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…Because AIDS exists!
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ABRAÇO Headquarters, Lisbon
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General Presentation
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SETÚBAL
FUNCHAL
Where we are
VILA NOVA DE GAIA
LISBON
PORTUGAL
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1 Mission
• Abraço is a non-profit, non-governmental health related voluntary organisation;
• Our mission is to help and support people living with and affected by HIV/AIDS;
• Our services cover the whole of Portugal (mainland and islands);
• We develop joint-ventures and partnerships with African and European NGOs.
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2 Programs/Services
• We are involved in areas such as:
• HIV/AIDS health promotion in schools and workplaces;
• General sexual health education, including with young people
• Learning upgrading for non-professionals (service users, relatives and others)
• Learning upgrading for professionals (health professionals – nurses, doctors and others);
• Pressure groups against discrimination of human rights of PLWHA.
• Diversified services regarding service users needs.
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2 Programs/Services
•Our initiatives include:
• drop-in centre, • condom distribution, • food bank, • drug use counselling, • retreats, • newsletter, • training workshops in
schools and other organisations,
• prevention campaigns,• legal and financial support,
• needle exchange program, • home-care, • cafeteria, • social support, • self-help group, • internet forum, • advice and information
hotline, • treatment information,• and more
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3 Target / Population we serve
• Our service users span all age levels, social backgrounds, gender and sexual preferences, since HIV/AIDS is not confined within specific population or transmission areas;
• Considering the people living with HIV/AIDS and their relatives, our service users include:
•Gay men and Lesbians •Youth (school age)
•Transsexuals •Sex workers
•IV and other drug users •Homeless people
•Prison inmates •Immigrants
•Women •Everyone, in general
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• Our aim is to regularly exchange information with international organisations and support advertising and school campaigns:
1. providing bi-lingual posters and leaflets (in English and Portuguese) to other organizations who work in Portuguese speaking countries or in countries with Portuguese immigrant communities;
2. developing partnerships with organizations in order to better serve our service users.
4 International Cooperation
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• We focus our attention on creating partnerships with organizations working in Portuguese speaking countries / territories* which require our expertise to create joint-ventures and partnerships.
* East Timor, Macau (China), Mozambique, Angola, Cape Verde, Guiné Bissau, São Tomé e Príncipe and Brasil.
4 International Cooperation
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5 Funding
Our funding comes from:
• Government
We receive grants from 2 different central government Departments: the Department of Health and the Work and Social Security Department, to support a diverse range of projects, with around 60% contribution of total funding involved.
• Other
Regular and ad-hoc donations from individuals and organisations, as well as funding solicited for specific projects.
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The Projects
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SETÚBAL
FUNCHAL
VILA NOVA DE GAIA
LISBON
PORTUGAL
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Lisbo n
Art Gallery
Headquarters
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ABRAÇO - Lisbon
CAAP – Drop In Centre
HCC – Homecare Centre José Luís Champalimaud
ESW – Emergency Shelter appartments for Women
Dental Care CentreSupport Line – Abraço Direct Line
CafeteriaABRAÇO NewsletterDocumentation CentreArt Gallery
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CAAP – Drop In CentreLisbon
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CAAP / Drop In Centre Lisbon
Medical centre, food bank, condom distribution areas
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Cafeteria
Lisbon
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1 Mission
CAAP / Drop In Centre Lisbon
• Emergency Support
– To give support to HIV+ homeless who don’t have access to
government services.
• Psycho-social support – An ongoing project of support for people with HIV in
circumstances of social/ economic distress, and who would
benefit from regular intervention, with the objective of obtaining
full social integration and employment.
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• To help reduce social exclusion, including from family and employers;
• To reduce the stigma of HIV in social contexts;
• To support the (re)integration of people living with HIV in society.
2 Vision
CAAP / Drop In Centre Lisbon
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3 Objectives
CAAP / Drop In Centre
• Laundry facilities •Showering facilities
• Clothing and shoes storage •Food bank
• Financial and Legal support •Psychological support
• Self Help groups •Support Line
• Cafeteria (we provide over 70 meals per day)
• Overseas delivery of medicines (mainly to Portuguese speaking countries in Africa) to service users who commenced their treatment in Portugal.
