{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T03:44:58Z","timestamp":1766720698661},"reference-count":22,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>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).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This ethnographic study used a rapid qualitative assessment design. Data were collected through a focus group with midwives and in\u2010depth interviews with midwives (n=11) and nurses (n=5).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The focus of the early Zika virus response in Piura was on pregnant women and vector control. Midwives received some training on Zika\u2010related care during the early response. Nurses did not receive any Zika\u2010specific 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Long\u2010term management of endemic Zika virus in Piura will require the engagement of both nurses and midwives as primary care providers.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13047","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T07:01:56Z","timestamp":1579849316000},"page":"45-54","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["On the front line: Health professionals and system preparedness for Zika virus in Peru"],"prefix":"10.1002","volume":"148","author":[{"given":"Ruth","family":"Igui\u00f1iz\u2010Romero","sequence":"first","affiliation":[{"name":"School of Public Health and Administration Cayetano Heredia University  Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Guerra\u2010Reyes","sequence":"additional","affiliation":[{"name":"School of Public Health Indiana University  Bloomington IN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1602113"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.Zika virus factsheet. [Online].http:\/\/www.who.int\/media\u200bcentr\u200be\/facts\u200bheets\/\u200bzika\/en\/. Accessed May 19 2019."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1006633"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30419-9"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2017-104389"},{"key":"e_1_2_8_7_1","unstructured":"General Directorate of Epidemiology.Epidemiological Surveillance System. Zika Surveillance Subsystem.https\u200b:\/\/www.dge.gob.pe\/porta\u200bl\/index.php?optio\u200bn=com_conte\u200bnt&view=artic\u200ble&id=14&Itemi\u200bd=1. Accessed May 17 2019."},{"key":"e_1_2_8_8_1","unstructured":"General Directorate of Epidemiology.Epidemiological Surveillance System. Dengue Surveillance Subsystem.www.dge.gob.pe\/porta\u200bl\/index.php?optio\u200bn=com_conte\u200bnt&view=artic\u200ble&id=14&Itemi\u200bd=121Accesed May 17 2019."},{"key":"e_1_2_8_9_1","unstructured":"Obreg\u00f3nJ.Piura: Deaths from dengue already added 41. Peru 21 [website].2017.https\u200b:\/\/peru21.pe\/peru\/piura-falle\u200bcidos-dengue-sumar\u200bon-41-390231-notic\u200bia\/. Accessed May 19 2019."},{"key":"e_1_2_8_10_1","volume-title":"Rapid Qualitative Inquiry: A Field Guide to Team\u2010Based Assessment","author":"Beebe J","year":"2014"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2018.1471146"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303658"},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/jispcd.JISPCD_371_17","article-title":"Knowledge, attitudes, and practices among health\u2010care providers regarding Zika virus infection","volume":"8","author":"Sharma S","year":"2018","journal-title":"J Int Soc Prev Community Dent"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.18-0014"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2018.0026"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303115"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-017-3634-4"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-812320152110.16832016"},{"key":"e_1_2_8_19_1","first-page":"71","article-title":"Fetal health and ultrasonographic diagnosis in perinatal Zika virus infection","volume":"63","author":"Ol\u00f3rtegui RA","year":"2017","journal-title":"Peruvian J Gynecol Obstet"},{"key":"e_1_2_8_20_1","volume-title":"Child Health in Peru: ENDES 2017","author":"National Institute of Statistics and Informatics (INEI)","year":"2018"},{"key":"e_1_2_8_21_1","volume-title":"Statistical Compendium Piura, 2017","author":"National Institute of Statistics and Informatics (INEI)","year":"2017"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303924"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-18-00356"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.13047","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13047","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13047","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T23:11:17Z","timestamp":1694128277000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":22,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/ijgo.13047"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13047","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-01-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}