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Congenital Zika Syndrome-Assessing the Need for a Family Support Programme in Brazil
Antony Duttine1, Tracey Smythe1, Míriam Ribiero Calheiro de Sá2
1International Centre for Evidence on Disability, Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Insights
A family support program is needed for children with Congenital Zika Syndrome (CZS) in Brazil. Adapting existing programs like Getting to Know Cerebral Palsy could address unmet needs for these families.
Area of Science:
- Public Health
- Pediatrics
- Global Health
Background:
- The Zika virus outbreak in Brazil led to Congenital Zika Syndrome (CZS), causing developmental impairments.
- Families of children with CZS face significant challenges in mental health, healthcare access, and quality of life.
- Existing support for CZS families is often medically focused, lacking structured community-based programs.
Purpose of the Study:
- To determine the need for a family support program for CZS in Brazil.
- To assess the adaptability of the Getting to Know Cerebral Palsy (GTKCP) program for CZS families.
- To identify gaps in current support systems for families affected by CZS.
Main Methods:
- Systematic literature review on the needs of families with CZS or cerebral palsy (CP) in low- and middle-income countries.
- Review of the Social and Economic Impact of Zika study findings.
- Scoping visits to three facilities in Brazil serving children with CZS to evaluate GTKCP adaptability.
Main Results:
- Caregiver challenges in mental health, healthcare access, and quality of life are consistent between CZS and CP populations.
- Current support is primarily medical, with informal networks lacking structure.
- Caregivers and practitioners expressed strong interest in structured, community-based support programs.
Conclusions:
- A structured family support program is relevant and needed for families of children with CZS in Brazil.
- Adapting the GTKCP program shows potential to fill a critical gap in the Zika response.
- Community-based interventions are essential to improve the well-being of families affected by CZS.
Abstract:
The Zika outbreak in Brazil caused congenital impairments and developmental delays, or Congenital Zika Syndrome (CZS). We sought to ascertain whether a family support programme was needed and, if so, could be adapted from the Getting to Know Cerebral Palsy programme (GTKCP) designed for children with cerebral palsy (CP). We conducted a systematic review of the needs of families of children with CZS or CP in low- and middle-income countries and reviewed the findings of the Social and Economic Impact of Zika study. We undertook a scoping visit to three facilities offering services to children with CZS in Brazil to understand potential utility and adaptability of GTKCP. The literature review showed that caregivers of children with CZS experience challenges in mental health, healthcare access, and quality of life, consistent with the CP literature. The scoping visits demonstrated that most support provided to families was medically orientated and while informal support networks were established, these lacked structure. Caregivers and practitioners expressed an eagerness for more structure community-based family support programmes. A support programme for families of children with CZS in Brazil appeared relevant and needed, and may fill an important gap in the Zika response.
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