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On the front line: Health professionals and system preparedness for Zika virus in Peru
Author(s) -
IguiñizRomero Ruth,
GuerraReyes Lucia
Publication year - 2020
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13047
Subject(s) - zika virus , medicine , preparedness , focus group , nursing , medical emergency , family medicine , virus , virology , marketing , political science , law , business
Objectives To analyze the initial healthcare response to the Zika virus in Piura, Peru, and assess the perceptions of midwives and nurses regarding their role in prevention of Zika virus and management of congenital Zika syndrome (CZS). Methods This ethnographic study used a rapid qualitative assessment design. Data were collected through a focus group with midwives and in‐depth interviews with midwives (n=11) and nurses (n=5). Results The focus of the early Zika virus response in Piura was on pregnant women and vector control. Midwives received some training on Zika‐related care during the early response. Nurses did not receive any Zika‐specific training. Neither nurses nor midwives were trained in neonatal CZS surveillance. Midwives were clear about the value and feasibility of incorporating Zika virus surveillance in their daily work, however nurses were not. They referred to lack of training and appropriate tools as limitations. Confusion about Zika virus and CZS symptomatology and effects persisted in both groups. Concerns about their own personal risk influenced the ways they engaged with Zika virus prevention in the community. Conclusion Long‐term management of endemic Zika virus in Piura will require the engagement of both nurses and midwives as primary care providers.