HEALTH SERVICES FOR CONGENITAL ZIKA SYNDROME CASES IN VITÓRIA-ES
Name: CÍNTHIA ALVES DA SILVA
Publication date: 10/07/2019
Advisor:
Name |
Role |
|---|---|
| MARIA LUCIA TEIXEIRA GARCIA | Advisor * |
Examining board:
| Name |
Role |
|---|---|
| ANA TARGINA RODRIGUES FERRAZ | Internal Examiner * |
| EDINEIA FIGUEIRA DOS ANJOS OLIVEIRA | External Examiner * |
| MARIA LUCIA TEIXEIRA GARCIA | Advisor * |
Summary: The objective of this dissertation was to analyze the actions and services implemented for health care to children with congenital Zika Syndrome by the municipality of Vitória-ES comparing these actions with the directives pointed out by the Ministry of Health, in order to verify if the actions converge to confronting the problem. For such, we carried out a case study, from a single case and a qualitative approach with documentary research (official documents from Ministry of Health, from Municipal Health Department of Vitória and from the State Health Department of Espírito Santo), with information regarding the health care offered to children with congenital Zika Syndrome, elaborated from 2015 to 2017. In the field survey we interviewed professionals from health services network of Vitória to assist the cases and the representative of health municipal management of Vitória. The information was worked out through the technique of content analysis with aprioristic and non- aprioristic categories. Our findings highlighted that ZIKV, after remaining neglected for more than half of a century in the African continent, found favorable territory in the Americas to its spread. In Brazil, it spread rapidly favored by the country's difficulty in combating the transmission vector, the Aedes aegypti mosquito and the persistent social inequality in the country. We pointed out the epidemy magnitude in Brazil and in Vitória and its unprecedented correlation with the occurrence of congenital malformations, with microcephaly being one of the clinical signs of the so-called Congenital Zika Syndrome. We reflected upon the living conditions of families and women affected by ZIKV, who have seen their pregnancies being permeated by fears, doubts and lack of rights. We show that the State is the greater responsible for ZIKV epidemy for not providing decent living conditions to the population. We highlighted the unfinancing of the Unified Health System as one of the faces of neoliberalism in Brazil, which reduces investment in social policies and favors capital, an idea widely supported by the current Brazilian government. We concluded that the services and actions proposed by the Ministry of Health for children´s care maintain established guidelines of care, demanding closer attention to previously neglected aspects and emphasizing previously underexposed practices such as early stimulation. In Vitória, the actions offered to children have fallen short of their needs and the limitations of rehabilitation services are minimized by transferring responsibilities to the families. Vitoria followed the recommendations of the Ministry of Health and adjusted its network to respond to a small to medium epidemic, which was seen as necessary by professionals and the management representative to address the problem. At the end of our journey, we discovered what we feared the most: ZIKV has become just another scare, another scourge weighing on the shoulders of the impoverished population that stubbornly survives amid parasites, the denial of rights, the inequities and the inequality. which are persistent in Brazilian lands.
