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APDES was one of the partners chosen by Direção Geral de Sáude to implement a project to promote access to screening, diagnosis and treatment of tuberculosis in the most vulnerable population in Porto and Gaia.

These projects will be implemented by the GIRUGaia and Porto G teams.

GIRUGaia

It is intended to contribute to the eradication of Tuberculosis in Portugal, by promoting access to screening, diagnosis and treatment among vulnerable populations, such as people who use psychoactive substances (predominantly cocaine and heroin), people with problems related to  alcohol consumption, people who do sex work, homeless people and migrants; and the increase in health literacy of those populations and the community in general.

With this project, the GG intends to reinforce the intervention it has been developing in the field of TB in Gaia, improving the procedures for accessing the screening, diagnosis and treatment for TB. At the same time, it is proposed to keep up-to-date the screenings for infectious diseases, namely HIV, since often, and corroborating what the literature says, cases of co-infection arise.

With a duration of 1 year and promoting outreach work, the project aims to apply the Tuberculosis Symptoms Survey to users of GG and partners, to promote monitoring of Direct Observation (TOD) in people under active Tuberculosis treatment and to increase the Tuberculosis literacy through awareness raising.

The project has the following partners: AMI, Abraço, CM Vila Nova de Gaia and Pneumological Diagnosis Center.

Porto G

It is intended to contribute to the eradication of Tuberculosis in Portugal, by promoting the screening of tuberculosis in vulnerable populations, by supporting compliance with the treatment of tuberculosis to patients under Direct Observation or under preventive treatment, and by promoting literacy in tuberculosis, namely in people who do sex work in the municipality of Porto.

APDES ‘experience with TS corroborates the reference bibliography on this theme and points to multiple vulnerabilities: population consisting of (i) cisgender and transgender women, (ii) migrant people, mostly undocumented (iii) people using psychoactive substances, (iv ) especially away from social and health structures, (v) with precarious working conditions, (vi) in constant mobility, (vi) more exposed to sexual practices (which creates a need for greater mastery / knowledge about HIV, STIs and TB), and (vii) highly stigmatized, the target of frequent violations of the most basic rights. In this sense, since Porto G’s intervention is aimed at people who do sex work, its context of intervention includes the populations considered to be priorities in this contest: migrant people, TS, alcohol or illegal drug addicts, with special attention to co-infection Tuberculosis-HIV, for its intersectionality

Lasting 1 year and promoting outreach work, the project intends to apply the Tuberculosis Symptoms Survey to users of the GG and partners, to promote accompanying TOD in people under active Tuberculosis treatment and to increase Tuberculosis literacy, through awareness-raising actions.

The project has the following partners: ACES Porto Oriental, São Cirilo Community Center and National Support Center for the Integration of Migrants.