ENFRENTAMENTO DE DESAFIOS NO CUIDADO À SÍNDROME CONGENITA DO ZIKA NO CONTEXTO DA ATENÇÃO PRIMÁRIA À SAÚDE

Abstract

Introduction: the diagnostic importance of the Zika virus lies in its vertical transmission capacity and its high teratogenic potential, which has resulted in congenital brain abnormalities. Among the congenital anomalies in fetuses resulting from the contagion of the virus during pregnancy, the most prominent is microcephaly, but other manifestations have been related (neurological, auditory, visual and neuroimaging findings), thus suggesting a new congenital syndrome: Congenital Syndrome from Zika. Objective: to generate a debate about facing the challenges in the care of children with Congenital Zika Syndrome within Primary Health Care in Brazil, in light of the assumptions of its essential and derived attributes. Methodology: this is a theoretical and analytical essay, presented in the form of reflective exposition, a review of the literature in the area was carried out, which was searched in the electronic databases of the Virtual Library in Public Health; Virtual Health Library, encompassing the information sources of LILACS and SCIELO. The descriptor ‘primary health care’ was used in conjunction with the keyword ‘attributes’ by the Boolean operator AND. Results: PHC still faces many challenges so that it can play its role as organizer of the system and coordinator of health care for the public with Congenital Zika Syndrome, but the approach that recognizes the importance of the family with the adoption of the International Classification of Functionality and Disability in Health in the orientation of cases. Conclusion: The present study allowed us to start the debate on the importance of Primary Health Care in guiding the public affected by the Zika Congenital Syndrome from the year 2015 in Brazil, highlighting the need for decision-making regarding the improvement regarding the positioning of accountability for this user, both by the family health teams and by the managers.