Child sexual abuse: municipal Health Department measures to ensure care

O artigo traz uma an??lise das a????es da Secretaria Municipal de Sa??de e Defesa Civil do Rio de Janeiro para garantir o atendimento especializado ?? popula????o infantojuvenil v??tima de viol??ncia sexual. Trata-se de um estudo de caso que utilizou o m??todo de an??lise de conte??do de oito entrevistas de gestores do n??vel central desta Secretaria. Verificou-se que apesar da Secretaria ser atuante, sua a????o mais evidente est?? no atendimento ??s demandas cl??nicas deste tipo de agravo. No que tange ao atendimento, ela ainda enfrenta v??rios entraves relacionados a articula????es com outras institui????es, defici??ncia no n??mero de servi??os e de profissionais de sa??de especializados, cobertura e oferta de capacita????es.The article analyzes the activities of the Municipal Department of Health and Civil Defense of Rio de Janeiro in ensuring specialized care for the population of children and adolescents who are the victims of sexual violence. This is a case study that used the method of analysis of content of eight interviews with mid-level managers of the aforesaid Department. It was revealed that despite the Department of Health being active in this kind of violence its main intervention is directed to the clinical demands of this kind of injury. With respect to care, it still faces several barriers related to articulation with other institutions, deficiency in the number of services and specialized health professionals, in coverage and in the provision of professional training