Access to healthcare for children with Congenital Zika Syndrome in Brazil: perspectives of mothers and health professionals

Health Policy and Planning
Maria S V AlbuquerqueLoveday Penn-Kekana

Abstract

The Congenital Zika Syndrome (CZS) epidemic took place in Brazil between 2015 and 2017 and led to the emergence of at least 3194 children born with CZS. We explored access to healthcare services and activities in the Unified Health Service (Sistema Único de Saúde: SUS) from the perspective of mothers of children with CZS and professionals in the Public Healthcare Network. We carried out a qualitative, exploratory study, using semi-structured interviews, in two Brazilian states-Pernambuco, which was the epicentre of the epidemic in Brazil, and Rio de Janeiro, where the epidemic was less intense. The mothers and health professionals reported that healthcare provision was insufficient and fragmented and there were problems with follow-up care. There was a lack of co-ordination and an absence of communication between the various specialized services and between different levels of the health system. We also noted a public-private mixture in access to healthcare services, resulting from a segmented system and related to inequality of access. High reported household expenditure is an expression of the phenomenon of underfunding of the public system. The challenges that mothers and health professionals reported exposes contradictions ...Continue Reading

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May 26, 2020·BMC Public Health·Cláudia Du Bocage Santos-PintoEverton Falcão de Oliveira
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Oct 12, 2021·Global Public Health·Celmira Laza-VásquezMontserrat Gea-Sánchez

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