…Because AIDS exists!

1. …Because AIDS exists!

2. ABRAÇO Headquarters, Lisbon

3. General Presentation

4. PORTUGAL VILA NOVA DE GAIA LISBON SETÚBAL FUNCHAL Where we are

5. 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.

6. 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.

7. 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 2 Programs/Services • Our initiatives include:

8. 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

9. 4 International Cooperation • Our aim is to regularly exchange information with international organisations and support advertising and school campaigns: • 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; • developing partnerships with organizations in order to better serve our service users.

10. 4 International Cooperation • 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.

11. 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.

12. The Projects

13. PORTUGAL VILA NOVA DE GAIA LISBON SETÚBAL FUNCHAL

14. Lisbo n Headquarters Art Gallery

15. ABRAÇO - Lisbon CAAP – Drop In Centre HCC – Homecare Centre José Luís Champalimaud ESW –Emergency Shelter appartments for Women Dental Care Centre Support Line– Abraço Direct Line Cafeteria ABRAÇO Newsletter Documentation Centre Art Gallery

16. CAAP – Drop In Centre Lisbon

17. Medical centre, food bank, condom distribution areas CAAP / Drop In Centre Lisbon

18. Cafeteria Lisbon

19. 1 Mission • 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. CAAP / Drop In Centre Lisbon

20. 2 Vision • 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. CAAP / Drop In Centre Lisbon

21. 3 Objectives 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 : • 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. CAAP / Drop In Centre Lisbon

22. 4 Purpose 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%) CAAP / Drop In Centre Lisbon

23. 4 Purpose • 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. CAAP / Drop In Centre Lisbon

24. Homecare Centres - HCC Homecare Centre José Luís Champalimaud (Lisbon) Homecare Centre João Carlos (Vila Nova de Gaia, Oporto)

25. PORTUGAL VILA NOVA DE GAIA LISBON SETÚBAL FUNCHAL

26. V.N.Gaia

27. 1 Mission To: • 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. HCC - Homecare Centre Lisbon & Oporto

28. 2 Vision • We focus our actions, strategically, to: • Improve the quality of life of those who are living with and affected by HIV/AIDS. HCC - Homecare Centre Lisbon & Oporto

29. 3 Objectives • 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. HCC - Homecare Centre Lisbon & Oporto

30. 4 Purpose • 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; HCC - Homecare Centre Lisbon & Oporto

31. 4 Purpose • 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; HCC - Homecare Centre Lisbon & Oporto

32. 4 Purpose • 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. HCC - Homecare Centre Lisbon & Oporto

33. Homecare Centre João Carlos HCC - Homecare Centre Oporto

34. Homecare Centre João Carlos HCC - Homecare Centre Oporto

35. Homecare Centre João Carlos Apartment rented in 2006 • 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. A B Appartment rented in 2001 HCC - Homecare Centre Oporto

36. ESW – Emergency Shelter apartments for Women Lisbon

37. 1 Apartments and Regulations Apartments • 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 Regulations The accomodation requires the approval of a local authority application. ESW – Emergency Shelter apartments for Women Lisbon

38. 2 Objectives • 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. ESW – Emergency Shelter apartments for Women Lisbon

39. The appartments ESW – Emergency Shelter apartments for Women Lisbon

40. ABRAÇO – Dental Care Centre Pilot Project in Portugal

41. Dental Clinic Dental Care Centre

42. 1 Mission • To address the gap in care provided to people living with HIV/AIDS, regarding oral healthcare • Improve the state of their oral health. Dental Care Centre

43. 2 Vision • To provide quality of life; • Increase dental care treatments aggravated by HIV pathology and retroviral therapy. Dental Care Centre

44. 3 Objectives • Improve health conditions of HIV+ people, • Contribute to the rights of HIV+ people. Dental Care Centre

45. 4 Purpose • 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; Dental Care Centre

46. 4 Purpose • 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; Dental Care Centre

47. 4 Purpose • 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. Dental Care Centre

48. 4 Purpose • 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; Dental Care Centre

49. 4 Purpose • 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. Dental Care Centre

50. Support Line– Abraço Direct Line 800 225 115 (accessible only in Portugal)