Healthcare for children with congenital Zika syndrome: analysis of access to social rights

Cien Saude Colet. 2022 Sep;27(9):3679-3688. doi: 10.1590/1413-81232022279.02972022. Epub 2022 May 18.

Abstract

The objective of this study was to describe if the victims of the Zika have access to essential public policies to guarantee social rights.

Methods: We used a cross-sectional study of a historical cohort of children with congenital Zika syndrome (CZS) in a reference hospital. CZS diagnosis was based on the Ministry of Health protocol. The variables analyzed were sociodemographic and social rights of children.

Results: Of the 161 children seen from April 2016 to July 2018, 42 were diagnosed with CZS. Of these, 37 children participated in the study and 75.7% of them had severe neurological disorders. Anticonvulsants were used by 73% of the children, with 81% paid by families. The families were also responsible for purchasing nutritional formulas and diapers in, respectively, 79% and 100% of cases, and 89% of the children had access to rehabilitation therapy, although 70% of them faced several barriers to do it. Of the 24 working mothers, 83% did not return to the labor market after the birth of their children.

Conclusions: The results showed that the families were at an intersection between the integral activity of caring for a child with severe disabilities and inefficient and omissive public authorities, a disincentive and discouraging context that made them give up in seeking their rights.

MeSH terms

  • Brazil / epidemiology
  • Child
  • Cross-Sectional Studies
  • Delivery of Health Care
  • Female
  • Humans
  • Mothers
  • Pregnancy
  • Pregnancy Complications, Infectious* / diagnosis
  • Pregnancy Complications, Infectious* / epidemiology
  • Zika Virus Infection* / congenital
  • Zika Virus Infection* / epidemiology
  • Zika Virus*