Event | When | Where | Activity | Accomplished |
---|---|---|---|---|
Childbirth care | Date of birth | Maternity hospital | Physical examination (measurement of head circumference, weight, height, and Apgar scores (1 and 5 min) | 10 (91%) |
Maternity hospital | Immediate collection of biological material for laboratory tests | 9 (82%) | ||
Newborn care | Between 24 and 48 h after birth | Maternity hospital | Repeat head circumference measurement | 10 (91%) |
Specialized center | Nonspecific laboratory tests for newborns: complete blood count, serum liver aminotransferase measurements (AST and ALT), bilirubin, LDH, C-reactive protein, ferritin, urea and creatinine, and others. | 11 (100%) | ||
Specialized center | Specific laboratory tests for the specific diagnosis of ZIKV | 10 (91%) | ||
Specialized center | Imaging tests (transfontanelle ultrasound; non-contrast-enhanced computed tomography of the skull) | 11 (100%) | ||
Preferably within 24 and 48 h after birth | Preferably in the maternity hospital | Hearing screening tests - “Ear Test” | 11 (100%) | |
Maternity hospital, PHCI, SRC with visual screening modalities, or specialized services for ophthalmology | Newborn eye screening tests - “Eye test” (ectoscopy and red reflex) | 11 (100%) | ||
Maternity hospital | Guidance to the family regarding the scheduling in PHCI for childcare follow-up | 7 (64%) | ||
Maternity hospital or PHCI | Guidance for attending an RCSA for follow-up for the support and social protection of children and families | 3 (27%) | ||
Up to the first month of life | Maternity hospital or PHCI | Refer to SRC to start early neuromotor stimulation | 10 (91%) | |
Child follow-up | Weekly during the first month of life | Maternity hospital, PHCI, SRC, or specialized services | Repeat head circumference measurement | 10 (91%) |
Not later than the first month of life, except when the child’s health does not allow the examination | SRC with hearing screening modalities or high-complexity hearing rehabilitation center | Hearing function screening tests - Brainstem Auditory Evoked Potential | 11 (100%) | |
After discharge from the hospital/maternity | SRC with visual screening modalities or specialized services in ophthalmology | Fundus examination - to assist in the differential diagnosis of congenital infections such as syphilis, toxoplasmosis and, cytomegalovirus, as well as the identification of other undetected changes in neonatal eye screening such as retinopathy and other congenital and hereditary eye disorders. | 11 (100%) | |
Neonatal nursing | From the 10th day after birth, monthly consultations until 6th month of life. From the 6th to the 12th month of life, quarterly consultations. | PHCI | Childcare consultations | 6 (55%) |
Specialized monitoring | 3 years of age | SRC | Follow-up by a multidisciplinary team (physiotherapist, speech therapist, occupational therapist, and neuropediatrician) | 10 (91%) |
SRC | Assessment: audiological, ophthalmological, and motor functions (motricity, muscle tone, primitive reactions and reflexes, observation of motor development, and use of standardized motor measurement instruments) | 10 (91%) | ||
SRC | Stimulation: auditory, visual, motor function, manual function, cognitive and social skills, language, and orofacial motricity. | 10 (91%) | ||
SRC | Assistive technologies: upper limb orthoses and gait, postural adequacy, play adaptations, communication adaptations, low vision adaptations, adaptations for activities of daily living. | 10 (91%) | ||
SRC | Issuance of a medical report certifying CZS (necessary to request social benefits) | 6 (55%) | ||
SRC | Therapeutic support for the mother and family (health education and rehabilitation team guidance, psychotherapeutic support, and social assistance) | 0 (0%) | ||
Social assistance | SRC, PHCI, and RCSA | Systematic monitoring to ensure social protection and reduce vulnerability | 5 (45%) | |
RCSA | Inclusion to receive social assistance services | 6 (55%) | ||
SRC, PHCI, and RCSA | Guidance on assistance benefits, including the possibility of applying to the National Institute of Social Security for Continuous Benefit, if the necessary criteria are met | 6 (55%) |