Abstract
New health care demands directed at children with chronic conditions have been demanded mainly after the Zika virus epidemic. Given this, the Brazilian states have produced plans to cope with this congenital infection. In the state of Rio de Janeiro, the elaborated plan had as one of its actions a training proposal for physiotherapists, speech therapists and occupational therapists, focusing on early stimulation and focused on the health care network, especially primary care and specialized rehabilitation centers. Thus the purpose of this article is to describe the impact of a response strategy to Zika virus congenital infection, based on the multi-professional training proposal in earlier stimulation in the public health attention network of Rio de Janeiro State. Descriptive study, observational from the earlier stimulation training course to the public health attention network of Rio de Janeiro State as a coping action to the health care of children with Zika virus congenital infection. At the time of writing, partial results are available after 11 classes were performed. Based on the analysis of the evaluation form of the 11 courses taught by professionals of a referral hospital in Rio de Janeiro and student form, using the Excel program, 299 health network professionals were qualified, from 56 different municipalities of RJ, mostly females (n = 259; 86.82%). 175 physiotherapists (59%), 88 speech therapists (29%), 32 occupational therapists (11%) and 4 academics or other professional backgrounds (1%). The articulation between the different levels of public assistance, specifically: primary, secondary and tertiary, in this context assumes a fundamental action for good practices being undertaken considering the population’s health demands. Especially in relation to childhood chronic disease conditions, this action permited the building of lines of care that meet the population’s health demands so that in any of a child’s entry points on the assistance network, either prevention or treatment of the aggravated cases, there is integration of the actions and a better resolving response. It could be also identified that the strategy covered both the primary health attention team and the specialized rehabilitation team equally, composing one more important dialogue point to build an articulated and integrated assistance network.
Highlights
New care demands directed at child health are required considering the continuous increase in prevalence of chronic aggravated health conditions and/or chronic disease throughout the world, including developing countries [1]
At the time of writing, partial results are available after 11 classes were performed in the following areas: Metropolitan I and II (5), South Center (1), Northwest (1), North Fluminense (1), Green Coast (1) and Coastal Lowlands (1). 299 health network professionals were qualified, from 56 different municipalities of Rio de Janeiro State (RJ), mostly females (n = 259; 86.82%). 175 physiotherapists (59%), 88 speech therapists (29%), 32 occupational therapists (11%) and 4 academics or other professional backgrounds (1%)
The establishment of the Unified Health System (SUS) in 1988 sought to reduce the iniquity in health access, promote equity and an evolution on different levels of health attention in the country, as demonstrated, among other aspects, by the increasing number of specialized reference centers, as well as the development of a health attention network, the care deconcentrating from different bodies, with a focus on the Family Health Program, there are in the literature evidences of improvement in care for the child population, with mortality and morbidity reduction across different age ranges [12]
Summary
New care demands directed at child health are required considering the continuous increase in prevalence of chronic aggravated health conditions and/or chronic disease throughout the world, including developing countries [1]. Among these conditions, the congenital alterations related to the Zika virus outbreak, identified in Brazil in 2015, stands out. From November 2015 to December 2018, were 17,041 suspect cases of growth and development disease probably related to Zikavírus infection or other infective disease notified around the country, of which 2133 (12.5%) were excluded because they didn’t meet the current case definitions. From November 2015 to December 2018, were 17,041 suspect cases of growth and development disease probably related to Zikavírus infection or other infective disease notified around the country, of which 2133 (12.5%) were excluded because they didn’t meet the current case definitions. 3332 (19.6%) were confirmed. 643 (3.8%) cases were classified as likely attributable to congenital infection during pregnancy and another 486 (2.9%) considered inconclusive, with a total of 4461 children with a potential risk of alterations in their early years or with later onset [10]. 2.612 (15.3%) were still under investigation up to December 2018.In Rio de Janeiro State (RJ), 1180 cases of neurodevelopmental disease were notified up to the period described [10]
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