To support people with HIV/AIDS who face social and other kinds of exclusion through a programme of structured help including access to the following services in the Centre :
Lisbon
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Our service users are comprised of:
• Heterosexuals (70%):• Single mothers• Immigrants, mainly Africans• Prison inmates• Other (men and women, single or in relationships)
• IV Drug users (15%):• The vast majority of whom are actively using drugs, and require access to
addiction services
• Gays, Lesbians & Transsexuals (5%)
• Seniors (5%)
• Children and Young People infected with HIV (5%)
4 Purpose
LisbonCAAP / Drop In Centre
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• We have 2 harm reduction programs:
• Partnership in the national “Say no to a second hand
needle” initiative, directed at IV drug users, with
delivery of over 10.000 needles per month,
• Diversified support to sex workers (male, female and
transgender) with monthly distribution of over 9.000
condoms and lubricant.
4 Purpose
CAAP / Drop In Centre Lisbon
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Homecare Centres - HCC
Homecare Centre José Luís Champalimaud (Lisbon)
Homecare Centre João Carlos (Vila Nova de Gaia, Oporto)
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SETÚBAL
FUNCHAL
VILA NOVA DE GAIA
LISBON
PORTUGAL
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V.N.Gaia
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• Improve the living conditions of people living with and affected by HIV/AIDS;
• Promote consistent levels of medication and treatment to
all that require our support;
• Contribute to decrease instances of hospitalisation and to
prevent against new infections.
1 Mission
HCC - Homecare Centre Lisbon & Oporto
To:
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We focus our actions, strategically, to:
• Improve the quality of life of those who are living with and affected by HIV/AIDS .
2 Vision
HCC - Homecare Centre Lisbon & Oporto
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• Increase uptake of home care services;
• Provide specialised education for those affected by HIV/AIDS;
• Provide home adaptation tailored to patient needs;
• Provide tailored patient healthcare plans;
• Provide evaluation, support and control of the prescribed
medication;
• Provide an education programme for the Home Support
Assistants;
• Provide Psychological support services,
• Provide dignified conditions to service users at terminal stage.
3 Objectives
HCC - Homecare Centre Lisbon & Oporto
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• Since 1986, to attain excellence in HIV/AIDS care services,
and seek out support from Government and private
organisations to meet increasing demands on resources;
• To provide a first contact point for hospitals and
healthcare centres in search of solutions to their problems
regarding their HIV/AIDS patients;
• In situations where there is little or no family support, to
provide a welcoming and comforting environment;
4 Purpose
HCC - Homecare Centre Lisbon & Oporto
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• The team´s ongoing experience in the social and out-
patient environment informs an integrated system of
solutions to our service users problems;
• The integrated solutions provided in Oporto (in the north of
Portugal) include home support, psychological intervention
and 1 residential unit;
4 Purpose
HCC - Homecare Centre Lisbon & Oporto
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• Our evaluations have concluded that HCC integrated
social, psychological, physiotherapy, nursing and
nutritional services, in combination with more formal care,
have proved effective in the progressive bio-psycho-
social wellbeing of our service users,
• These findings are based on quantitative indicators,
according to the Karnofsky Scale.
4 Purpose
HCC - Homecare Centre Lisbon & Oporto
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Homecare Centre João Carlos
HCC - Homecare Centre Oporto
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HCC - Homecare Centre Oporto
Homecare Centre João Carlos
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• 2 appartments, each with 3 rooms, will be joined to allow free circulation between them;
• The aim of the project is to provide an environment for 9 people:
without family/social support
in a situation of moderate or total dependence
with permanent or temporary incapacity
to co-habit and support each other in life’s daily activities.
Apartment rented in 2006
A
Appartment rented in 2001
B
HCC - Homecare Centre Oporto
Homecare Centre João Carlos
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ESW – Emergency Shelter apartments for Women
Lisbon
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1 Apartments and Regulations
ESW – Emergency Shelter apartments for Women Lisbon
• 2 appartments with 3 rooms each and capacity to sleep 4 single parent families (4 women and 6 children)
• Temporary stay (maximum 6 months)
• For individuals with higher levels of social abandonment
Apartments
The accomodation requires the approval of a local
authority application.
Regulations
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• To temporarily house and support single parent families in social emergency situations, victims of domestic violence at risk, and those in a situation of social exclusion, for a maximum period of 6 months;
• To provide a safe and specialised alternative,
• To promote social reinsertion.
