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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O objetivo deste estudo foi elaborar e validar o modelo l\u00f3gico dos componentes da assist\u00eancia integral \u00e0s crian\u00e7as com s\u00edndrome cong\u00eanita da Zika (SCZ) no Munic\u00edpio do Rio de Janeiro, Brasil. Foram desenvolvidas tr\u00eas etapas: (1) busca na literatura cient\u00edfica e em documentos oficiais para elabora\u00e7\u00e3o do modelo l\u00f3gico; (2) aperfei\u00e7oamento do modelo incorporando as sugest\u00f5es de especialistas nas \u00e1reas de sa\u00fade da crian\u00e7a, da pessoa com defici\u00eancia, avalia\u00e7\u00e3o em sa\u00fade e Rede de Aten\u00e7\u00e3o \u00e0 Sa\u00fade (RAS); e (3) valida\u00e7\u00e3o do modelo l\u00f3gico por meio do m\u00e9todo de consenso de Delphi em duas fases: avalia\u00e7\u00e3o da pertin\u00eancia e da relev\u00e2ncia dos itens do modelo atrav\u00e9s do percentual de concord\u00e2ncia (PC), do coeficiente alfa de Cronbach, mediana e valor interquartil. O modelo l\u00f3gico cont\u00e9m todos os componentes necess\u00e1rios para o acolhimento e acompanhamento dos casos de SCZ, desde a concep\u00e7\u00e3o at\u00e9 o terceiro ano de vida. Foram classificados como pertinentes 136 itens do modelo (fase 1: PC 96-97% e 0,76-0,93; fase 2: PC 98% e 0,88-0,97), 98% muito relevantes e 2% relevantes. A elabora\u00e7\u00e3o e valida\u00e7\u00e3o do modelo l\u00f3gico possibilitou a representa\u00e7\u00e3o gr\u00e1fica dos componentes necess\u00e1rios para assist\u00eancia integral \u00e0 sa\u00fade das crian\u00e7as com SCZ, bem como a organiza\u00e7\u00e3o dos fluxos assistenciais, com os elementos necess\u00e1rios para auxiliar a gest\u00e3o local no planejamento, estrutura\u00e7\u00e3o e avalia\u00e7\u00e3o da RAS. Apesar das caracter\u00edsticas singulares da cidade, este modelo revela-se pass\u00edvel de aplica\u00e7\u00e3o em outras localidades com fatores contextuais semelhantes aos observados no Rio de Janeiro.<\/jats:p>","DOI":"10.1590\/0102-311xpt051924","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T15:32:28Z","timestamp":1753198348000},"source":"Crossref","is-referenced-by-count":0,"title":["Valida\u00e7\u00e3o do modelo l\u00f3gico da assist\u00eancia integral \u00e0s crian\u00e7as com s\u00edndrome cong\u00eanita da Zika"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5460-8316","authenticated-orcid":false,"given":"Danielle Amaral de","family":"Freitas","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Federal do Rio de Janeiro,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-6999","authenticated-orcid":false,"given":"Reinaldo","family":"Souza-Santos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5085-0685","authenticated-orcid":false,"given":"S\u00f3nia","family":"Dias","sequence":"additional","affiliation":[{"name":"Universidade NOVA de Lisboa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-8127","authenticated-orcid":false,"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9380-3387","authenticated-orcid":false,"given":"Mayumi Duarte","family":"Wakimoto","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0242367","article-title":"Congenital Zika syndrome a systematic review","volume":"15","author":"Freitas DA","year":"2020","journal-title":"PLoS One"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1203\/00006450-197108000-00144","article-title":"The ToRCH complex-perinatal infections associated with toxoplasma and rubella, cytomegol- and herpes simplex viruses.","volume":"5","author":"Nahmias AJ","year":"1971","journal-title":"Pediatr Res"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4067\/S0717-75262017000200011","article-title":"S\u00edndrome de TORCH enfoque racional del diagn\u00f3stico y tratamiento pre y post natal. 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