The objective of this master s dissertation is to analyze the implementation of services for the care of children and adolescents victims of sexual abuse from the perspective of professionals and managers of the health units of the city of Rio de Janeiro. The methodology used was the qualitative approach. The locus of the research were two health units linked to the Rio de Janeiro Municipal Health Secretariat (SMS / RJ): the Marcolino Candau Municipal Health Center (CMCMC) and the Souza Aguiar Municipal Hospital (HMSA). The latter has the particularity of being integrated into the Center for Assistance to Adolescents and Children (CAAC), an organ for the protection of children and adolescents in public safety. Fifteen health professionals were interviewed, being 10 professionals and 5 managers. As a research instrument, the semi-structured interview was used from two scripts. The interviews were recorded and transcribed and for the analysis of the acquired data was used the technique of interpretation of meanings. Regarding the results identified in this study, there were improvements in the organization of services with the expansion of primary care, creation of CAAC and provision of care for children victims of sexual abuse in all health units. However, there are still challenges and limits related to: communication in the care network, difficulty in approaching children, adolescents and their families, and the fear of professionals and family members to report. It is concluded that the professionals inserted in the municipal health network of Rio de Janeiro have materialized the guidelines proposed in the documents of the Ministry of Health during the ongoing process of implementation of the service policy, which although it presents great advances still faces challenges to be overcome .