TRACKING IS CARING: PREVENTIVE AND RAPID TESTING IN THE SAME ACTION
Abstract
Introduction: Sexually transmitted infections (STIs) and cervical cancer remain significant public health problems in Brazil, especially among vulnerable populations. Early detection of these conditions is crucial for effective treatment and reducing complications. The integrated provision of preventive exams and rapid tests in community initiatives strengthens Primary Health Care and expands the population's access to diagnostic and prevention services. In my experience, this joint initiative is not included in a municipal protocol; therefore, while recommended, it is not routinely part of all work schedules. Objective: To present the experience of a health initiative that simultaneously promoted the provision of preventive cervical screening (Pap smear) and rapid STI tests, aiming to facilitate access, promote early diagnosis, and encourage self-care. Methodology: The initiative was carried out at a Basic Health Unit (UBS), during a nursing consultation. The target population was women aged 25 to 64, scheduled or spontaneously seen during extended primary care hours. Gynecological preventive exams, breast screening exams performed by nurses, and rapid tests for HIV, syphilis, hepatitis B, and hepatitis C were offered, with results analyzed within 30 minutes. Individual and group counseling was also provided on sexual health, STI prevention, and the importance of cervical cancer screening. Results and discussion: The initiative received good community participation, particularly among women aged 25 to 64. Most participants had never had preventive exams or were overdue for follow-up appointments. The rapid tests were well received and helped demystify STIs, fostering a welcoming and educational environment. Combining both types of exams at the same time optimized the user's time and encouraged comprehensive healthcare. The activity demonstrated that integrated strategies are effective in expanding access and raising awareness. The initiative directly contributed to achieving the following SDGs: SDG 3 – Good Health and Well-Being: by promoting access to preventive exams and rapid tests, strengthening disease prevention and early diagnosis. SDG 5 – Gender Equality: by ensuring quality care and support for women, especially those in vulnerable situations. SDG 10 – Reduction of Inequalities: by providing free and accessible health services to the population in an area with limited access to these services. Final Considerations: The simultaneous implementation of preventive exams and rapid STI tests proved to be an effective, accessible, and well-accepted strategy. This experience reinforces the importance of integrated actions in Primary Health Care, which promote continuous care, equitable access to services, and strengthen users' autonomy regarding their health. Replication of this initiative in other areas can significantly contribute to STI control, cervical cancer prevention, and harm reduction.
Descriptors: Cancer, Sexually Transmitted Infection, Prevention.
