Zika, protagonismo feminino e cuidado: ensaiando zonas de contato

Moreira, Martha Cristina Nunes; Mendes, Corina Helena Figueira; Nascimento, Marcos

doi:10.1590/1807-57622017.0930

Cited by 23 publications

(25 citation statements)

References 25 publications

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“…They experienced the end of their relationship with their partner as a destruction of their emotional and personal life. The mothers of this study expressed feelings of profound loneliness, similar to the findings of another study (39) . Moreover, they needed to learn to circumvent society's prejudice against their child's malformation.…”

Section: Discussionsupporting

confidence: 87%

Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome

et al. 2020

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Objective: to reveal the adaptive problems of the woman abandoned by the child’s parent after Congenital Zika Syndrome, in the light of Roy’s Adaptation Model. Method: a qualitative, descriptive study, based on Roy’s Adaptation Model, developed with six women abandoned by their child’s parent after Zika Congenital Syndrome diagnosis, through interview and Content Analysis technique. Results: adaptive problems appeared in nutrition, activity, rest, and protection patterns, due to limitations in self-care; self-concept, related to dissatisfaction with body image and personal being; in the role of transition role, through difficulties in taking over new roles and in interdependence, related to changes in affective needs. Final considerations: the overload of care for children with Congenital Zika Syndrome, added to the challenges of the abandoned woman by her child’s parent, led to adaptive problems, showing their main difficulties of coping.

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Section: Discussionsupporting

confidence: 87%

Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome

et al. 2020

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“…Poverty also impacted upon the capacity to respond to Zika's repercussions. For example, affordable, high-quality healthcare, namely specialized support like early stimulation, physiotherapy or speech therapy for children with CZS was difficult to access (Moreira, Mendes & Nascimento, 2018). Many mothers of children with CZS either lost or had to abandon their jobs because of care responsibilities and did not receive adequate support from the government and health authorities.…”

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confidence: 99%

The everyday political economy of health: community health workers and the response to the 2015 Zika outbreak in Brazil

Nunes

2019

Review of International Political Economy

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How is neoliberalism implicated in concrete health vulnerabilities? How do macrolevel political economy, policy and institutions translate into everyday experiences? Drawing on Marxist, feminist and International Political Economy critiques of everyday life, the article advances an everyday political economy of health focused on four key components: power, agency, intersectionality and the mutual implication of the global and the local. These components enable a nuanced investigation of concrete experiences of health and disease, and of the local implementation of health policies in the context of neoliberalism. The framework is applied to the case of the 2015 public health response to Zika in Brazil, and specifically to the role of community health workers, close-to-community healthcare providers tasked with bridging the health system and vulnerable groups. The everyday practice of these workers, and their working conditions overwhelmingly characterized by precarity and low pay, reveal the presence of global neoliberal dynamics pertaining to the reconfiguration of the Brazilian state as healthcare provider in a context of encroaching austerity, privatization and narrowly-defined cost-efficiency. These dynamics impacted detrimentally upon the effectiveness of the Zika response. KEYWORDS Everyday political economy; global health; community health workers; Zika; Brazil; neoliberalism In 2015, Brazil declared a war on mosquitoes. An outbreak of Zika virus disease, beginning in April in the northeast of the country, alarmed clinicians, researchers, policymakers, media and the public. Although Zika is a mild illness, causing fever, joint pain and headache, scientists puzzled over unprecedented symptoms in the most affected areas (Diniz, 2017). In November 2015, the Brazilian government declared a public health emergency based on the (then uncertain) association between Zika and neurological disorders. In February 2016, the World Health Organization declared Public Health Emergency of International Concern with a similar rationale (Heymann et al., 2016). Researchers later confirmed the link CONTACT João Nunes

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“…Such behavior can be justified by the novelty in stimulating the child, an attitude of care that is hardly performed in previous experiences 3 and that, when employed, aims for the best development of the child and awakens the mother's identity as a woman-mother-of-child-angel, who continues to think of the State's negligence as a cause and moves collectively to reduce social inequities. 14 In summary, care absence in the health services would make it difficult to have the "Stimulate" dimension and disqualify the other dimensions. Although mothers did not mention this relationship between professional care and other dimensions, a study proves that they routinely attend the health services, where they apprehend care, 4 even if they offer services of unsatisfactory quality regarding care humanization.…”

Section: Discussionmentioning

confidence: 99%

A rosácea do cuidado às crianças com síndrome congênita por zika: atitudes cuidativas dos familiares

et al. 2020

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RESUMO Objetivo Compreender a modelagem do cuidado familiar à criança com Síndrome Congênita por Zika a partir das contribuições teóricas da Rosácea do Cuidado na situação crônica. Métodos O estudo foi realizado entre outubro e novembro de 2017 com 11 familiares, explorando entrevistas em profundidade e o desenho estória-tema para a produção de dados. Resultados A Rosácea do Cuidado pode ser disparada a partir do cuidado próprio ou do cuidado familiar, desempenhando atitudes cuidativas construídas por experiências familiares anteriores e interações com o cuidado apreendido nos serviços de saúde. A modelagem do cuidado é sustentada pelo núcleo familiar constituído por mãe, pai e avó, organizando-a em quatro dimensões: Cuidar integralmente, “Tomar conta”, Estimular e, Acessar recursos e serviços. A mãe reconhece as necessidades da criança, julga as habilidades dos familiares e define o responsável pelo cuidado. Conclusão e implicações para a prática A modelagem do cuidado é personalíssimo devido o cenário de epidemia e de pouco conhecimento científico à época, resultando em inovações das atitudes cuidativas. Cabe às(aos) enfermeiras(os) apoiar os familiares para reconhecimento das necessidades de saúde que emergem da criança, bem como potencializar a divisão de tarefas de cuidado, estimulando, principalmente, a adequação da carga horária de trabalho dos pais.

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Zika, protagonismo feminino e cuidado: ensaiando zonas de contato

Cited by 23 publications

References 25 publications

Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome

Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome

The everyday political economy of health: community health workers and the response to the 2015 Zika outbreak in Brazil

A rosácea do cuidado às crianças com síndrome congênita por zika: atitudes cuidativas dos familiares

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