives to the Municipalities
UF |
Código IBGE - Município |
Valor dos Recurso (R$) |
AC |
120040 Rio Branco |
R$ 35.000,00 |
AL |
270030 Arapiraca |
R$ 20.000,00 |
AL |
270430 Maceió |
R$ 60.000,00 |
AM |
130260 Manaus |
R$ 80.000,00 |
AP |
160030 Macapá |
R$ 35.000,00 |
BA |
290570 Camaçari |
R$ 30.000,00 |
BA |
291080 Feira de Santana |
R$ 50.000,00 |
BA |
291360 Ilhéus |
R$ 20.000,00 |
BA |
291480 Itabuna |
R$ 20.000,00 |
BA |
291800 Jequié |
R$ 20.000,00 |
BA |
291840 Juazeiro |
R$ 30.000,00 |
BA |
291920 Lauro de Freitas |
R$ 20.000,00 |
BA |
292740 Salvador |
R$ 100.000,00 |
BA |
293330 Vitória da Conquista |
R$ 35.000,00 |
CE |
230370 Caucaia |
R$ 35.000,00 |
CE |
230440 Fortaleza |
R$ 100.000,00 |
CE |
230730 Juazeiro do Norte |
R$ 30.000,00 |
CE |
230765 Maracanaú |
R$ 20.000,00 |
CE |
231290 Sobral |
R$ 20.000,00 |
DF |
530010 Brasília |
R$ 100.000,00 |
ES |
320120 Cachoeiro de Itapemirim |
R$ 20.000,00 |
ES |
320130 Cariacica |
R$ 35.000,00 |
ES |
320500 Serra |
R$ 35.000,00 |
ES |
320520 Vila Velha |
R$ 40.000,00 |
ES |
320530 Vitória |
R$ 35.000,00 |
GO |
520110 Anápolis |
R$ 35.000,00 |
GO |
520140 Aparecida de Goiânia |
R$ 40.000,00 |
GO |
520870 Goiânia |
R$ 80.000,00 |
GO |
521250 Luziânia |
R$ 20.000,00 |
GO |
521880 Rio Verde |
R$ 20.000,00 |
MA |
210530 Imperatriz |
R$ 30.000,00 |
MA |
211130 São Luís |
R$ 60.000,00 |
MG |
310620 Belo Horizonte |
R$ 100.000,00 |
MG |
310670 Betim |
R$ 40.000,00 |
MG |
311860 Contagem |
R$ 60.000,00 |
MG |
312230 Divinópolis |
R$ 20.000,00 |
MG |
312770 Governador Valadares |
R$ 30.000,00 |
MG |
312980 Ibirité |
R$ 20.000,00 |
MG |
313130 Ipatinga |
R$ 30.000,00 |
MG |
313670 Juiz de Fora |
R$ 50.000,00 |
MG |
314330 Montes Claros |
R$ 35.000,00 |
MG |
315180 Poços de Caldas |
R$ 20.000,00 |
MG |
315460 Ribeirão das Neves |
R$ 35.000,00 |
MG |
315780 Santa Luzia |
R$ 30.000,00 |
MG |
316720 Sete Lagoas |
R$ 30.000,00 |
MG |
317010 Uberaba |
R$ 30.000,00 |
MG |
317020 Uberlândia |
R$ 60.000,00 |
MS |
500270 Campo Grande |
R$ 60.000,00 |
MS |
500370 Dourados |
R$ 20.000,00 |
MT |
510340 Cuiabá |
R$ 50.000,00 |
MT |
510760 Rondonópolis |
R$ 20.000,00 |
MT |
510840 Várzea Grande |
R$ 30.000,00 |
PA |
150080 Ananindeua |
R$ 40.000,00 |
PA |
150140 Belém |
R$ 80.000,00 |
PA |
150240 Castanhal |
R$ 20.000,00 |
PA |
150420 Marabá |
R$ 20.000,00 |
PA |
150680 Santarém |
