Access to food in a health unit territory: a multidimensional approach Acesso aos alimentos no territorio de uma unidade de saude: um enfoque multidimensional

Food and Nutrition Security (FNS) is translated not only into the eradication of hunger, however, in also guaranteeing a dignified access to adequate and healthy food. This study aimed to analyze access to food with a multidimensional approach, in a territory of a Health Unit of the city of Porto Alegre, state of Rio Grande do Sul, Brazil. The research approach was qualitative; semi-structured interviews were used as a technique for the collection of empirical data among users of the health unit and among a focal group with professionals of the health team. The discursive content was examined through the thematic analysis, based on the concept of Access used in the field of Collective Health, consisting of four dimensions: economic, technical, political and symbolic access. It was observed that the interviewees build their own strategies in the search to achieve all the dimensions of access to food, with food being a priority in daily family planning. However, there is no guarantee of regular and dignified access to adequate and healthy food. In order to achieve this, it is necessary, in addition to individual strategies, a greater integration of Health with other sectors, in the proposal of public policies that, together with the Bolsa Familia Program, may improve the situation of FNS and the Human Right to Adequate Food. Keywords: Food and nutrition security. Healthy eating. Health services. A Seguranca Alimentar e Nutricional (SAN) se traduz nao apenas na erradicacao da fome, mas tambem na garantia do acesso, de maneira digna, a uma alimentacao adequada e saudavel. O objetivo deste estudo foi analisar o acesso aos alimentos com um enfoque multidimensional, em um territorio de uma Unidade de Saude de Porto Alegre-RS. A abordagem da pesquisa foi qualitativa; utilizaram-se entrevistas semiestruturadas como tecnica para a apreensao dos dados empiricos junto a usuarias da unidade de saude e um grupo focal com profissionais da equipe de saude. O conteudo discursivo foi examinado atraves da analise tematica, a partir do conceito de Acesso utilizado no campo da Saude Coletiva, constituido em quatro dimensoes: acesso economico, tecnico, politico e simbolico. Apreendeu-se que as entrevistadas constroem estrategias proprias na busca por realizar todas as dimensoes do acesso aos alimentos, sendo a alimentacao uma prioridade no planejamento familiar cotidiano. Nao ha, porem, garantias de um acesso regular e de maneira digna a uma alimentacao adequada e saudavel. Par