DESAFIOS NA ATENÇÃO PRIMÁRIA À SAÚDE E ESTRATÉGIAS PARA O ENFRENTAMENTO DE EPIDEMIAS DE ZIKA: REVISÃO NARRATIVA

• DOI: https://doi.org/10.22533/at.ed.743112518036

• Palavras-chave: Zika Vírus; Saúde Pública; Atenção Primária à Saúde.

• Keywords: Zika Virus; Public Health; Primary Health Care.

• Abstract: Abstract: The Zika virus (ZIKV) epidemic in Brazil (2015-2016) highlighted structural weaknesses in the unified health system, especially in Primary Health Care (PHC), aggravated by socioeconomic inequalities, gaps in epidemiological surveillance and challenges in assisting vulnerable groups, such as pregnant women and children with Congenital Syndrome associated with Zika virus infection (SCZ). This narrative review sought to identify the main challenges of PHC in the management of ZIKV infection and discuss prevention strategies. Articles were analyzed in databases such as LILACS, MEDLINE, BDENF - Nursing and SciELO Preprints (2017-2025), using descriptors such as Zika virus, Primary Health Care and Health and Family Strategy. The results showed lack of diagnostic resources, turnover of professionals, underreporting of cases and difficulties in endemic regions, where factors such as disordered urbanization and health precariousness perpetuate epidemic cycles. Effective strategies included contextualized environmental education, adapted communication (community radios, illustrated materials) and integrated vector control (mechanical, legal and technological). It is concluded that intersectoral interventions, continuous public policies and investments in infrastructure and professional training are essential to mitigate the impact of ZIKV, especially in marginalized populations. The sustainability of the actions depends on the integration between PHC, sectors such as sanitation and education, and active community participation.