INFANT FORMULAS FOR ALLERGY TO COW'S MILK PROTEINS: CHALLENGES IN THE IMPLEMENTATION OF A NATIONAL PROGRAM IN THE SUS
Unified Health System. Cow’s Milk Protein Allergy. Child Formulas. Health Technologies Assessment. Translational Research
Food allergies in children and adults are a relevant public health problem globally and cow’s milk allergy is the most prevalent. In Brazil, after ample discussion, in 2007 four formulas were approved to be incorporated into the care of children with this type of allergy, which should be supplied by the Unified Health System (SUS) in up to 180 days after the inclusion of these technologies. The objective to map the challenges of the implementation and maintenance of state and municipal programs for the supply of special target formulas aimed at children with allergy to cow’s milk protein, in the context of the incorporation by SUS. Exploratory and propositional cross-sectional study with quantitativequalitative approach. The study population is composed of the main actors involved in the debates about the incorporation of this new technology; there are six groups of participants, who will be interviewed by telephone and secondary data collection will be conducted by e-mail. In Chapter 1, discussions on translational research brought to the Brazilian scene were discussed, which culminated in the article, Translational research in Brazil: research topics and their adherence to the SUS Agenda. Chapter 2 characterizes the municipal and state programs that dispense infant formulas for children with cow’s milk allergy and from the identification of the stakeholders involved in the incorporation of these formulas, a propositional matrix of a national program is built from the perspective of translational research. There were 21 programs and/or services (15 municipal and 6 states) from all Brazilian regions. The main driver behind the creation of these programs was judicialization (80.9%) and the provision of special formulas was carried out for children up to 2 years of age. Among the main difficulties in creating and executing these programs, the lack of human and financial resources was the most common reason, representing 71.4% and 61.9%, respectively. The most adopted strategy to reduce the costs of the programs of norms and protocols (61.9%). There was no significant difference between state and municipal programs. Knowing how the most important public policies are defined for policies defined in this national policy