Community-based peer-to-peer strategies for extending testing


Author: Gomes JNN, Mello AM, Almeida EC

Theme: Models of Care Year: 2024

Background: Community-based actions are based on the involvement of families and communities, through the partnership with leaders and groups organized for the implementation of intervention actions on community risk factors, especially involving the promotion, prevention and protection of health, considering the social and economic conditions of a given space.

Description of model of care/intervention/program:
This is an intervention project called Procura C (Demand C), in search of hepatitis C carriers, a partnership of the Ministry of Health of Brazil, together with the United Nations Development Fund (UNDP) and 10 Civil Society Organizations (OSC) to develop projects that contribute to the fight against viral hepatitis in Brazil.

Effectiveness: Each organization chose different populations for the activities. Two organizations worked with public that use narcotic substances. Financial support was provided for project actions, along with 15,000 HCV tests in the oral fluid modality for greater ease and user autonomy.

Conclusion and next steps: Performed 11,650 tests of oral fluid of HCV, of these 59.7% reagents in deprived of liberty; 17.8% in use of narcotic substances; 11.6% in general population; 3.9% in people on the street; 1.5% in sex workers; 1.5% in MSM; 1.5% in trans people and 0.7% in PVHA. With 8.705 community-based activities and a reach of 3.230.449 people reached on this initiative. It is a successful experience that has contributed to the improvement of surveillance, prevention, diagnosis, assistance and treatment of viral hepatitis, driving the reduction and elimination of these diseases in Brazil.

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