These marginalized groups often have little or no access to basic health care.
Access to basic health care in Rio
In Costa Barros, an area in northern Rio de Janeiro, MSF has worked since 1998 to improve access to quality health care. The team hopes to consolidate family health services and encourage community participation in running the clinic. An AIDS prevention project covering 11 communities in northern Rio, most within the Costa Barros area, phased out in March 2001.
MSF continues medical care for people living on the streets in Rio, and has supported the creation of a solidarity network to assist this population. A second phase of the project will target the high prevalence of sexually transmitted diseases (STDs) among people living on the streets.
In fall 2001, MSF transferred to local doctors the responsibility for "Médicos Solidários," a network of over 100 physicians and 35 social institutions offering free consultations for excluded populations.
After six years of challenges and successes, in December 2000 MSF ceased its medical aid project among the indigenous people of the Javari Valley, in the Amazon, turning it over to an indigenous NGO. MSF had created a network of indigenous health workers and microscopists to identify and treat key diseases threatening this population.
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A similar project in Medio Solimões, with an emphasis on training and supervising community health workers, will be turned over to local organizations by early 2002.
MSF is closely monitoring the government's implementation of Special Indigenous Health Care Districts, set up in October 1999, and is undertaking a review of health and humanitarian needs in the Amazon region.
International staff: 13
National staff: 76