2 Objectives
ESW – Emergency Shelter apartments for Women Lisbon
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ESW – Emergency Shelter apartments for Women Lisbon
The appartments
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ABRAÇO – Dental Care CentrePilot Project in Portugal
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Dental Clinic
Dental Care Centre
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1 Mission
Dental Care Centre
• To address the gap in care provided to people living with HIV/AIDS, regarding oral healthcare
• Improve the state of their oral health.
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2 Vision
Dental Care Centre
• To provide quality of life;
• Increase dental care treatments aggravated by HIV pathology and retroviral therapy.
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3 Objectives
Dental Care Centre
• Improve health conditions of HIV+ people,
• Contribute to the rights of HIV+ people.
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4 Purpose
Dental Care Centre
• ABRAÇO Dental Care Centre is a unique initiative in Portugal and also within Europe;
• Aside from access to the primary care services provided at Portuguese Health Centres and a very few hospital dental units, the overwhelming majority of patients have to seek dental care privately, which is of course only available to those with the resources to do so;
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4 Purpose
Dental Care Centre
• Our service users have extreme social and economic limitations, which prevent them from accessing private health care;
• The government has put in place a system of State funded dental care provided through private dental clinics, but this is available solely to children of school age and there is no coverage for adults;
• The ABRAÇO dental healthcare centre has launched a pilot project to establish a comprehensive dental care facility for its service users;
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4 Purpose
Dental Care Centre
• The centre at ABRAÇO has the staff necessary for the normal running of a dental practice:
•1 receptionist: welcomes cleints and helps them with the necessary
paperwork;• a dental nurse: provides assistance to the dentists and does all the
sterilization work;• a clinical director and a resident doctor: assure the smooth,
effective and professional running of the centre, and the coordination of
staff;•a group of 30 voluntary dentists provide the essential services of the
practice, and bring together a wide range of specialisms including
dental surgery, periodontology, prosthodontics (fixed and removable),
oral pediatrics, fillings, and oral medicine.
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4 Purpose
Dental Care Centre
• 1700 dental appointments are expected to be provided annually;
• The aim of the project is to provide top quality dental care to the service users of ABRAÇO;
• In addition, a research and development unit is being formed in order to increase knowledge in this field, which can help to develop new preventive and therapeutic strategies in the HIV/AIDS field;
• The dental care centre is part of a much wider scheme of thinking that considers a research and development department (R&D) an essential part of an investigation process to allow us to contribute with insight to the scientific community;
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4 Purpose
Dental Care Centre
• We consider this as being of major importance since present knowledge about the effects of AIDS on oral health in Portugal is virtually non-existent.
• The centres work may provide important information relative to areas of epidemiology, semiotics and pathology which might inform prevention and treatment strategies.
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Support Line – Abraço Direct Line800 225 115 (accessible only in Portugal)
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• To provide a direct phone line source of help and
information about HIV/AIDS to everyone.
1 Mission
Support Line – Abraço Direct Line
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• First line of help and information;
• Make information more acessible;
• Allow a quicker response to peoples concerns/questions;
• Contribute to a better understanding of HIV/AIDS by the caller,
• Stimulate the exchange of information/education among peers.
2 Vision
Support Line – Abraço Direct Line
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• Our support line staff receives in-house training which
takes into account our strategy of joint-ventures with other
organisations, up to date information and issues related to
education among peers;
3 Objectives
Support Line – Abraço Direct Line
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ABRAÇO Newsletter
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Newsletter
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• To update the Portuguese community about the latest news and changes related to HIV/AIDS around the world;
• To keep everyone informed and aware of HIV/AIDS issues – service users, relatives, professionals and the medical scientific community.
1 Mission
Newsletter
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• Raise awareness of HIV/AIDS issues;
• Reduce info-exclusion;
• Raise population knowledge level, for those who care about the issue;
• Help to reduce the geographical barriers / frontiers in relation to new HIV/AIDS developments across the world
2 Vision
Newsletter
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• Keep our community updated with the most recent news
about HIV/AIDS, including service users, relatives and the
scientific and medical communities;
• Provide regular information to those with scarce resources;
• Be a reference for the HIV/AIDS professionals by providing
news about the last developments on the HIV/AIDS;
• Help to improve access to information for people living with
and affected by HIV/AIDS;
3 Objectives
Newsletter
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• To be considered as an instrument in the promotion and defence of people with HIV/AIDS;
• Be a forum to address specific concerns and related issues – a kind of FAQ facility for people,
• Promote thought and debate about HIV/AIDS.