R$ 30.000,00 |
PB |
250400 Campina Grande |
R$ 35.000,00 |
PB |
250750 João Pessoa |
R$ 60.000,00 |
PE |
260290 Cabo de Santo Agostinho |
R$ 20.000,00 |
PE |
260410 Caruaru |
R$ 30.000,00 |
PE |
260790 Jaboatão dos Guararapes |
R$ 60.000,00 |
PE |
260960 Olinda |
R$ 35.000,00 |
PE |
261070 Paulista |
R$ 35.000,00 |
PE |
261110 Petrolina |
R$ 30.000,00 |
PE |
261160 Recife |
R$ 80.000,00 |
PI |
221100 Teresina |
R$ 60.000,00 |
PR |
410480 Cascavel |
R$ 30.000,00 |
PR |
410580 Colombo |
R$ 30.000,00 |
PR |
410690 Curitiba |
R$ 80.000,00 |
PR |
410830 Foz do Iguaçu |
R$ 35.000,00 |
PR |
410940 Guarapuava |
R$ 20.000,00 |
PR |
411370 Londrina |
R$ 50.000,00 |
PR |
411520 Maringá |
R$ 35.000,00 |
PR |
411990 Ponta Grossa |
R$ 35.000,00 |
PR |
412550 São José dos Pinhais |
R$ 30.000,00 |
RJ |
330010 Angra dos Reis |
R$ 20.000,00 |
RJ |
330040 Barra Mansa |
R$ 20.000,00 |
RJ |
330045 Belford Roxo |
R$ 40.000,00 |
RJ |
330070 Cabo Frio |
R$ 20.000,00 |
RJ |
330100 Campos dos Goytacazes |
R$ 40.000,00 |
RJ |
330170 Duque de Caxias |
R$ 60.000,00 |
RJ |
330190 Itaboraí |
R$ 30.000,00 |
RJ |
330240 Macaé |
R$ 20.000,00 |
RJ |
330250 Magé |
R$ 30.000,00 |
RJ |
330285 Mesquita |
R$ 20.000,00 |
RJ |
330320 Nilópolis |
R$ 20.000,00 |
RJ |
330330 Niterói |
R$ 40.000,00 |
RJ |
330340 Nova Friburgo |
R$ 20.000,00 |
RJ |
330350 Nova Iguaçu |
R$ 60.000,00 |
RJ |
330390 Petrópolis |
R$ 35.000,00 |
RJ |
330455 Rio de Janeiro |
R$ 100.000,00 |
RJ |
330490 São Gonçalo |
R$ 60.000,00 |
RJ |
330510 São João de Meriti |
R$ 40.000,00 |
RJ |
330580 Teresópolis |
R$ 20.000,00 |
RJ |
330630 Volta Redonda |
R$ 30.000,00 |
RN |
240325 Parnamirim |
R$ 20.000,00 |
RN |
240800 Mossoró |
R$ 30.000,00 |
RN |
240810 Natal |
R$ 60.000,00 |
RO |
110020 Porto Velho |
R$ 35.000,00 |
RR |
140010 Boa Vista |
R$ 30.000,00 |
RS |
430060 Alvorada |
R$ 20.000,00 |
RS |
430460 Canoas |
R$ 35.000,00 |
RS |
430510 Caxias do Sul |
R$ 40.000,00 |
RS |
430920 Gravataí |
R$ 30.000,00 |
RS |
431340 Novo Hamburgo |
R$ 30.000,00 |
RS |
431410 Passo Fundo |
R$ 20.000,00 |
RS |
431440 Pelotas |
R$ 35.000,00 |
RS |
431490 Porto Alegre |
R$ 80.000,00 |
RS |
431560 Rio Grande |
R$ 20.000,00 |
RS |
431690 Santa Maria |
R$ 30.000,00 |
RS |
431870 São Leopoldo |
R$ 20.000,00 |
RS |
432300 Viamão |
R$ 30.000,00 |
SC |
420240 Blumenau |
R$ 30.000,00 |
SC |
420420 Chapecó |
R$ 20.000,00 |
