Care practices directed to people with obesity in Primary Health Care in Rio de Janeiro: an analysis of the structure and work processes.

Introduction: Obesity stands out worldwide as a public health problem and the relevant role of Primary Health Care (PHC) in the care of people with obesity has been recognized. Objective: This article intends to analyze and compare the work processes and the availability of structure in PHC for care practices directed to people with obesity in Rio de Janeiro state and municipality. Methods: A descriptive, cross-sectional study with a quantitative approach was carried out, using data from the PMAQ-AB, cycles 1 and 2. Results: Rio de Janeiro city and state have a compatible structure for carrying out care practices directed to people with obesity; the city has approximately 100.0% availability in most variables. Regarding work processes, it was identified that in 2013, only 20.4% and 25.1% underwent nutritional assessment and scheduled agenda according to the risk classification for obesity, 34.7% and 65.4%, in the state and municipality, respectively. Conclusions: The structure available in Rio city and state contributes to the execution of care practices directed to people with obesity, however the work process has a more fragile aspect, and this component was better evaluated in Rio de Janeiro city. [ABSTRACT FROM AUTHOR]