3 Objectives
Newsletter
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• A Newsletter focused on providing information to the scientific community, service users, relatives and others interested parties makes it a reference on all kinds of information, easy to obtain and free of charge;
• 20.000 copies are printed bi-monthly, and distribution includes to: Healthcares centres, hospitals, prisons, schools, universities and pharmacies;
• Available to all kinds of people and age groups;
4 Purpose
Newsletter
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• It includes the most up to date foreign articles,
translated with author permission, and full author
references,
• Each Newsletter contains sections along the lines of
Editorial, News, Infections and Treatments, Prevention,
Nutrition and Life Style, Legal and Social, Glossary, Other
Services, Messages, Misc Activities.
4 Purpose
Newsletter
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SETÚBAL
FUNCHAL
VILA NOVA DE GAIA
LISBON
PORTUGAL
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Funchal
“Be a Child” House
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ABRAÇO – Funchal (Madeira Island)
“ABC – Be a Child” Programme
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Funchal“ABC – Be a Child” Programme
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Funchal - “Be a Child House”
Funchal
• House provided by local government on Madeira,• Needs renovation and modification before use.
“ABC – Be a Child” Programme
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1 Mission
Funchal - Madeira“ABC – Be a Child” Programme
To:
• Provide school support;
• Psychological and psycho-social support;
• Preparation and supply of hot, balanced, meals;
• Provide appointments for medical consultations and with
other professional staff;
• Supply essential goods such as food, clothing, footwear,
school supplies;
• Leisure and cultural activities, etc.
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2 Vision
Funchal“ABC – Be a Child” Programme
• Help provide a more adequate level of services for
people living with and affected by HIV/AIDS on the
island;
• Encourage the local government response to the
needs of children and their families, on Madeira
Island;
• Create conditions for a substantial decrease in
social-exclusion and stigma.
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• The project aims are to:
• Promote adequate family environment, and social &
educational (re)integration;
• Create a sense of responsibility and autonomy,
• Provide support and encouragement for starting life
projects (in short, medium and long terms).
• Working with children and young people of school age with problems including low self-esteem, parent/guardian relationships difficulties, absence of affection, learning difficulties, lack of hygiene.
3 Objectives
Funchal“ABC – Be a Child” Programme
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• Since 1995, with a highly specialized and
multidisciplinary team, ABRAÇO has over the years,
reached extremely positive outcomes which meet the set
objectives.
At present the ABRAÇO “ABC – Be a Child” Programme,
provides support for 61 children and 54 family units,
which makes up a total of 160 persons receiving
support.
4
Funchal
Outcome
“ABC – Be a Child” Programme
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SETÚBAL
FUNCHAL
VILA NOVA DE GAIA
LISBON
PORTUGAL
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Setúbal
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ABRAÇO – Setúbal
Mário Pimenta Consultation Center
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Mário Pimenta Consultation Centre Setúbal
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To support and guide HIV+ people through:
• evaluating their institutional, economic and social situations;
• contributing to raise their quality of life;
• providing social reintegration and support in the therapeutic process,
• supplying the information and means necessary to prevent risk situations.
1 Objectives
SetúbalMário Pimenta Consultation Centre
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2
Setúbal
Provide:
• Psycho-social, social and economic support and consultations;
• Effective support in situations of basic sustentative deprivation
(clothes and footwear, hygiene products, among others);
• Support in out-patient care,
• Co-ordination with other relevant support organisations.
Action
Mário Pimenta Consultation Centre
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3 Outcome
Setúbal
• Low-income, under-educated families
• People with psycho-social problems;
• Long-term unemployed,
• People living with and affected by HIV/AIDS.
Support given to:
Mário Pimenta Consultation Centre
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ABRAÇO – National
Prevention Activities
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“In too many countries, the official conspiracy of silence in the return of AIDS meant that many people received information too late, which could have saved their life. We must help young people to protect themselves, informing them, and creating the social conditions necessary, so that they have less chance of being infected.”
Kofi Annan, “Millenium Report”
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“Treatment without Prevention is unsustainable.”
Bill Gates,XVI International AIDS Conference, Canada, Toronto, August 2006
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1 National Program of Peer Education
• Young people represent an important target group in the primary prevention of HIV/AIDS transmission . The majority of young people are of school age, and interventions at this stage have great importance, because it is at this stage in life that the process of socialisation occurs.