SC |
420460 Criciúma |
R$ 20.000,00 |
SC |
420540 Florianópolis |
R$ 40.000,00 |
SC |
420820 Itajaí |
R$ 20.000,00 |
SC |
420910 Joinville |
R$ 40.000,00 |
SC |
420930 Lages |
R$ 20.000,00 |
SC |
421660 São José |
R$ 20.000,00 |
SE |
280030 Aracaju |
R$ 50.000,00 |
SE |
280480 Nossa Senhora do Socorro |
R$ 20.000,00 |
SP |
350160 Americana |
R$ 20.000,00 |
SP |
350280 Araçatuba |
R$ 20.000,00 |
SP |
350320 Araraquara |
R$ 20.000,00 |
SP |
350570 Barueri |
R$ 30.000,00 |
SP |
350600 Bauru |
R$ 35.000,00 |
SP |
350950 Campinas |
R$ 80.000,00 |
SP |
351060 Carapicuíba |
R$ 35.000,00 |
SP |
351300 Cotia |
R$ 20.000,00 |
SP |
351380 Diadema |
R$ 35.000,00 |
SP |
351500 Embu |
R$ 30.000,00 |
SP |
351570 Ferraz de Vasconcelos |
R$ 20.000,00 |
SP |
351620 Franca |
R$ 35.000,00 |
SP |
351630 Francisco Morato |
R$ 20.000,00 |
SP |
351870 Guarujá |
R$ 35.000,00 |
SP |
351880 Guarulhos |
R$ 80.000,00 |
SP |
351907 Hortolândia |
R$ 20.000,00 |
SP |
352050 Indaiatuba |
R$ 20.000,00 |
SP |
352220 Itapecerica da Serra |
R$ 20.000,00 |
SP |
352250 Itapevi |
R$ 20.000,00 |
SP |
352310 Itaquaquecetuba |
R$ 35.000,00 |
SP |
352390 Itu |
R$ 20.000,00 |
SP |
352440 Jacareí |
R$ 20.000,00 |
SP |
352590 Jundiaí |
R$ 35.000,00 |
SP |
352690 Limeira |
R$ 30.000,00 |
SP |
352900 Marília |
R$ 30.000,00 |
SP |
352940 Mauá |
R$ 40.000,00 |
SP |
353060 Mogi das Cruzes |
R$ 35.000,00 |
SP |
353440 Osasco |
R$ 60.000,00 |
SP |
353870 Piracicaba |
R$ 35.000,00 |
SP |
354100 Praia Grande |
R$ 30.000,00 |
SP |
354140 Presidente Prudente |
R$ 20.000,00 |
SP |
354340 Ribeirão Preto |
R$ 50.000,00 |
SP |
354390 Rio Claro |
R$ 20.000,00 |
SP |
354580 Santa Bárbara d'Oeste |
R$ 20.000,00 |
SP |
354780 Santo André |
R$ 60.000,00 |
SP |
354850 Santos |
R$ 40.000,00 |
SP |
354870 São Bernardo do Campo |
R$ 60.000,00 |
SP |
354880 São Caetano do Sul |
R$ 20.000,00 |
SP |
354890 São Carlos |
R$ 20.000,00 |
SP |
354980 São José do Rio Preto |
R$ 40.000,00 |
SP |
354990 São José dos Campos |
R$ 60.000,00 |
SP |
355030 São Paulo |
R$ 100.000,00 |
SP |
355100 São Vicente |
R$ 35.000,00 |
SP |
355220 Sorocaba |
R$ 50.000,00 |
SP |
355240 Sumaré |
R$ 30.000,00 |
SP |
355250 Suzano |
R$ 30.000,00 |
SP |
355280 Taboão da Serra |
R$ 30.000,00 |
SP |
355410 Taubaté |
R$ 30.000,00 |
TO |
172100 Palmas |
R$ 20.000,00 |
172 TOTAL OF FUNDS (R$) |
R$ 6.330.000,00 |
|