Implementation of the Street Outreach Office in the perspective of health care

Paula, Hermes Cândido de; Daher, Donizete Vago; Koopmans, Fabiana Ferreira; Faria, Magda Guimarães de Araújo; Brandão, Paula Soares; Scoralick, Graziela Barbosa Freitas

doi:10.1590/0034-7167-2017-0616

Cited by 18 publications

(21 citation statements)

References 6 publications

(7 reference statements)

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“…The Consultório na Rua (Clinic on the Street is an action instituted based on the National Primary Care Policy, and its objective is to expand the access of the homeless to health services, in a more accessible way, and it has team composed of several health professionals, such as a medical doctor, nurse, psychologist, and social worker (28) .…”

Section: Discussionmentioning

confidence: 99%

Homeless population: characterization and contextualization by census research

et al. 2020

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Objectives: to analyze characteristics of homeless people and factors associated with living on the streets. Methods: a census-type sectional survey carried out between 2015 and 2018, in the municipality of Maringá-Paraná. A total of 701 homeless answered a structured questionnaire with sociodemographic data, living conditions, and drug use. We used Pearson’s correlation test for the association analysis of the variables at a 95% confidence level. Results: men (90.7%) the average age of 37.7 years had been homeless for an average of 5.39 years. Most had little education (54.2%), and homelessness was due to drug use (47.2%) and family disagreements (38.9%). Conclusions: drug use and family disagreements were the main reasons for homelessness. Time on the street, gender, and drugs were associated with a negative correlation to be homeless; and age, mean daily income, the number of daily meals, having been in prison, and having an income source were associated with positive correlation.

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Section: Discussionmentioning

confidence: 99%

Homeless population: characterization and contextualization by census research

et al. 2020

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“…HP, which has historically had difficult access to health services, is further curtailed and may be a virus carrier and transmitter. The social invisibility experienced, until then, increases, worsening with the inoperability of public policies and difficulties in accessing health services (6) .…”

Section: Introductionmentioning

confidence: 99%

No place to shelter: ethnography of the homeless population in the COVID-19 pandemic

et al. 2020

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Objective: to analyze how homeless people live, in times of COVID-19 pandemic, in the city of Rio de Janeiro. Method: an ethnographic research that used interviews and observations and articles published in newspapers and magazines of great circulation, using domain analysis. Results: the results tell how the COVID-19 pandemic emerged for the homeless population. Isolation led to emptying the streets and reducing passers-by, damaging their ways of living and their survival tactics. Hunger, thirst, absence of places for bathing and for fulfilling physiological needs became part of their daily lives. Final considerations: given the impossibility of having a place to shelter, acquiring food and water and the limitations in carrying out preventive measures, care actions offered by managers to limit the virus to spread, even in this population, are ineffective.

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“…The present study was conducted along with the city multi-task professionals team at the São Paulo City Secretary of Health, called “street outreach office,” which includes physicians, nurses, dentists, social assistants, and psychologists, based on the strategy of the Brazilian Unified Health System ( 21 ). This city official team offers permanent assistance and save clinical records of the homeless population, promoting health actions on a continuing care bond.…”

Section: Methodsmentioning

confidence: 99%

Serosurvey of Anti-Toxoplasma gondii Antibodies in Homeless Persons of São Paulo City, Southeastern Brazil

Felipetto

Teider-Junior

Silva

et al. 2020

Front. Public Health

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Seroprevalence of Toxoplasma gondii has been extensively studied in a variety of different human populations. However, no study has focused on homeless populations. Accordingly, the present study aimed to assess the seroprevalence of anti-T. gondii antibodies and the risk factors associated in homeless persons from homeless shelter of São Paulo city, southeastern Brazil. In addition, anti-HIV antibodies and associated risk of T. gondii and HIV coinfection have been evaluated. Anti-T. gondii antibodies were detected by indirect fluorescent antibody test. In addition, anti-HIV levels were tested by chemiluminescence enzyme immunoassay, with positive samples confirmed by rapid immunoblot assay. Overall, IgG anti-T. gondii seropositivity was found in 43/120 (35.8%) homeless persons, with endpoint titers varying from 16 to 1,024. The only two pregnant women tested were negative for IgM by chemiluminescence enzyme immunoassay, with normal parturition and clinically healthy newborns in both cases. There were no statistical differences in the risk factors for anti-T. gondii serology (p > 0.05). Anti-HIV seropositivity was found in 2/120 (1.7%) homeless persons, confirmed as HIV-1. One HIV seropositive individual was also sero-reactive to IgG anti-T. gondii, and both were negative to IgM anti-T. gondii. This is the first study that reports the serosurvey of T. gondii in homeless persons worldwide. Despite the limited sample size available in the present study, our findings have shown that the prevalence of anti-T. gondii antibodies in homeless persons herein was lower than the general population, probably due to homeless diet habit of eating mainly processed food intake. No statistical differences were found regarding risk factors for anti-T. gondii exposure in homeless persons. Future studies should be conducted to fully establish risk factors for anti-T. gondii exposure in homeless persons.

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Implementation of the Street Outreach Office in the perspective of health care

Cited by 18 publications

References 6 publications

Homeless population: characterization and contextualization by census research

Homeless population: characterization and contextualization by census research

No place to shelter: ethnography of the homeless population in the COVID-19 pandemic

Serosurvey of Anti-Toxoplasma gondii Antibodies in Homeless Persons of São Paulo City, Southeastern Brazil

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