• In our school sessions a range of medias, appropriate for young people are used, namely transparencies, videos, posters, postcards and simple leaflets. The images are adapted to the target-group in accordance with its culture.
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1
• The session activities take place in a relaxed, informal, way between peers, although in the physical space of the classroom.
National Program of Peer Education
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1
• The key-messages transmitted during the information sessions are:
• HIV transmission routes
• HIV transmission myths
• Recognition of situations and different risk degrees, namely those related to momogamy in relationships
• Methods of protection in the different risk infection situations
• Correct condom use
• Concepts of Solidarity and Non-Discrimination
• Understanding of the different social standards namely sexual behavior
National Program of Peer Education
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School sessions
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2
• Abraço also carries out prevention activities in:
• Kinder Gardens/Nurseries,
• Other Voluntary Organisations,
• Businesses,
• Universities,
• Retirement Homes,
• Prisons.
Prevention: other actions
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3 Prevention: Support Materials
• In its prevention activities, Abraço uses the following support materials:
• Leaflets,
• Postcards,
• Posters,
• Adverts, etc
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4 Prevention: Leaflets
´Women & AIDS´´HIV & AIDS – The Essentials´
“AIDS is not transmitted through friendship”
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5 Prevention: Postcards
“He´s my hero.
Use a condom”
“Dress your hero.
Use a condom”
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5 Prevention: Postcards
“HIV Transmission”
“HIV for two”
“99% Cotton1% HIV”
“There are things in life we can’t share”
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6 Prevention: Rock in Rio – Lisbon 2006
• Distribution of 3 . condoms and 30.000 brochures;
• Supported by: Lisbon City Hall, Harmony (Beiersdorf).
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7 Prevention: Angola
Meeting with the group LPV-AIDS “fighting for life with HOPE” LUANDA, July 2006
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8
Prevention activities using the “Scenarios from Africa” films
December 2006 - January 2007
Prevention: Brasil (Bahia)
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9 Prevention: photograph exhibitions
• As HIV/AIDS prevention hasn´t necessarily followed traditional formats, Abraço has for some time established a link between prevention work and art, and has to date put on 5 photographic exhibitions;
• These exhibitions cover the whole country in:
•Schools,
•City Councils,
•Libraries,
•Audiences, etc
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ABRAÇO – National
Learning Upgrading
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1 Learning Upgrading
• Abraço provides learning upgrading about HIV/AIDS for:
• Non-professionals (service users, relatives and others)
• Health professionals (nurses, doctors and others)
• ABRAÇO Volunteers and staff
• BUSINESS, and
• The Public in general.
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“Basic HIV/AIDS Training”, Abraço Headquarters – Lisbon, March-April/2006
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ABRAÇO
ABRAÇO Website: www.abraco.org.pt
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1 Website
Fundraising Campaign for:
“Be a Child” House
Funchal, Madeira Island
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ABRAÇO – Lisbon
ABRAÇO Art Gallery
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1 ABRAÇO Art Gallery
• Opened in June of 2003, the Gallery has rotated exhibitions every 2 months, with a catalogue produced for each exhibition;
• Gallery information:
• Rua do Poço do Borratém, 39,1100-408 LISBOA
• Monday to Friday, from 13:00 to 19:00
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2 Temporary Gallery, Lisbon
Photography of FREDERICO MENDES
Exhibition launch, 02.11.2006
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2 Temporary Gallery, Lisbon
Photography of JOHNNY FERNANDES
Exhibition Launch, 01.12.2006
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ABRAÇO
ABRAÇO Publications
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1 “1st Ethic Brainstorming – Abraço”
“Fear is, therefore, the first and most basic of reactions before the epidemic. That which best shows the fragility of reason and social construction.”
Prof. Dr. José Mattoso
Historian, Professor of Universidade Nova de Lisboa
ABRAÇO Publications
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2“When the World falls down over our head” Art in the time of AIDS
“One of the most original and emotive collections of art related to AIDS is the infamous "Names Project Quilt" composed of thousand of rectangles of material personally dedicated to the memory of friends, loved ones or public figures who have died as a result of AIDS. The "Quilt", now too large to be shown in one piece, was presented for the first time in Washington in 1987 (...)”
Alexandre Melo
ABRAÇO Publications
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3 Photographs by FREDERICO MENDES
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4 Photographs by JOHNNY FERNANDES
´A Wall for Social Consciousness´ - helping orphans of the AIDS epidemic in Zimbabwe.
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…Because AIDS exists!