STREETS: MULTIRESISTANT TUBERCULOSIS TREATMENT POSSIBLE SPACE WITH “CONSULTÓRIO NA RUA” STRATEGIES AND IMPLANTATION

INTRODUCTION: Tuberculosis is a worldwide problem in public health, which requires practice in control strategies that considers the humanitarian, economic and civil rights aspects, allied with the specific propaedeutics to achieve cure. Homeless people are especially vulnerable in relation to tuberculosis (the incidence is 67 times higher than population in general) due to the complex associations between singular natural vulnerabilities and the invisibility before the formal institutional access to diagnosis and treatment. MATERIAL AND METHODS: “Consultório na Rua SMSDC-RJ-51, PAL/OMS” strategic deployment and intersectoral dialogue for identification and treatment of respiratory symptoms in homeless population included on the 5.1 Rio de Janeiro County Programmatic Area in 2015. RESULTS: We have identified multiresistant tuberculosis abandonment and built, between 2015 and 2016, a real treatment possibility shared in an expanded intersectoral network involving primary, secondary and tertiary care and also prison system. This cross-monitoring innovation was characterized by more flexible approach access to individualized treatment scheme, regular motivational interviews and intense intersectoral participation to the overrun natural difficulties suffered by the citizen in treatment, having CNAR as an authorizing officer of this care and a mediator between the resulting derived from users’ desires/personal patrimony and clinical protocols. Thus, Cnar SMSDC-RJ-5.1 has been building daily a street consolidation as a “fertile ground”, not only for vulnerability and violence, but also a possible space for the embodiment of complex care in health, promoting adhesion toward healing and citizenship enjoyment.