Garantindo uma resposta do setor de saúde com foco nos direitos das mulheres afetadas pelo vírus Zika

Baum, Paige; Fiastro, Anna; Kunselman, Shane; Vega, Camila; Ricardo, Christine; Galli, Beatriz; Nascimento, Marcos

doi:10.1590/0102-311x00064416

Cited by 18 publications

(8 citation statements)

References 5 publications

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“…Zika disproportionately affected the poorest families in the poorer parts of the country, who had limited access to health services and lived in areas that lacked basic sanitation, which facilitated mosquito reproduction ( Diniz, 2016 ; Diniz et al , 2017 ). At the same time, the Brazilian government was perceived to have responded poorly in regard to sexual and reproductive rights, including access to contraceptive methods and planned parenthood during the epidemic ( Baum et al , 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Hope and trust in times of Zika: the views of caregivers and healthcare workers at the forefront of the epidemic in Brazil

Simas

Penn‐Kekana

Kuper

et al. 2020

Health Policy and Planning

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This article investigates how hope and trust played out for two groups at the forefront of the Zika epidemic: caregivers of children with congenital Zika syndrome and healthcare workers. We conducted 76 in-depth interviews with members of both groups to examine hope and trust in clinical settings, as well as trust in public institutions, in the health system and in the government of Brazil. During and after the Zika epidemic, hope and trust were important to manage uncertainty and risk, given the lack of scientific evidence about the neurological consequences of Zika virus infection. The capacity of healthcare workers and caregivers to trust and to co-create hope seems to have allowed relationships to develop that cushioned social impacts, reinforced adherence to therapeutics and enabled information flow. Hope facilitated parents to trust healthcare workers and interventions. Hope and trust appeared to be central in the establishment of support networks for caregivers. At the same time, mistrust in the government and state institutions may have allowed rumours and alternative explanations about Zika to spread. It may also have strengthened activism in mother’s associations, which seemed to have both positive and negative implications for healthcare service delivery. The findings also point to distrust in international health actors and global health agenda, which can impact community engagement in future outbreak responses in Brazil and other countries in Latin America.

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Section: Introductionmentioning

confidence: 99%

Hope and trust in times of Zika: the views of caregivers and healthcare workers at the forefront of the epidemic in Brazil

Simas

Penn‐Kekana

Kuper

et al. 2020

Health Policy and Planning

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“…Despite these statistics, one of the most concerning aspects of these governments’ Zika response protocols was the absence of reference to abortion [43]. Only Colombia’s Zika policy listed information about legal abortion practices [44, 45].…”

Section: Introductionmentioning

confidence: 99%

Zika, abortion and health emergencies: a review of contemporary debates

et al. 2019

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Background The Zika outbreak provides pertinent case study for considering the impact of health emergencies on abortion decision-making and/or for positioning abortion in global health security debates. Main body This paper provides a baseline of contemporary debates taking place in the intersection of two key health policy areas, and seeks to understand how health emergency preparedness frameworks and the broader global health security infrastructure is prepared to respond to future crises which implicate sexual and reproductive rights. Our paper suggests there are three key themes that emerge from the literature; 1) the lack of consideration of sexual and reproductive health (SRH) services in outbreak response 2) structural inequalities permeate the landscape of health emergencies, epitomised by Zika, and 3) the need for rights based approaches to health. Conclusion Global health security planning and response should specifically include programmatic activity for SRH provision during health emergencies.

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“…Ao se definir a importância do acesso à informação e aos serviços de saúde, esse Protocolo ignora os desafios enfrentados por mulheres pobres, negras e pardas que vivem nas áreas mais afetadas pela epidemia. Além disso, omite dados concernentes ao aborto, que, apesar de ser uma prática considerada como crime, é realizado, de forma insegura, no país 25 . Aos 40 anos, quase uma em cada cinco mulheres brasileiras já fez um aborto; somente no ano de 2015, ocorreram cerca de meio milhão de abortos.…”

Section: Rosângelaunclassified

Saúde mental no enfoque das mulheres afetadas pelo Zika vírus: um estudo etnográfico no Estado do Pará, Brasil

Silva

2020

Cad. Saúde Pública

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Resumo: O presente trabalho traz uma reflexão sobre o surto causado pelo Zika vírus, que atingiu a população brasileira e acabou gerando consequências não somente físicas como também emocionais para todos os envolvidos. Há um grupo particular que tem de lidar todos os dias com as dificuldades dessa nova realidade imposta: as mulheres. A abordagem desse tema parte do pressuposto da necessidade de conhecer, compreender e apreender essas questões biopsicossociais em sua amplitude e magnitude. Torna-se necessário adentrar um contexto relativamente novo que atingiu principalmente mulheres negras e pardas, pobres e com baixa escolaridade, a fim de traçar melhorias na atenção aos direitos reprodutivos e à saúde mental delas. Assim, a realidade das mulheres que tiveram filhos com diagnóstico de microcefalia em virtude do Zika vírus foi acessada. Para tanto, foi realizado um estudo de abordagem qualitativa, de cunho etnográfico, em uma instituição de referência no atendimento à saúde da mulher e da criança no Estado do Pará. Verificou-se que as mulheres nessa situação não foram ouvidas ou cuidadas, além do atendimento normatizado para um pós-parto. Concluiu-se que, apesar dessa falta, a saúde mental dessas mulheres é afetada desde o início da gravidez. Logo, os contextos familiar e social tornam-se importantes para fomentar discussões sobre as práticas de saúde e as representações que o Zika acarreta para as mulheres que tiveram sua vida alterada pela situação que provocou um grande alarme em toda a sociedade.

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Garantindo uma resposta do setor de saúde com foco nos direitos das mulheres afetadas pelo vírus Zika

Cited by 18 publications

References 5 publications

Hope and trust in times of Zika: the views of caregivers and healthcare workers at the forefront of the epidemic in Brazil

Hope and trust in times of Zika: the views of caregivers and healthcare workers at the forefront of the epidemic in Brazil

Zika, abortion and health emergencies: a review of contemporary debates

Saúde mental no enfoque das mulheres afetadas pelo Zika vírus: um estudo etnográfico no Estado do Pará, Brasil

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